Countryside Orthopaedics PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

COUNTRYSIDE ORTHOPAEDICS PC

Practice address

19465 Deerfield Ave
Suite 405
Leesburg, VA 20176-1707

Phone

(703) 858-1800

Fax

(703) 858-1801

NPI assigned

Dec 20, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Imran Khan, MD

Title

President

Phone

(703) 858-1800

Specialties & licenses 1

Addresses

Other names 1

• Countryside OrthopaedicPhysical Therapy and Hand Rehabilitation Center Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Andrew Rowley, M.D.

  • Orthopaedic Surgery Physician
  • Georgetown, SC
  • NPI 1922194257
  NPD (past)

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1124004296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE",
            "address_2": "SUITE 405",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761707",
            "telephone_number": "703-858-1800",
            "fax_number": "703-858-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE",
            "address_2": "SUITE 405",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761707",
            "telephone_number": "703-858-1800",
            "fax_number": "703-858-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYSIDE ORTHOPAEDICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-858-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Countryside OrthopaedicPhysical Therapy and Hand Rehabilitation Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kejon K Cote, LCSW
• Aaron Alexander Cottrill, LPTA
• Suzanne Coughenour
• Lindsay Coulter, DPT
• Countryside Ambulatory Surg Center
• County of Loudoun Virginia
• County of Loudoun, Virginia
• County of Loudoun, Virginia
• County of Loudoun, Virginia
• Cozy Hands Caregivers LLC

• Orthopaedic Surgery Physician in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Orthopaedic Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.