Organization Active NPI

Stathealth Medical Centers Inc

  • Clinic/Center
  • Leesburg, VA
National Provider Identifier
1598885519
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0101235372 Issued in VA
Legal business name
STATHEALTH MEDICAL CENTERS INC
Practice address
19450 Deerfield Ave
Suite 265
Leesburg, VA 20176
Phone
(703) 726-8687
Fax
(703) 726-0081
NPI assigned
Mar 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Dr. Robert Saunders, M.D.
Title
President
Phone
(703) 726-8687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 0101235372 VA Primary

Addresses

Primary practice location

19450 Deerfield Ave
Suite 265
Leesburg, VA 20176

Mailing address

19450 Deerfield Ave
Suite 265
Leesburg, VA 20176-6820
Phone (703) 726-8687

Other identifiers 2

IdentifierTypeStateIssuer
$$$$$$$$$OtherSSN
1194729970OtherVANPI

Other names 1

  • Family Medicine at Lansdowne Doing business as

National Provider Directory

National Provider Directory

Locations

19450 Deerfield Ave
Ste 265
Leesburg, VA 20176
Phone (703) 726-8687

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1598885519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19450 DEERFIELD AVE",
            "address_2": "SUITE 265",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766820",
            "telephone_number": "703-726-8687",
            "fax_number": "703-726-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19450 DEERFIELD AVE",
            "address_2": "SUITE 265",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20176",
            "telephone_number": "703-726-8687",
            "fax_number": "703-726-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATHEALTH MEDICAL CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-726-8687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "VA",
            "license": "0101235372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSN",
            "identifier": "$$$$$$$$$",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194729970",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine at Lansdowne",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.