Organization Active NPI

Medhealth360

  • Endocrinology, Diabetes & Metabolism Physician
  • Leesburg, VA
National Provider Identifier
1205437274
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
MEDHEALTH360
Practice address
19500 Sandridge Way Ste 170
Leesburg, VA 20176-3692
Phone
(571) 252-8400
Fax
(703) 554-1301
NPI assigned
Nov 5, 2020
Last updated
Nov 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Authorized official

Name
Heather Parresol
Title
Office Manager
Phone
(703) 729-5553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

19500 Sandridge Way Ste 170
Leesburg, VA 20176-3692

Mailing address

19500 Sandridge Way Ste 170
Leesburg, VA 20176-3692
Phone (571) 252-8400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1205437274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19500 SANDRIDGE WAY STE 170",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763692",
            "telephone_number": "571-252-8400",
            "fax_number": "703-554-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19500 SANDRIDGE WAY STE 170",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763692",
            "telephone_number": "571-252-8400",
            "fax_number": "703-554-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDHEALTH360",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "PARRESOL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-729-5553"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.