LIFESTYLE PHYSICIANS LLC (NPI# 1881228021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881228021 |
| Entity Type | Organization |
| Organization Name | LIFESTYLE PHYSICIANS LLC |
| Practice Address |
12330 Pinecrest Rd Ste 125 Reston VA 20191-1655 |
| Mailing Address |
147 Alexandria Pike Ste 104 Warrenton VA 20186-2947 |
| Practice Telephone | 5406802426 |
| Mailing Telephone | 5406802426 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | SAGAR VERMA (MD) |
| Authorized Official Telephone | 5408295773 |
| Is Organization Subpart | Y |
| Parent Organization Name | LIFESTYLE PHYSICIANS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | STATE LICENSE | 0101253031 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134669211 | Lifestyle Physicians LLC | Internal Medicine | 147 Alexandria Pike Ste 104, Warrenton, VA 20186-2947 | 2017-03-08 |
| Street Address |
12330 PINECREST RD STE 125 |
| City | RESTON |
| State | VA |
| Zip Code | 20191-1655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275150518 | Grace Andales Soistman | Nurse Practitioner | 11160 South Lakes Dr. Reston, Va 20191, Reston, VA 20191 | 2020-07-02 |
| 1790317709 | Twenty Four/7 LLC | Private Vehicle | 11922 Winterthur Ln, 103, Reston, VA 20191 | 2020-02-07 |
| 1437626058 | Aramesh Darvishian Dds Pllc | Dentist | 12040 South Lakes Dr. Suite 200, Reston, VA 20191 | 2018-11-01 |
| 1992282693 | Ashkan Ghods | Home Health | 11760 Sunrise Valley Dr, #405, Reston, VA 20191 | 2018-07-25 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1063930683 | Mackenzie Marie Evans | Specialist/Technologist | 2380 Branleigh Park Ct, Reston, VA 20191 | 2017-09-04 |
| 1073910345 | Jane L Mahan-wiegand | Dietitian, Registered | 1900 Campus Commons Drive, Suite 100, Reston, VA 20191 | 2014-12-02 |
| 1700214293 | Sonny Sunghun Kim | Dentist | 11876 Sunrise Valley Drive, 101, Reston, VA 20191 | 2013-10-22 |
| 1982036786 | Stephanie Lourdes Miller | Physician Assistant | 12040 South Lakes Drive, Suite 207, Generations Family Practice, Reston, VA 20191 | 2013-08-02 |
| 1316250988 | Thao Ngoc Vuong | Pharmacist | 1898 Winterport Cluster, Reston, VA 20191 | 2010-07-23 |
| Find all providers in zip 20191 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696139 | Jennifer Gorrelick, Md, Pllc | Internal Medicine | 1800 Town Center Dr Ste 418, Reston, VA 20190-3240 | 2020-10-09 |
| 1164030458 | Premier Health Consultants of Northern Virginia Inc | Internal Medicine | 1860 Town Center Dr Ste 260, Reston, VA 20190-5899 | 2020-07-22 |
| 1598291791 | One Health Medical Care, LLC | Internal Medicine | 1850 Town Center Drive, Suite 410, Reston, VA 20190-3219 | 2017-05-08 |
| 1205254422 | Ogechi Christine Anyaoku | Internal Medicine | 1860 Town Center Dr Ste 230, Reston, VA 20190-5899 | 2014-04-03 |
| 1760760854 | Shaili Parajuli | Internal Medicine | 1850 Town Center Parkwary, Reston, VA 20190-6705 | 2011-07-25 |
| 1427283563 | Junsoo Alexander Lee | Internal Medicine | 1830 Town Center Dr Ste 405, Reston, VA 20190-3218 | 2009-05-19 |
| 1740489392 | Jamal Raza | Internal Medicine | 11921 Freedom Drive, Suite 550, Reston, VA 20190 | 2007-07-13 |
| 1598984197 | Craig Friedmann | Internal Medicine | 2165 Golf Course Dr, Reston, VA 20191-3835 | 2007-04-24 |
| 1396865440 | Thomas C Lawford | Internal Medicine | 2148 Glencourse Ln, Reston, VA 20191-1317 | 2007-03-30 |
| 1497817787 | Jean Susan Glossa | Internal Medicine | 11484 Washington Plz W Ste 300, Reston, VA 20190-4342 | 2006-12-14 |
| Find all providers in RESTON | ||||
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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.