DR. JACK PETE AYOUB (NPI# 1790836690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790836690 |
| Entity Type | Individual |
| Full Name | DR. JACK PETE AYOUB |
| Credential | M.D. |
| Practice Address |
19490 Sandridge Way 350 Leesburg VA 20176 |
| Practice Telephone | 7038585599 |
| Practice Fax Number | 7038585699 |
| Mailing Telephone | 7038585599 |
| Mailing Fax Number | 7038585699 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2015-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 0101244378 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BUSINESS NPI | 1942440953 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407198757 | Jack E Ayoub | Pharmacist | 2155 Paredes Line Rd, Heb Pharmacy,#446, Brownsville, TX 78521-1609 | 2013-03-25 |
| Street Address |
19490 SANDRIDGE WAY 350 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013457720 | Pure Life Renal of Lansdowne, LLC | Clinic/Center | 19490 Sandridge Way, Suite 140, Leesburg, VA 20176-3465 | 2017-02-28 |
| 1578002275 | Loudoun Medical Group, P.C. | Specialist | 19490 Sandridge Way, Suite 120, Leesburg, VA 20176-3465 | 2017-02-15 |
| 1588025027 | Loudoun Medical Group PC | Psychiatry & Neurology | 19490 Sandridge Way, Suite 260, Leesburg, VA 20176-3465 | 2016-03-11 |
| 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 | 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 |
|---|---|---|---|---|
| 1003266610 | Melissa Soltero Castaner | Obstetrics & Gynecology | 22326 Us Highway 27, Leesburg, FL 34748-7910 | 2016-06-14 |
| 1023353547 | Nateya Carrington | Obstetrics & Gynecology | 1414 E Main St Ste 1, Leesburg, FL 34748-1400 | 2012-12-10 |
| 1699022947 | Monica R Lee | Obstetrics & Gynecology | 19490 Sandridge Way Ste 350, Leesburg, VA 20176-3467 | 2012-08-06 |
| 1952678310 | Wendell J. Courtney, M.d.,p.a. | Obstetrics & Gynecology | 601 E Dixie Ave Ste 301, Leesburg, FL 34748-7302 | 2011-11-29 |
| 1942440953 | Virginia Obstetrics & Gynecology PC | Obstetrics & Gynecology | 44035 Riverside Pkwy # 435, Leesburg, VA 20176-8260 | 2009-03-03 |
| 1104019496 | Natalia Alejandro | Obstetrics & Gynecology | 1414 E Main Street, Leesburg, FL 34748-5329 | 2007-08-21 |
| 1235281668 | Loudoun Physicians for Women PC | Obstetrics & Gynecology | 116c Edwards Ferry Rd Ne, Leesburg, VA 20176-2301 | 2007-01-17 |
| 1730241019 | James Patrick O'connor | Obstetrics & Gynecology | 602 Battery Ter Ne, Leesburg, VA 20176-6600 | 2006-12-14 |
| 1851311393 | Farooq Akbar | Obstetrics & Gynecology | 105 Loudoun St Sw, Leesburg, VA 20175 | 2006-07-20 |
| 1093749152 | Harry Mcleod | Obstetrics & Gynecology | 18536 Woodburn Rd, Leesburg, VA 20175-9026 | 2006-07-11 |
| 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.