PIEDMONT MEDICAL CLINIC (NPI# 1417150665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417150665 |
| Entity Type | Organization |
| Organization Name | PIEDMONT MEDICAL CLINIC |
| Practice Address |
7960 Donegan Dr Suite 217 Manassas VA 20109-8236 |
| Practice Telephone | 7033938883 |
| Practice Fax Number | 7033938857 |
| Mailing Telephone | 7033938883 |
| Mailing Fax Number | 7033938857 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CYNTHIA S. FLORES (D.O) |
| Authorized Official Telephone | 7033938883 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | Other Service Providers |
| Street Address |
7960 DONEGAN DR SUITE 217 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20109-8236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366510521 | Jennell E Nelson | Dermatology | 7960 Donegan Dr, Suite 217, Manassas, VA 20109-8236 | 2006-12-04 |
| 1033659834 | J Nelson Md PC | Specialist | 7960 Donegan Dr, Suite 217, Manassas, VA 20109-8236 | 2017-02-28 |
| 1861542706 | Raul B. Aguilar | Physical Therapist | 7960 Donegan Dr, Suite 233, Manassas, VA 20109-8236 | 2007-01-11 |
| 1255488755 | Universal Health and Wellness Center, P.C. | Clinic/Center | 7960 Donegan Dr, Ste 233, Manassas, VA 20109-8236 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275151854 | Laura Zabel | Social Worker | 10220 Launch Circle #103, Manassas, VA 20109 | 2020-07-09 |
| 1659910677 | Leigh Cristi Babin-adkins | Registered Nurse | 10550 Linden Lake Plazza, Manassas, VA 20109 | 2019-12-23 |
| 1326686221 | Sophie Louise Elliot | Speech-Language Pathologist | 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 | 2019-12-11 |
| 1962978221 | Dominique Marie Cytryn | Behavior Technician | Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 | 2018-10-15 |
| 1255829008 | Lyusyena Teper | Physical Therapist | 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 | 2018-04-27 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1336641885 | Stephanie Joanne Gamboa | Behavior Technician | 1037 Battleview Pkwy, Manassas, VA 20109 | 2018-03-01 |
| 1154822237 | Katherine Sholl | Behavior Technician | 10370 Battleview Parkway, Manassas, VA 20109 | 2018-02-23 |
| 1386168615 | Northern Virginia Checker Cab LLC | Taxi | 7631 Coppermine Dr, Manassas, VA 20109 | 2017-07-28 |
| 1407383201 | Monique Lowery | Social Worker | 7403 Emerald Dr., Manassas, VA 20109 | 2017-05-11 |
| Find all providers in zip 20109 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447286919 | Manassas Heart Center LLC | Medical Genetics, Ph.D. Medical Genetics | 8100 Ashton Ave, Suite 200, Manassas, VA 20109-5622 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902832678 | Warrenton Heart Center LLC | Medical Genetics, Ph.D. Medical Genetics | 559 Frost Ave, Suite 102, Warrenton, VA 20186 | 2006-06-24 |
| 1902832512 | Pamela Marie Kimball | Medical Genetics, Ph.D. Medical Genetics | 737 N 5th St Ste 100, Box 980005, Richmond, VA 23219-1441 | 2006-06-24 |
| 1144203308 | Matthew Peter Green | Medical Genetics, Ph.D. Medical Genetics | 575 Industrial Dr, Louisa, VA 23093-4146 | 2005-11-22 |
| 1093064214 | Qiulu Pan | Medical Genetics, Ph.D. Medical Genetics | 14225 Newbrook Dr, Quest Diagnostics, Chantilly, VA 20151-2228 | 2012-09-04 |
| 1205181492 | Maria Bettinotti | Medical Genetics, Ph.D. Medical Genetics | 14225 Newbrook Dr, Chantilly, VA 20151-2228 | 2012-07-13 |
| 1902160310 | Dongli Huang | Medical Genetics, Ph.D. Medical Genetics | 14225 Newbrook Dr, Chantilly, VA 20151-2228 | 2012-06-29 |
| 1346504289 | Nicole Charlotte Christacos | Medical Genetics, Ph.D. Medical Genetics | 14225 Newbrook Dr, Chantilly, VA 20151-2228 | 2012-06-26 |
| 1982968798 | Kasinathan Muralidharan | Medical Genetics, Ph.D. Medical Genetics | 14225 Newbrook Dr, Chantilly, VA 20151-2228 | 2012-06-26 |
| 1114039070 | Paul Douglas Nielson | Medical Genetics, Ph.D. Medical Genetics | 416 S Main St, Hillsville, VA 24343-1698 | 2006-08-31 |
| 1780695627 | Isabel J Ramaswamy | Medical Genetics, Ph.D. Medical Genetics | 3801 Fairfax Dr, Suite 44, Arlington, VA 22203-1762 | 2006-08-10 |
| 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.