Group Medical LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

GROUP MEDICAL LLC

Practice address

13890 Braddock Rd Ste 201
Centreville, VA 20121-2437

Phone

(240) 246-4480

Fax

(571) 526-5598

NPI assigned

May 26, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Anne Shoemaker

Title

Owner

Phone

(240) 246-4480

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1548908718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13890 BRADDOCK RD STE 201",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212437",
            "telephone_number": "240-246-4480",
            "fax_number": "571-526-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13890 BRADDOCK RD STE 201",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212437",
            "telephone_number": "240-246-4480",
            "fax_number": "571-526-5598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Fort Evans Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201763379",
            "country_code": "US",
            "telephone_number": "703-777-6550",
            "fax_number": "571-775-3939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROUP MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-246-4480",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther W. Green, MA, LPC, NCC
• Leslie Marie Greene, BA, COMMUNITY DOULA
• Greenhill Home Care Services
• Kelly Griffith
• Catherine Ann Groff, CFNP
• Joanne Gryski, PT
• Margaret Guarino, PT
• Wendy Maribel Guzman, PA-C
• Nessim Gill Hadiji
• Jenny Hagemeier

• Obstetrics & Gynecology Physician in Centreville, VA
• Providers in Centreville, VA by specialty
• Obstetrics & Gynecology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.