NMG AFFILIATE PRACTICE I, LLC (NPI# 1699179333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699179333 |
| Entity Type | Organization |
| Organization Name | NMG AFFILIATE PRACTICE I, LLC |
| Other Organization Name | NOVANT HEALTH UVA HEALTH SYSTEM LAKE MANASSASOB/GYN |
| Practice Address |
8640 Sudley Road Suite 303 Manassas VA 20110-4404 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7033617778 |
| Practice Fax Number | 7033926231 |
| Mailing Telephone | 7033617778 |
| Mailing Fax Number | 7033926231 |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2017-03-17 |
| Authorized Official Name | GEOFFREY K GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 7033617778 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health UVA Health System Lake ManassasOB/GYN | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639530124 | Nmg Affiliate Practice I, LLC | Internal Medicine | 4197c Winchester Rd, Marshall, VA 20115-3252 | 2016-03-11 |
| 1154701878 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8567 Sudley Rd Ste B, Manassas, VA 20110-3865 | 2015-06-08 |
| 1194110445 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15195 Heathcote Blvd Suite 338, Haymarket, VA 20169-6242 | 2015-04-03 |
| 1831466440 | Nmg Affiliate Practice I, LLC | Surgery | 14010 Smoketown Rd Ste 105, Woodbridge, VA 22192-4723 | 2011-11-28 |
| 1770143570 | Nmg Affiliate Practice I, LLC | Surgery | 15195 Heathcote Blvd Ste 330, Haymarket, VA 20169-6244 | 2019-06-14 |
| 1487218871 | Nmg Affiliate Practice I, LLC | Family Medicine | 190 Moravian Way Dr, Winston Salem, NC 27106-3216 | 2019-05-01 |
| 1700440674 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-26 |
| 1780248823 | Nmg Affiliate Practice I, LLC | Internal Medicine | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2019-04-24 |
| 1861056939 | Nmg Affiliate Practice I, LLC | Internal Medicine | 15225 Heathcote Blvd, Haymarket, VA 20169-6264 | 2019-04-24 |
| 1952875809 | Nmg Affiliate Practice I, LLC | Obstetrics & Gynecology | 428 Hospital Dr, Warrenton, VA 20186-3026 | 2019-01-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | NMG Affiliate Practice I, LLC | 2085 Frontis Plaza Blvd , Winston Salem, NC 27103-5614 |
| Virginia Business Entity | NMG AFFILIATE PRACTICE I, LLC | 200 HAWTHORNE LN , CHARLOTTE, NC 28204 |
| Street Address |
8640 SUDLEY ROAD SUITE 303 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417932815 | Taja Helen Josephs | Obstetrics & Gynecology | 8640 Sudley Road, Suite 303, Manassas, VA 20110-4404 | 2005-12-08 |
| 1710148044 | Sandra L Stewart | Registered Nurse | 8640 Sudley Road, Suite 306, Manassas, VA 20110-4404 | 2008-06-19 |
| 1982865218 | Sarah Jeanette Long | Nurse Practitioner | 8640 Sudley Road, Suite 306, Manassas, VA 20110-4404 | 2008-06-19 |
| 1841469061 | Rizwan Ahmed | Internal Medicine | 8640 Sudley Road, Suite 201, Manassas, VA 20110 | 2008-02-21 |
| 1457557449 | Christine Kennedy | Nurse Practitioner | 8640 Sudley Road, Suite 303, Manassas, VA 20110-4404 | 2007-06-26 |
| 1568667897 | Elizabeth B Kanianthra | Physician Assistant | 8640 Sudley Road, Suite 303, Manassas, VA 20110-4404 | 2007-06-18 |
| 1053471748 | Prince William Obgyn Associates, Ltd. | Obstetrics & Gynecology | 8640 Sudley Road, Suite 303, Manassas, VA 20110-4404 | 2006-12-11 |
| 1043295447 | Gloria Ann Grover | Obstetrics & Gynecology | 8640 Sudley Road, Suite 303, Manassas, VA 20110-4404 | 2005-12-08 |
| 1194700492 | Amy Catherine Kang | Obstetrics & Gynecology | 8640 Sudley Road, Suite 303, Manassas, VA 20110-4404 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| 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 |
|---|---|---|---|---|
| 1417006842 | Leonard Asher Rosen | Obstetrics & Gynecology | 8701 Digges Rd, Manassas, VA 20110-4423 | 2007-01-08 |
| 1114000783 | Syamala K Naroji | Obstetrics & Gynecology | 8701 Digges Road, Manassas, VA 20110-4403 | 2006-10-24 |
| 1417932815 | Taja Helen Josephs | Obstetrics & Gynecology | 8640 Sudley Road, Suite 303, Manassas, VA 20110-4404 | 2005-12-08 |
| 1699776757 | Michael Warner | Obstetrics & Gynecology | 9304 Forest Point Cir, Manassas, VA 20110-4700 | 2005-08-10 |
| 1245655158 | Stephanie Michelle Galuk | Obstetrics & Gynecology | 8644 Sudley Rd Ste 305, Manassas, VA 20110 | 2014-02-28 |
| 1306285333 | Lindsay Michelle Schmid-fertig | Obstetrics & Gynecology | 10701 Rosemary Dr, Manassas, VA 20109-7282 | 2013-06-24 |
| 1114298239 | Leonard A. Rosen, Md., PC. | Obstetrics & Gynecology | 8701 Digges Rd, Manassas, VA 20110-4423 | 2012-01-20 |
| 1508168089 | Jennifer Nguyen An | Obstetrics & Gynecology | 8640 Sudley Rd Ste 303, Manassas, VA 20110-4404 | 2010-12-03 |
| 1710206172 | Saweda Alma Bright | Obstetrics & Gynecology | 8640 Sudley Rd, Suite 303, Manassas, VA 20110-4420 | 2010-05-25 |
| 1588806137 | Carolyn Joy Mason | Obstetrics & Gynecology | 8700 Sudley Rd, Manassas, VA 20110-4418 | 2009-03-28 |
| Find all providers in MANASSAS | ||||
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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.