Novant Health Uva Health System Lake Manassas Ob/Gyn

LBN: Nmg Affiliate Practice I, Llc
Novant Health Uva Health System Lake Manassas Ob/Gyn is an health care organization with primary practice located at 25055 Riding Plz Suite 230, South Riding VA 20152-5917. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Nmg Affiliate Practice I, Llc can be contacted via phone (703) 361-3551, or through Gardner, Geoffrey K via phone (571) 261-3529.

Contact Information

Primary practice address
25055 Riding Plz Suite 230 South Riding VA 20152-5917
Phone: (703) 361-3551
Fax: (703) 365-7702
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Geoffrey K
Phone: (571) 261-3529

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1922449263
LBN Legal business name Nmg Affiliate Practice I, Llc
DBA Doing business as Novant Health Uva Health System Lake Manassas Ob/Gyn
Authorized official Gardner, Geoffrey K
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2013
Last updated Apr 6th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922449263 NPPES
Virginia MEDICAID 1922449263

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