Novant Medical Group, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NOVANT MEDICAL GROUP, INC

Doing business as

Novant Health Inpatient Care Specialists Prince William

Practice address

8700 Sudley Rd
Manassas, VA 20110-4419

Phone

(703) 396-5292

Fax

(703) 396-5297

NPI assigned

Jan 20, 2010

Organization subpart

No

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

Authorized official

Name

Geoffrey Gardner

Title

VP of Finance

Phone

(703) 396-5292

Specialties & licenses 1

Addresses

Other names 1

• Novant Health Inpatient Care Specialists Prince William Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Novant Medical Group Inc

  dba Novant Health Inpatient Care Specialists Haymarket

  • Internal Medicine Physician
  • Haymarket, VA
  • NPI 1639509458

  O20090731000312

  Same enrollment
• Novant Medical Group, Inc

  dba Novant Health Cardiology Galax

  • Cardiovascular Disease Physician
  • Galax, VA
  • NPI 1831594522

  O20090731000312

  Same enrollment
• Novant Medical Group, Inc.

  dba Regional Neurosurgery

  • Neurological Surgery Physician
  • Durham, NC
  • NPI 1801044748

  O20090731000312

  Same enrollment

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1538490263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "703-396-5292",
            "fax_number": "703-396-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104419",
            "telephone_number": "703-396-5292",
            "fax_number": "703-396-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "703-396-5292"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Inpatient Care Specialists Prince William",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nova Optometry LLC
• Nova Products LLC
• Nova Products LLC
• Nova Telemental Health LLC
• Nova Veterans Health PLLC
• Novasight Inc
• Nozanursing & Elderly Care
• NRG Counseling & Consultation, LLC
• Aime L Nuar, MD
• Frank L Nuar, MD

• Internal Medicine Physician in Manassas, VA
• Providers in Manassas, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.