Beckwith Medical Group, PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

BECKWITH MEDICAL GROUP, PLLC

Doing business as

Advanced Urgent Care of Leesburg

Practice address

952 Edwards Ferry Rd NE
Leesburg, VA 20176-3324

Phone

(240) 379-7776

Fax

(240) 378-7787

NPI assigned

Jun 6, 2013

Last updated

Jun 6, 2013By 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

Mr. Ronald Robert Golden, RT

Title

Office Manager

Phone

(240) 379-7776

Specialties & licenses 1

Addresses

Other names 1

• Advanced Urgent Care of Leesburg Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Beckwith Integrative Medicine, PLLC

  dba Amygdala

  • General Practice Physician
  • Leesburg, VA
  • NPI 1891347266

  Member Of

  NPD member

Practitioners 3

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.

• Roshelle J Beckwith, MD

  • Emergency Medicine Physician
  • Leesburg, VA
  • NPI 1043358971
  Medicare reassignment NPD
• Rosy Pradhan, FNP-C

  • Nurse Practitioner
  • Chantilly, VA
  • NPI 1205477791
  Medicare reassignment NPD
• Alyaman Saeed, MD

  • Internal Medicine Physician
  • Salisbury, MD
  • NPI 1609820158

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1194163683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 EDWARDS FERRY RD NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763324",
            "telephone_number": "240-379-7776",
            "fax_number": "240-379-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 EDWARDS FERRY RD NE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763324",
            "telephone_number": "240-379-7776",
            "fax_number": "240-378-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKWITH MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "240-379-7776",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Urgent Care of Leesburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathleen Marie Beck, CRNA
• Hailey Haas Becker
• Beckner Counseling, LLC
• Dylan Beckner, LCSW
• Beckwith Integrative Medicine, PLLC (Amygdala)
• Roshelle J Beckwith, MD
• Jannette Louise Beeson, MS
• Theresa Anna Beeton, PHD
• Behavioral Directions, LLC
• Behavioral Momentum, LLC

• Urgent Care Clinic/Center in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Urgent Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.