Parktown Medical Associates LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PARKTOWN MEDICAL ASSOCIATES LLC

Doing business as

Valley Patient Care-Urgent Care Center

Practice address

10076 Dumfries Rd Ste 80a
Manassas, VA 20110-7949

Phone

(703) 424-9911

Fax

(888) 814-0934

NPI assigned

Oct 31, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Pierre Mawesa Diomi Jr., MDNPI 1619521051

Title

President

Phone

(703) 424-9911

Specialties & licenses 2

Addresses

Other names 1

• Valley Patient Care-Urgent Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 3

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

• Pierre Mawesa Diomi Jr., MD

  • Family Medicine Physician
  • Manassas, VA
  • NPI 1619521051
  Medicare reassignment Authorized official
• Paul Victor Liszka, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Morgantown, WV
  • NPI 1942273305

  VA

  Medicare reassignment
• Samantha Pagano, M.D.

  • General Practice Physician
  • Richmond, VA
  • NPI 1265889729

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1356114474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10076 DUMFRIES RD STE 80A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201107949",
            "telephone_number": "703-424-9911",
            "fax_number": "888-814-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10076 DUMFRIES RD STE 80A",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201107949",
            "telephone_number": "703-424-9911",
            "fax_number": "888-814-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKTOWN MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "DIOMI",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "MAWESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-424-9911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Patient Care-Urgent Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jiseon Park, PT,DPT
• Joseph Park
• So Yeon Park
• Jill Ann Parker, LCSW
• Juliane Parks
• Elizabeth Toon Powell Parthum, BCBA
• Marjan Partovi, DDS
• Pastoral Counseling of Northern Virginia
• Meredith Pastore
• Aisha Patel

• Urgent Care Clinic/Center in Manassas, VA
• Providers in Manassas, 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 Nov 14, 2023; 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.