Middleburg Geriatrics, PLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

MIDDLEBURG GERIATRICS, PLC

Practice address

24430 Millstream Drive
Aldie, VA 20105-3098

Phone

(757) 561-6049

Fax

(703) 957-2388

NPI assigned

Jul 14, 2010

Last updated

Sep 1, 2010By 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

Paul V Liszka, M.D.NPI 1942273305

Title

Owner

Phone

(757) 561-7204

Specialties & licenses 1

Addresses

Locations

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.

• Paul Victor Liszka, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Morgantown, WV
  • NPI 1942273305
  NPD (past) Authorized official
• Marianne Zuggo-Liszka, MD

  • Internal Medicine Physician
  • Aldie, VA
  • NPI 1720051170
  NPD (past)

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1467764886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24164 NEW MOUNTAIN ROAD",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201052167",
            "telephone_number": "757-561-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24430 MILLSTREAM DRIVE",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053098",
            "telephone_number": "757-561-6049",
            "fax_number": "703-957-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLEBURG GERIATRICS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "LISZKA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-561-7204",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marki Lee Mayle
• Julie McGee, RD
• Josette Renee McMichael, M.D.
• MDV Behavioral Health LLC
• Aruna Medimpudi, MD
• Middleburg Neuromuscular Medicine and Rehabilitation, PLC
• Emily L Missimer, CRNP
• Jacqueline Diana Moore, M.D.
• Valerie Moore, LCSW
• Aneeka R Murjany, OTD, OTR/L

• Geriatric Medicine (Internal Medicine) Physician in Aldie, VA
• Providers in Aldie, VA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.