MGMC, LLC (NPI# 1336547900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336547900 |
| Entity Type | Organization |
| Organization Name | MGMC, LLC |
| Other Organization Name | MEDSTAR GEORGETOWN ORTHO INST |
| Practice Address |
9455 Lorton Market St Ste 200 Lorton VA 22079-1962 |
| Mailing Address |
2000 15th St N Ste 600 Arlington VA 22201-2683 |
| Practice Telephone | 7039713701 |
| Practice Fax Number | 7033396351 |
| Mailing Telephone | 8888961400 |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2014-12-15 |
| Authorized Official Name | STEPHANIE SCHNEIDER (VP) |
| Authorized Official Telephone | 7035581403 |
| Is Organization Subpart | Y |
| Parent Organization Name | MGMC, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MEDSTAR GEORGETOWN ORTHO INST | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306348073 | Mgmc, LLC | General Practice | 1120 20th St Nw Frnt 1, Washington, DC 20036-3411 | 2018-03-08 |
| 1750883427 | Mgmc, LLC | General Practice | 106 Irving St Nw Ste 5000, Washington, DC 20010-2981 | 2018-03-08 |
| 1679075345 | Mgmc, LLC | General Practice | 25500 Point Lookout Rd, Leonardtown, MD 20650-2015 | 2018-03-08 |
| 1497257166 | Mgmc, LLC | General Practice | 18109 Prince Philip Dr Ste 325, Olney, MD 20832-1576 | 2018-03-08 |
| 1801264338 | Mgmc, LLC | General Practice | 3800 Reservoir Rd Nw, Main Building, First Floor, Washington, DC 20007-2113 | 2015-09-15 |
| 1265800791 | Mgmc, LLC | General Practice | 3800 Reservoir Rd Nw, Gorman Building, First Floor, Washington, DC 20007-2113 | 2015-09-15 |
| 1992173421 | Mgmc, LLC | General Practice | 3800 Reservoir Rd Nw, Pasquerilla Healthcare Center, Ground Floor, Washington, DC 20007-2113 | 2015-09-15 |
| 1558739748 | Mgmc, LLC | General Practice | 6858 Old Dominion Dr, Second Floor, Mc Lean, VA 22101-3899 | 2015-09-04 |
| 1285002469 | Mgmc, LLC | General Practice | 5530 Wisconsin Ave, Suite 960, Chevy Chase, MD 20815-4404 | 2015-09-04 |
| 1003284282 | Mgmc, LLC | General Practice | 5454 Wisconsin Ave, Barlow Building, 11th Floor, Chevy Chase, MD 20815-6901 | 2015-09-04 |
| Street Address |
9455 LORTON MARKET ST STE 200 |
| City | LORTON |
| State | VA |
| Zip Code | 22079-1962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134118417 | Margaret Theresa Carlini | Physical Medicine & Rehabilitation | 9455 Lorton Market St, Lorton, VA 22079-1963 | 2005-10-19 |
| 1124405097 | National Rehabilitation Hospital, Inc. | Physical Therapist | 9455 Lorton Market St, Suite 201, Lorton, VA 22079-1962 | 2015-04-30 |
| 1235568510 | Susan E Meyerson | Physical Therapy Assistant | 9455 Lorton Market St, Suite 203, Lorton, VA 22079-1962 | 2013-11-06 |
| 1972939338 | Kelly Baker Taylor | Physical Therapist | 9455 Lorton Market St, Suite 201, Lorton, VA 22079-1962 | 2013-09-17 |
| 1003254665 | Pohick Creek Emergency Physicians, LLC | Emergency Medicine | 9455 Lorton Market St, Lorton, VA 22079-1962 | 2013-06-05 |
| 1164731337 | Wfj Productions, Inc | Non-emergency Medical Transport (VAN) | 9455 Lorton Market St, Suite 100a, Lorton, VA 22079-1962 | 2010-10-05 |
| 1205140639 | Greater Metropolitan Orthopaedic Institute | Internal Medicine | 9455 Lorton Market St, Suite 100, Lorton, VA 22079-1962 | 2010-07-27 |
| 1164748778 | Kc Medical Inc. | Durable Medical Equipment & Medical Supplies | 9455 Lorton Market St, Suite 101, Lorton, VA 22079-1962 | 2010-04-08 |
| 1902083678 | Arian Nicole Horton | Massage Therapist | 9455 Lorton Market St, Suite 100a, Lorton, VA 22079-1962 | 2008-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992558 | Shannon O'connor | Occupational Therapist | 8350 Silverbrook Rd, Lorton, VA 22079 | 2020-08-14 |
| 1548746688 | Kevin Maurice Gleaton | Driver | 9209 Sheffield Hunt Court, Lorton, VA 22079 | 2018-07-12 |
| 1750714754 | Kenneth Ashton Freeman | Internal Medicine | 8915 Rhododendron Circle, Lorton, VA 22079 | 2013-08-13 |
| 1194068577 | Kraidy & Alkaffaf, LLC | Legal Medicine | 9025 Kiger Street, Lorton, VA 22079 | 2013-04-03 |
| 1720339559 | Jacqueline K Campbell | Nurse Practitioner | 8988 Lorton Market Street, # 100, Lorton, VA 22079 | 2012-09-19 |
| 1104176437 | Tiffany L Johnson | Occupational Therapy Assistant | 8828 Western Hemlock Way, Lorton, VA 22079 | 2012-09-13 |
| 1386908630 | William Hyong-sok Lee | Surgery | 8350-c Terminal Road, Newington, VA 22079 | 2012-07-02 |
| 1356668156 | Turn of A Newleaf,inc | Psychologist | 9693 Hagel Circle, Lorton, VA 22079 | 2010-05-03 |
| 1174848477 | Baseline Financial Management Group Corp | General Practice | 7217 Lockport Pl, Suite 102, Lorton, VA 22079 | 2010-03-30 |
| 1720211501 | Eugenia A. Walsh, Dds, PC | Dentist | 9010 Lorton Station Blvd., Suite 150, Lorton, VA 22079 | 2009-08-27 |
| Find all providers in zip 22079 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174848477 | Baseline Financial Management Group Corp | General Practice | 7217 Lockport Pl, Suite 102, Lorton, VA 22079 | 2010-03-30 |
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|---|---|---|---|---|
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| 1588275986 | Chs Virginia Medical P C | General Practice | 901 E Byrd St Ste 190, Richmond, VA 23219-4077 | 2020-08-11 |
| 1407465289 | Martine H Long | General Practice | 515 Cornerstone St, Lynchburg, VA 24502-5342 | 2020-07-28 |
| 1720617525 | Squadron Health Enterprises, LLC | General Practice | 10602 Allenwood Ln, Great Falls, VA 22066-3229 | 2020-04-03 |
| 1851929558 | Medical Care for Family LLC | General Practice | 6408k Seven Corners Pl Ste G, Falls Church, VA 22044-2007 | 2020-03-29 |
| 1104389337 | Bardia Nemati | General Practice | 731 Walker Rd # E1, Great Falls, VA 22066-2834 | 2019-04-14 |
| 1649733387 | Renaissance Medical Center | General Practice | 284 Blevins Blvd, Bristol, VA 24202-5977 | 2019-04-10 |
| 1174081707 | William Shannon | General Practice | 1751 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2019-03-02 |
| 1700367679 | Healthy Schools Virginia LLC | General Practice | 9603 Gayton Rd Ste 100, Richmond, VA 23238-4964 | 2018-08-28 |
| 1114414299 | Alliance Family Practice, Inc | General Practice | 119 W Brookland Park Blvd, Richmond, VA 23222-2633 | 2018-04-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.