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 Haymarket

Practice address

15225 Heathcote Blvd
Haymarket, VA 20169

Phone

(571) 284-3366

Fax

(571) 284-3369

NPI assigned

Nov 14, 2013

Last updated

Jan 7, 2014By 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

Geoffrey K. Gardner

Title

VP of Finance

Phone

(704) 384-7283

Specialties & licenses 1

Addresses

Other names 1

• Novant Health Inpatient Care Specialists Haymarket 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 Prince William

  • Internal Medicine Physician
  • Manassas, VA
  • NPI 1538490263

  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": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1639509458",
    "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": "571-284-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15225 HEATHCOTE BLVD",
            "city": "HAYMARKET",
            "state": "VA",
            "postal_code": "20169",
            "telephone_number": "571-284-3366",
            "fax_number": "571-284-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVANT MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "704-384-7283"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Inpatient Care Specialists Haymarket",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NMG Affiliate Practice I, LLC (Novant Health UVA Health System NVA Psych Associates)
• NMG Affiliate Practice I, LLC (Novant Health UVA Health System Lake Manassas OBGYN)
• NMG Affiliate Practice I, LLC (Novant Health UVA Health System Transitional Care)
• Eric C. Noh, DO
• Joan M Normandy-Dolberg, LPC, MS, MED
• Tracy Lynn O'Donnell
• Douglas Lee Obetz, D.C.
• Enoch Okine
• Regina Okine
• Old Dominion Orthopaedic and Sports Medicine PC (Northern Virginia Orthopaedic Specialists)

• Internal Medicine Physician in Haymarket, VA
• Providers in Haymarket, 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 Jan 7, 2014; 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.