DR. DOUGLAS EDWIN HERITAGE (NPI# 1467416305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467416305 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS EDWIN HERITAGE |
| Credential | M.D.09 |
| Practice Address |
2026a Opitz Blvd Woodbridge VA 22191-3306 |
| Practice Telephone | 7034917155 |
| Practice Fax Number | 7036903958 |
| Mailing Telephone | 7034917155 |
| Mailing Fax Number | 7036903958 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 0101027756 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICAL LICENSE | 0101027756 | 01 |
| VA | 6276032 | 05 | |
| FEDERAL DEA | AH8075271 | 01 |
| Street Address |
2026A OPITZ BLVD |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22191-3306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021131 | Bailey Orthodontics Pllc | Dentist | 16446 Navigation Drive, Woodbridge, VA 22191 | 2020-04-07 |
| 1417589326 | Meseret Abate | Registered Nurse | 15608 William Bayliss Ct, Woodbridge, VA 22191 | 2020-02-08 |
| 1992279327 | Velocity Urgent Care, LLC | Clinic/Center | 16422 Navigation Dr, Woodbridge, VA 22191 | 2019-01-18 |
| 1821577263 | Maame Gyasiwah Banahene | Registered Nurse | 1812 Featherstone Rd, Woodbridge, VA 22191 | 2018-08-07 |
| 1235617507 | Yaw P. Baidoo | Nutritionist | 14960 Potomac Heights Pl Apt 503, Woodbridge, VA 22191 | 2018-07-30 |
| 1477048452 | Anahita Abazari | Optometrist | 14901 Potomac Town Pl, Suite 120, Woodbridge, VA 22191 | 2018-06-22 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1568991974 | Patrice Whilby | Behavior Technician | 2264 York Drive Apt 302, Woodbridge, VA 22191 | 2017-06-08 |
| 1508395245 | Maria Theresa Lee | Registered Nurse | 2028b Opitz Blvd # 22191, Woodbridge, VA 22191 | 2017-06-07 |
| 1861943763 | A1 Home Care, LLC | Home Health | 13928 Jefferson Davis Hwy, Ste # C, Woodbridge, VA 22191 | 2016-10-17 |
| Find all providers in zip 22191 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598158107 | Frederick Naftolin | Obstetrics & Gynecology | 4 Stonewall Ln, Woodbridge, CT 06525-1413 | 2015-03-07 |
| 1023277027 | Lloyd Kenneth Mitler | Obstetrics & Gynecology | 56 Brookwood Dr, Woodbridge, CT 06525-2635 | 2008-06-04 |
| 1033382049 | Brad B Swelstad | Obstetrics & Gynecology | 13580 Groupe Dr Ste 105, Woodbridge, VA 22192-4163 | 2008-04-10 |
| 1043499205 | Zohreh Nikkhah Abyaneh | Obstetrics & Gynecology | 2026 Opitz Blvd Ste A, Woodbridge, VA 22191-3332 | 2007-10-24 |
| 1013939040 | Grigor Khachikian | Obstetrics & Gynecology | 1950 Opitz Blvd, Woodbridge, VA 22191-3304 | 2006-07-25 |
| 1518928696 | Jocelyn Kehinde Ajala | Obstetrics & Gynecology | 2296 Opitz Blvd Ste 440, Woodbridge, VA 22191-3355 | 2006-03-29 |
| 1447224167 | Bethanne K Miller | Obstetrics & Gynecology | 14139 Potomac Mills Road, Kaiser Permanente Woodbridge Center, Woodbridge, VA 22192-4644 | 2006-02-17 |
| 1790775625 | Maggie L Ray | Obstetrics & Gynecology | 12690 Catawba Dr, Woodbridge, VA 22192-6414 | 2005-10-22 |
| 1669932265 | Stephanie E Taber | Obstetrics & Gynecology | 2296 Opitz Blvd Ste 440, Woodbridge, VA 22191-3355 | 2019-03-21 |
| 1245746833 | Jennah Melynn Ramsey | Obstetrics & Gynecology | 2296 Opitz Blvd Ste 440, Woodbridge, VA 22191-3355 | 2017-12-19 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22191 |
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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.