Active NPI
Michele Suzan Gittings, PA C
- Physician Assistant
- Leesburg, VA
National Provider Identifier
1235164641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110 001865
- Practice address
- 44045 Riverside Pkwy
Loudoun Hospital Center
Leesburg, VA 20176-5101 - Phone
- (703) 858-6044
- Fax
- (610) 617-6280
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110 001865 | VA | Primary |
Addresses
Primary practice location
44045 Riverside Pkwy
Loudoun Hospital Center
Leesburg, VA 20176-5101
Mailing address
PO Box 13700
Commonwealth Emergency Physicians PC
Philadelphia, PA 19191-0001
Phone (800) 777-2455
Other names 1
- Michele Suzan Kovalcik
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110 001865 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Emergency Physicians PC | Physician Assistant | Past | Accepting new patients |
| Bestpractices, Inc. | Past | Accepting new patients | |
| Bestpractices, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1639177942
-
- Emergency Medicine Physician
- Woodbridge, VA
- NPI 1730180944
-
- Physician Assistant
- Leesburg, VA
- NPI 1366061574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1235164641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13700",
"address_2": "COMMONWEALTH EMERGENCY PHYSICIANS PC",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191910001",
"telephone_number": "800-777-2455",
"fax_number": "610-617-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44045 RIVERSIDE PKWY",
"address_2": "LOUDOUN HOSPITAL CENTER",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201765101",
"telephone_number": "703-858-6044",
"fax_number": "610-617-6280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GITTINGS",
"first_name": "MICHELE",
"middle_name": "SUZAN",
"name_prefix": "Ms.",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110 001865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "KOVALCIK",
"middle_name": "SUZAN",
"credential": "PA C",
"code": "5",
"type": "Other Name"
}
]
}
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 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.