ELLEN T. GODFREY


Address: 601 Potomac Station Dr Ne, Leesburg, VA 20176-1816
Phone: 7038401396

ELLEN T. GODFREY (NPI# 1437564911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437564911
Entity Type Individual
Full Name ELLEN T. GODFREY
Practice Address 601 Potomac Station Dr Ne
Leesburg
VA 20176-1816
Mailing Address 5000 Cox Rd
Glen Allen
VA 23060-9263
Practice Telephone 7038401396
Mailing Telephone 8049685700
Enumeration Date 2014-06-24
Last Update Date 2018-03-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0110-004631 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 601 POTOMAC STATION DR NE
City LEESBURG
State VA
Zip Code 20176-1816

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174523898 Sybil D Pickard Family Medicine 601 Potomac Station Dr Ne, Leesburg, VA 20176-1816 2005-07-22
1174926679 Olufunmilola Modupe Ogbonlowo Family Medicine 601 Potomac Station Dr Ne, Leesburg, VA 20176 2014-09-29
1659704831 Michelle Ann Salerno Physician Assistant 601 Potomac Station Dr Ne, Leesburg, VA 20176-1816 2013-08-12
1073816708 Karen Elizabeth Alexander Family Medicine 601 Potomac Station Dr Ne, Leesburg, VA 20176-1816 2010-12-20
1073827440 Patient First Richmond Medical Group Pllc Family Medicine 601 Potomac Station Dr Ne, Leesburg, VA 20176-1816 2010-07-28
1669636593 Huma Naureen Bhatti Family Medicine 601 Potomac Station Dr Ne, Leesburg, VA 20176-1816 2008-07-10
1083872675 Tony Chieuvan Nguyen Family Medicine 601 Potomac Station Dr Ne, Leesburg, VA 20176-1816 2008-05-30
1922276609 Elisa Bell Physician Assistant 601 Potomac Station Dr Ne, Leesburg, VA 20176-1816 2008-02-14
1306036082 Asima Saleem Quidwai Internal Medicine 601 Potomac Station Dr Ne, Leesburg, VA 20176-1816 2007-07-28
1043410053 Khurram N. Ali Family Medicine 601 Potomac Station Dr Ne, Leesburg, VA 20176-1816 2007-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053912923 Timothy Michael Nixon Pharmacist 61 Catoctin Circle, Leesburg, VA 20176 2020-11-05
1558996645 Stacey E Moran Occupational Therapist 44124 Woodrige Parkway, Lansdowne, VA 20176 2020-03-09
1710531272 Joseph H Kasuska Jr. Specialist/Technologist 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 2019-08-01
1568935849 Joel Manalang Polintan Jr. Physical Therapist 171 Cedarwalk Circle, Leesburg, VA 20176 2019-01-09
1194203026 Jing Cao Acupuncturist 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 2018-08-02
1134648314 Alaina Marie Gotwalt Speech-Language Pathologist 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 2017-09-19
1841717105 Happy Inhome Care Corp Respite Care 722 E Market St Ste 103, Leesburg, VA 20176 2017-08-28
1912423484 Aaa Good Healthcare LLC Nursing Care 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 2017-08-16
1740704253 Anna Maria Domingo Seaford Physician Assistant 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 2017-07-27
1710436480 Reena Patel Physician Assistant 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 2016-09-23
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811439169 Anthony Mark Rodrigues Physician Assistant 224 Cornwall St Nw Ste D, Leesburg, VA 20176-2701 2016-11-16
1770828774 John O'hara Snow Physician Assistant 18706 Woodburn Rd, Leesburg, VA 20175-9030 2012-12-01
1285622829 John A Horn Physician Assistant 600 Dixie Hwy, Leesburg, FL 34748 2005-10-07
1285195487 Elizabeth Baek Physician Assistant 19450 Deerfield Ave Ste 325, Leesburg, VA 20176-8503 2019-03-29
1437629490 Alexandrea Weeks Physician Assistant 1801 Us Highway 441 Bldg 100, Leesburg, FL 34748-2545 2018-12-03
1710461595 Grace Fantl Physician Assistant 27950 Us Highway 27, Leesburg, FL 34748-9050 2018-09-18
1588061956 Jaster Francis Physician Assistant 44035 Riverside Pkwy, Leesburg, VA 20176 2014-12-01
1073919197 Alexandra Jean Bache Physician Assistant 44035 Riverside Pkwy Ste 400, Leesburg, VA 20176-8260 2014-11-17
1821492067 Kelly Ashley Boardman Physician Assistant 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176-8452 2014-10-17
1497993802 Ilyas Gutale Physician Assistant 600 E Dixie Ave, Leesburg, FL 34748-5925 2009-01-23
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Competitor

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City LEESBURG
Zip Code 20176

Improve Information

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Dataset Information

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.

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