Inova Loudoun Ambulatory Surgery

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OH700 Issued in VA

Legal business name

INOVA LOUDOUN AMBULATORY SURGERY

Practice address

44035 Riverside Pkwy
Suite 200
Leesburg, VA 20176-8260

Phone

(571) 209-6465

Fax

(571) 209-6478

NPI assigned

Jul 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Michelle Ann Roybal

Title

Administrator

Phone

(571) 209-6465

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Listed as

Inova Loudoun Ambulatory Surgery Center LLCCCN 49C0001043

Medicare certification status

ActiveFrom the Provider of Services file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1063442077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44035 RIVERSIDE PKWY",
            "address_2": "SUITE 200",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768260",
            "telephone_number": "571-209-6465",
            "fax_number": "571-209-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44035 RIVERSIDE PKWY",
            "address_2": "SUITE 200",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768260",
            "telephone_number": "571-209-6465",
            "fax_number": "571-209-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INOVA LOUDOUN AMBULATORY SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "ROYBAL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "571-209-6465",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "VA",
            "license": "OH700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inch by Inch Counseling Services
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• Inova Health Care Services (Inova Pharmacy Plus- ILH)
• Inova Health Care Services (Inova Loudoun Hospital)
• Inova Health Care Services (Inova Loudoun Hospital)
• Inova Loudoun Hospital (INOVA Loudoun Psychiatry)
• Inova Loudoun Hospital
• Inova Physician Partners, Inc. - Specialists
• Institute of Facial & Oral Surgery
• Integrated Dermatology of Loudoun LLC

• Ambulatory Surgical Clinic/Center in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Ambulatory Surgical Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.