Organization Active NPI

Healthsource of Leesburg LLC

  • Chiropractor
  • Winchester, VA
National Provider Identifier
1851690549
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HEALTHSOURCE OF LEESBURG LLC
Practice address
609 Cedar Creek Grade Ste B
Winchester, VA 22601-2721
Phone
(540) 545-7891
Fax
(540) 545-7893
NPI assigned
Mar 21, 2011
Last updated
Apr 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Authorized official

Name
Mr. Michael A PasternackNPI 1861565822
Title
Sole Member
Phone
(540) 545-7891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

609 Cedar Creek Grade Ste B
Winchester, VA 22601-2721

Mailing address

609 Cedar Creek Grade Ste B
Winchester, VA 22601-2721
Phone (540) 545-7891

National Provider Directory

National Provider Directory

Locations

2 Cardinal Park Dr SE
Ste 102A
Leesburg, VA 20175
Phone (540) 545-7891

609 Cedar Creek Grade
Ste B
Winchester, VA 22601
Phone (540) 545-7891

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1851690549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 CEDAR CREEK GRADE STE B",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012721",
            "telephone_number": "540-545-7891",
            "fax_number": "540-545-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 CEDAR CREEK GRADE STE B",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012721",
            "telephone_number": "540-545-7891",
            "fax_number": "540-545-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF LEESBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "PASTERNACK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "540-545-7891",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.