Heritage Village Internal Medicine

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101237036 Issued in VA

Legal business name

HERITAGE VILLAGE INTERNAL MEDICINE

Practice address

7110 Heritage Village PLZ
Suite 101
Gainesville, VA 20155-3075

Phone

(703) 753-2922

Fax

(703) 753-4383

NPI assigned

Oct 3, 2006

Last updated

Aug 22, 2020By 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

Mrs. Linda Scisciani

Title

Office Manager

Phone

(703) 753-2922

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Valencia J Cobb, MD

  • Internal Medicine Physician
  • Woodbridge, VA
  • NPI 1548268352
  NPD (past)
• Christopher Lillis, MD

  • Internal Medicine Physician
  • Roseville, CA
  • NPI 1699773127
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457445413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 HERITAGE VILLAGE PLZ",
            "address_2": "SUITE 101",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553075",
            "telephone_number": "703-753-2922",
            "fax_number": "703-753-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 HERITAGE VILLAGE PLZ",
            "address_2": "SUITE 101",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553075",
            "telephone_number": "703-753-2922",
            "fax_number": "703-753-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VILLAGE INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCISCIANI",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-753-2922",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101237036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lea Heilman, DPT
• Eunyoung Heo
• Katelyn Herbstritt
• Heritage Hunt Dental
• Heritage Hunt LLC (Gainesville Health & Rehab Center)
• Hicham Mekouar DDS PC (gateway dental)
• Megan Hickerson, NP
• Constance Nicole Hickman
• Alexi Hildreth, PA-C
• Olivia Anne Hobson, SLP

• Specialist in Gainesville, VA
• Providers in Gainesville, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.