RESTON HOSPITAL CENTER, LLC (NPI# 1548617863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548617863 |
| Entity Type | Organization |
| Organization Name | RESTON HOSPITAL CENTER, LLC |
| Other Organization Name | RESTON HOSPITAL CENTER |
| Practice Address |
1850 Town Center Pkwy Reston VA 20190-3219 |
| Practice Telephone | 7036899000 |
| Practice Fax Number | 7036899179 |
| Mailing Telephone | 7036899000 |
| Mailing Fax Number | 7036899179 |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | DUSTIN J. FOSNESS (CFO) |
| Authorized Official Telephone | 7036899000 |
| Is Organization Subpart | Y |
| Parent Organization Name | RESTON HOSPITAL, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471C1101X |
Radiologic Technologist Specialization: Cardiovascular-Interventional Technology |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 247100000X | Radiologic Technologist | Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Reston Hospital Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286289 | Reston Hospital Center, LLC | Clinic/Center | 24570 Gum Spring Rd, Dulles, VA 20166-2246 | 2013-11-15 |
| 1538650999 | Reston Hospital Center, LLC | Rehabilitation Unit | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-05-22 |
| 1427117019 | Reston Hospital Center, LLC | General Acute Care Hospital | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2006-12-08 |
| 1043314438 | Reston Hospital Center, LLC | Orthopaedic Surgery | 1850 Town Center Pkwy, Reston, VA 20190 | 2006-09-07 |
| Street Address |
1850 TOWN CENTER PKWY |
| City | RESTON |
| State | VA |
| Zip Code | 20190-3219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386646420 | Robert A. Shor | Internal Medicine | 1850 Town Center Pkwy, Ste 550, Reston, VA 20190-3219 | 2005-06-01 |
| 1295357507 | Karina Manicka | Registered Nurse | 1850 Town Center Pkwy, Reston, VA 20190-3204 | 2020-05-08 |
| 1134777964 | Sharon Kim | Nurse Practitioner | 1850 Town Center Pkwy, Reston, VA 20190-3204 | 2019-08-26 |
| 1538650999 | Reston Hospital Center, LLC | Rehabilitation Unit | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-05-22 |
| 1437656014 | Rithika Mohan | Nurse Anesthetist, Certified Registered | 1850 Town Center Pkwy, Reston, VA 20190 | 2018-04-10 |
| 1447753223 | Cara Elizabeth Butler | Registered Nurse | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-03-17 |
| 1669974101 | Rachel Ellenbogen | Physician Assistant | 1850 Town Center Pkwy, Reston, VA 20190-3204 | 2018-02-28 |
| 1669972626 | Meghan Squier | Nurse Anesthetist, Certified Registered | 1850 Town Center Pkwy, Reston, VA 20190-3219 | 2018-02-16 |
| 1316470198 | Dana Alsaadi | Internal Medicine | 1850 Town Center Pkwy, Reston, VA 20190-3298 | 2017-04-07 |
| 1124482831 | Christine Mueting | Physician Assistant | 1850 Town Center Pkwy, Ste 400, Reston, VA 20190-3219 | 2016-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205174786 | Robin M Onstad | Radiologic Technologist | 101 Meadow View Ct, #301, Stafford, VA 22554-7720 | 2013-01-18 |
| 1396992202 | Edwin Ragland Taylor | Radiologic Technologist | 1201 Broadrock Blvd Richmond Va, Richmond, VA 23249-0001 | 2008-08-21 |
| 1881852630 | Debra Clement Cupp | Radiologic Technologist | 1463 Stripers Cove Rd, Goodview, VA 24095-3515 | 2008-05-29 |
| 1801860473 | Edith Annette Robbins | Radiologic Technologist | 2609 Brookstone Dr, Chesapeake, VA 23321-2408 | 2006-02-13 |
| 1033731591 | Marti Abarquez | Radiologic Technologist | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2020-05-07 |
| 1285708214 | Don Morrison & Associates, Inc. | Radiologic Technologist | 7108 Fernwood St, Richmond, VA 23228-4001 | 2006-11-20 |
Please comment or provide details below to improve the information on RESTON HOSPITAL CENTER, LLC.
| 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.