DR. DOUGLAS EDWIN HERITAGE


Address: 2026a Opitz Blvd, Woodbridge, VA 22191-3306
Phone: 7034917155

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207V00000X Obstetrics & Gynecology 0101027756 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA MEDICAL LICENSE 0101027756 01
VA 6276032 05
FEDERAL DEA AH8075271 01

Office Location

Street Address 2026A OPITZ BLVD
City WOODBRIDGE
State VA
Zip Code 22191-3306

Providers in the same zip code

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 Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City WOODBRIDGE
Zip Code 22191

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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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