Commonwealth of Virginia State Board of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH

Doing business as

Loudoun County Health Department

Practice address

102 Heritage Way NE
1St Floor Suite #100
Leesburg, VA 20176

Phone

(703) 777-0236

Fax

(703) 771-5393

NPI assigned

Sep 19, 2006

Last updated

Jul 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David P Goodfriend, M.D.NPI 1205804804

Title

Director

Phone

(703) 771-5829

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Loudoun County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Peter Goodfriend, MD

  • Public Health & General Preventive Medicine Physician
  • Leesburg, VA
  • NPI 1205804804
  NPD (past) Authorized official

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1154428605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HARRISON ST SE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20175",
            "telephone_number": "703-771-5829",
            "fax_number": "703-771-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HERITAGE WAY NE",
            "address_2": "1ST FLOOR SUITE #100",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20176",
            "telephone_number": "703-777-0236",
            "fax_number": "703-771-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "GOODFRIEND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-771-5829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004975677",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loudoun County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Comisarow, LPC
• Commonwealth Critical Care LLC
• Commonwealth Emergency Physicians PC
• Commonwealth Emergency Physicians PC
• Commonwealth Inpatient Physicians, LLC
• Commonwealth of Virginia State Board of Health (Loudoun County Health Department-Dental Clinic)
• Commonwealth Orthopaedics & Rehabilitation, PC
• Commonwealth Orthopaedics & Rehabilittion, PC
• Connections Health Center
• Connections Healthva-Loudoun LLC

• Public Health or Welfare Agency in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Public Health or Welfare Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.