DR. EDWARD VINCENT PUCCIO (NPI# 1568417269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568417269 |
| Entity Type | Individual |
| Full Name | DR. EDWARD VINCENT PUCCIO |
| Credential | MD |
| Practice Address |
44045 Riverside Parkway Loudoun Hospital Center Leesburg VA 20176 |
| Mailing Address |
Po Box 13700-1369 Commonwealth Emergency Physicians PC Philadelphia PA 19191-1369 |
| Practice Telephone | 7038586040 |
| Practice Fax Number | 6106176280 |
| Mailing Telephone | 8006662455 |
| Mailing Fax Number | 6106176280 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0101052640 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
44045 RIVERSIDE PARKWAY LOUDOUN HOSPITAL CENTER |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598723082 | Commonwealth Emergency Physicians PC | Emergency Medicine | 44045 Riverside Parkway, Loudoun Hospital Center, Leesburg, VA 20176 | 2006-05-03 |
| 1942663505 | Corey Michael George | Registered Nurse | 44045 Riverside Parkway, Inova Loudoun Hospital, Leesburg, VA 20176-5101 | 2016-03-31 |
| 1720365448 | Christine Caroline Bourgoin | Registered Nurse | 44045 Riverside Parkway, Leesburg, VA 20176 | 2011-11-09 |
| 1205970647 | Cindy K. Lee | Internal Medicine | 44045 Riverside Parkway, Inova Loudoun Hospital, Leesburg, VA 20176 | 2007-02-19 |
| 1669420279 | Jay Kugler | Emergency Medicine | 44045 Riverside Parkway, Loudoun Hospital Center, Leesburg, VA 20176 | 2006-05-05 |
| 1518915917 | Robert Allan Felter | Pediatrics | 44045 Riverside Parkway, Loudoun Hospital Center, Leesburg, VA 20176 | 2006-05-05 |
| 1679521264 | Pranav Virmani | Emergency Medicine | 44045 Riverside Parkway, Loudoun Hospital Center, Leesburg, VA 20176 | 2006-05-05 |
| 1396793980 | John Irvin Morgan Iv | Emergency Medicine | 44045 Riverside Parkway, Loudoun Hospital Center, Leesburg, VA 20176 | 2006-05-05 |
| 1770531352 | Michael Jeffrey Pulizzi | Emergency Medicine | 44045 Riverside Parkway, Loudoun Hospital Center, Leesburg, VA 20176 | 2006-05-05 |
| 1194773739 | Deepa Malpani Shah | Pediatrics | 44045 Riverside Parkway, Loudoun Hospital Center, Leesburg, VA 20176 | 2006-05-05 |
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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 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760870257 | Rebecca Robinson Brabender | Emergency Medicine | 40690 Black Gold Pl, Leesburg, VA 20176-7199 | 2015-01-06 |
| 1811039555 | Patrick J. Fullerton | Emergency Medicine | 22326 Us Highway 27 Ste C, Leesburg, FL 34748 | 2007-02-12 |
| 1043358971 | Roshelle J Beckwith | Emergency Medicine | 952 Edwards Ferry Rd Ne, Metromed Urgent Care, Leesburg, VA 20176-3324 | 2007-02-02 |
| 1720170525 | Dahlia Charles | Emergency Medicine | 19535 Newberry Ter Unit 202, Leesburg, VA 20176-1201 | 2006-09-29 |
| 1942237086 | James R Oehler | Emergency Medicine | 25507 Beau Chene Ct, Leesburg, FL 34748-1803 | 2006-06-26 |
| 1417993718 | Zachary Malachias | Emergency Medicine | 44188 Riverpoint Dr, Leesburg, VA 20176-8206 | 2006-06-22 |
| 1669428371 | Pushpal R Banerjee | Emergency Medicine | 1301 N 14th St, Leesburg, FL 34748-3408 | 2006-05-25 |
| 1841242963 | Sean O'mara | Emergency Medicine | 161 Fort Evans Rd Ne Ste255, Leesburg, VA 20176 | 2006-05-17 |
| 1598723082 | Commonwealth Emergency Physicians PC | Emergency Medicine | 44045 Riverside Parkway, Loudoun Hospital Center, Leesburg, VA 20176 | 2006-05-03 |
| 1194799569 | Raymond D Dominick | Emergency Medicine | 8404 Us Highway 441, Leesburg, FL 34788-4016 | 2006-02-14 |
| Find all providers in LEESBURG | ||||
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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.