NOVANT HEALTH UVA HEALTH SYSTEM LAKE MANASSAS OB/GYN – NPI #1922449263
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.

NOVANT HEALTH UVA HEALTH SYSTEM LAKE MANASSAS OB/GYN is a provider located in SOUTH RIDING, VA. NPPES has assigned the NPI number 1922449263 to NOVANT HEALTH UVA HEALTH SYSTEM LAKE MANASSAS OB/GYN on July 16, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NOVANT HEALTH UVA HEALTH SYSTEM LAKE MANASSAS OB/GYN” is a dba name, the actual legal business name for this organization is NMG AFFILIATE PRACTICE I, LLC. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

The NPI profile was previously updated about 10 years ago on Apr 06, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NOVANT HEALTH UVA HEALTH SYSTEM LAKE MANASSAS OB/GYN below.

NPI Profile for
NMG AFFILIATE PRACTICE I, LLC

NPI Number
1922449263
Enumeration Date

(about 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NMG AFFILIATE PRACTICE I, LLC
Doing Business As (dba): NOVANT HEALTH UVA HEALTH SYSTEM LAKE MANASSAS OB/GYN
Primary location
25055 RIDING PLZ
SUITE 230
SOUTH RIDING, VA 20152-5917
Phone: (703) 361-3551 Fax: (703) 365-7702
Mailing address
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone: (703) 361-3551 Fax: (703) 365-7702
Organization Subpart
No
Authorized Official
GEOFFREY GARDNER
VP OF FINANCE
Phone: (571) 261-3529
Updated
Identifiers

Identifiers for NOVANT HEALTH UVA HEALTH SYSTEM LAKE MANASSAS OB/GYN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDVA1922449263
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207V00000X
- Obstetrics & Gynecology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.