LOUDOUN MEDICAL GROUP . P.C (NPI# 1801408109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801408109 |
| Entity Type | Organization |
| Organization Name | LOUDOUN MEDICAL GROUP . P.C |
| Practice Address |
7430 Heritage Village Plz Unit 101 Gainesville VA 20155-3089 |
| Mailing Address |
224d Cornwall St Nw Ste 403 Leesburg VA 20176-2704 |
| Practice Telephone | 7037533338 |
| Mailing Telephone | 7037376000 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | HEATHER STANTON (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7037376012 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1675951440 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992318067 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw Ste 403, Leesburg, VA 20176-2704 | 2020-08-28 |
| 1093324378 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 19450 Deefield Avenue, Suite 200, Leesburg, VA 20176-2017 | 2020-07-23 |
| 1285242867 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 24430 Stone Springs Blvd Unit 100, Sterling, VA 20166-2269 | 2020-07-20 |
| 1750999892 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw Ste 230, Leesburg, VA 20176-2704 | 2020-07-15 |
| 1093339764 | Loudoun Medical Group . P.c | Internal Medicine | 19500 Sandridge Way Ste 400, Leesburg, VA 20176-3691 | 2020-05-29 |
| 1528691839 | Loudoun Medical Group . P.c | Internal Medicine | 5901 Kingstowne Village Pkwy Ste 101, Alexandria, VA 22315-5881 | 2020-02-14 |
| 1760029904 | Loudoun Medical Group . P.c | Dermatology | 24560 Southpoint Dr Ste 230, Aldie, VA 20105-3504 | 2019-12-06 |
| 1679024418 | Loudoun Medical Group . P.c | Family Medicine | 20 Town Sq, Suite 180, Lovettsville, VA 20180-8555 | 2016-10-17 |
| 1386255602 | Loudoun Medical Group . P.c | Podiatrist | 7430 Heritage Village Plz Unit 101, Gainesville, VA 20155-3089 | 2020-08-11 |
| 1407464092 | Loudoun Medical Group . P.c | Internal Medicine | 4660 Kenmore Ave Ste 500, Alexandria, VA 22304-1300 | 2020-07-20 |
| Street Address |
7430 HERITAGE VILLAGE PLZ UNIT 101 |
| City | GAINESVILLE |
| State | VA |
| Zip Code | 20155-3089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326152976 | Mukesh D. Bhakta | Podiatrist | 7430 Heritage Village Plz Unit 101, Gainesville, VA 20155-3089 | 2006-08-19 |
| 1386255602 | Loudoun Medical Group . P.c | Podiatrist | 7430 Heritage Village Plz Unit 101, Gainesville, VA 20155-3089 | 2020-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689387 | Debbie Ruth Romero | Massage Therapist | Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 | 2018-08-15 |
| 1821587114 | Anh T. Pham, Dds, General Dentistry, PC | Dentist | 7544 Gardner Park Dr., Gainesville, VA 20155 | 2018-05-02 |
| 1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
| 1952831745 | Lauren Gutta Matini | Dentist | 13801 Heathcote Blvd, 100, Gainesville, VA 20155 | 2017-06-14 |
| 1023546611 | Dentists of Gainesville, PC | Dentist | 8140 Stonewall Shops Square, Gainesville, VA 20155 | 2017-05-26 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1396191870 | Isg Transport, LLC | Non-emergency Medical Transport (VAN) | 7653 Framingham Ct., Gainesville, VA 20155 | 2016-05-13 |
| 1831518356 | Alvorada Dentistry | Dentist | 13922 Estate Manor Drive, Gainesville, VA 20155 | 2014-04-11 |
| 1215352547 | Pamco Care LLC | Community/Behavioral Health | 7316 Respite Court, Gainesville, VA 20155 | 2014-02-24 |
| 1598109787 | Nader Nagy Hanna | Pharmacist | 14334 Broadwinged Dr, Gainesville, VA 20155 | 2013-04-18 |
| Find all providers in zip 20155 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144699869 | Gregory Thomas Sutton | Podiatrist | 447 Ee Butler Pkwy Fl 1, Gainesville, GA 30501-4524 | 2015-09-23 |
| 1215164942 | Purvi Shaan Shah | Podiatrist | 590 S Enota Dr Ne Ste 1, Gainesville, GA 30501-2433 | 2009-06-21 |
| 1043236706 | Rudolf W Cisco | Podiatrist | 1224 Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2006-07-15 |
| 1770548141 | Donald Robert Dolezalek Jr. | Podiatrist | 1035 N Morris St, Gainesville, TX 76240-3415 | 2006-04-19 |
| 1417511700 | Lanier Foot and Ankle LLC | Podiatrist | 447 Ee Butler Pkwy Fl 1, Gainesville, GA 30501-4524 | 2019-04-23 |
| 1144407180 | North Ga Foot and Ankle Spec | Podiatrist | 1224 Sherwood Park Dr Ne, Gainesville, GA 30501 | 2008-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952909228 | The Ankle and Foot Clinic of Northern Virginia, Pllc | Podiatrist | 12628 Tide View Ct, Bristow, VA 20136-1175 | 2020-10-09 |
| 1912542713 | Michael A Dente Jr Dpm Plc | Podiatrist | 356 Mclaws Cir Ste 1, Williamsburg, VA 23185-6345 | 2019-11-15 |
| 1609431964 | Ana Anahit Emirzian | Podiatrist | 3300 Gallows Road, Original Building, Falls Church, VA 22042-3307 | 2019-05-02 |
| 1508329913 | District Foot and Ankle | Podiatrist | 4875 Eisenhower Ave Ste 230, Alexandria, VA 22304-4833 | 2019-04-11 |
| 1104300359 | Vineela Ayyagari | Podiatrist | 9017 Fletcher Farm Ct, Manassas, VA 20112-5867 | 2018-09-23 |
| 1083137871 | Rural Podiatry, LLC | Podiatrist | 7010 Mountain Rd, Halifax, VA 24558-2392 | 2017-07-24 |
| 1356863781 | Chen Foot & Ankle Center LLC | Podiatrist | 1948 Jenkins Mill Rd, Suffolk, VA 23437-9401 | 2017-07-07 |
| 1568982247 | Soumaya Bader | Podiatrist | 632 Cedar Rd Ste B, Chesapeake, VA 23322-8376 | 2017-06-22 |
| 1013440569 | Richard Bruno | Podiatrist | 2790 Godwin Blvd Ste 355, Suffolk, VA 23434-8173 | 2017-04-11 |
| 1497289961 | David Chan | Podiatrist | 224d Cornwall St Nw # 203100, Leesburg, VA 20176-2713 | 2017-04-11 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 20155 |
Please comment or provide details below to improve the information on LOUDOUN MEDICAL GROUP . P.C.
| 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.