PAGE MOSS FLETCHER MD PC (NPI# 1457409633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457409633 |
| Entity Type | Organization |
| Organization Name | PAGE MOSS FLETCHER MD PC |
| Practice Address |
224 Cornwall St Nw Leesburg VA 20176-2701 |
| Mailing Address |
Po Box 6264 Leesburg VA 20178-7440 |
| Practice Telephone | 7037794020 |
| Mailing Telephone | 7037794020 |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | PAGE M FLETCHER (DIRECTOR) |
| Authorized Official Telephone | 7037794020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
0101050872 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD | DF6478 | 01 | |
| VA | ANTHEM BCBS | 247439 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | PAGE MOSS FLETCHER MD PC | Po Box 6264, Leesburg, Virginia 20178 |
| Street Address |
224 CORNWALL ST NW |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405662 | Dolores Steinglass | Registered Nurse | 224 Cornwall St Nw, Leesburg, VA 20176-2701 | 2005-05-27 |
| 1932506821 | Orthotic Prosthetic Center, Inc. | Prosthetic/Orthotic Supplier | 224 Cornwall St Nw, Cornwall Pavilion Building 224-d Suite 200b, Leesburg, VA 20176-2701 | 2014-11-21 |
| 1811204050 | Inova Physician Partners, Inc. - Specialists | Orthopaedic Surgery | 224 Cornwall St Nw, Leesburg, VA 20176-2701 | 2010-09-09 |
| 1326203704 | Sleepmed Therapies Inc | Durable Medical Equipment & Medical Supplies | 224 Cornwall St Nw, Suite 101, Leesburg, VA 20176-2701 | 2008-07-24 |
| 1669631297 | Canyonlands Dialysis LLC | Clinic/Center | 224 Cornwall St Nw, Leesburg, VA 20176-2701 | 2008-06-09 |
| 1073783759 | Fairfax Radiological Consultants PC | Specialist | 224 Cornwall St Nw, Leesburg, VA 20176-2701 | 2008-03-10 |
| 1568649424 | Fairfax Radiological Consultants PC | Specialist | 224 Cornwall St Nw, Leesburg, VA 20176-2701 | 2008-01-23 |
| 1245370550 | Lisa Marie Boris | Nurse Practitioner | 224 Cornwall St Nw, Leesburg, VA 20176-2701 | 2007-02-07 |
| 1285786228 | Inova Health Care Services | Psychiatric Unit | 224 Cornwall St Nw, Leesburg, VA 20176-2701 | 2007-01-18 |
| 1184611675 | Debra D Dever | Registered Nurse | 224 Cornwall St Nw, A, Leesburg, VA 20176-2701 | 2005-09-30 |
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| 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 Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487656534 | Arthur Scott Rosecan | Psychiatry & Neurology | 224 Cornwall St Nw, Leesburg, VA 20176-2701 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574569 | Valley Geropsychiatry LLC | Psychiatry & Neurology | 2123b Crystal Spring Ave Sw, Roanoke, VA 24014-2413 | 2018-07-05 |
| 1275861817 | Rebecca Harding Ingram | Psychiatry & Neurology | 316 Maple Tree Ln, Spring Grove, VA 23881-8515 | 2009-11-19 |
| 1487845863 | Asha Krishna | Psychiatry & Neurology | 2118 Rosalind Avenue, Carilion Clinic, Roanoke, VA 24014 | 2007-08-09 |
| 1245358803 | Giovanna Morena M.d, P.C. | Psychiatry & Neurology | 20749 Rainsboro Dr, Ashburn, VA 20147-2835 | 2007-03-26 |
| 1902965882 | Psychiatric Care Center | Psychiatry & Neurology | 300 Glebe Spring Ln, Yorktown, VA 23693-3125 | 2006-12-07 |
| 1831163583 | Ramesh D Chaudry | Psychiatry & Neurology | Pgh, 5001 E. Patrick Henry Hwy., Burkeville, VA 23922 | 2006-02-16 |
| 1083616593 | James S Brown | Psychiatry & Neurology | 214 Bush River Drive, Farmville, VA 23901-0248 | 2005-08-15 |
| 1972841450 | Brighter Day Health LLC | Psychiatry & Neurology | 250 Pantops Mountain Rd, #5107, Charlottesville, VA 22911-8686 | 2013-01-17 |
| 1841466075 | Robert B J Nathan | Psychiatry & Neurology | 500 Ray C Hunt Drive, Charlottesville, VA 22903 | 2008-05-07 |
| 1881893071 | Mamta Sapra | Psychiatry & Neurology | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2007-07-17 |
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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.