Organization Active NPI

Catoctin Family Practice of Leesburg, PLLC

  • Family Medicine Physician
  • Leesburg, VA
National Provider Identifier
1932234218
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CATOCTIN FAMILY PRACTICE OF LEESBURG, PLLC
Practice address
211 S King St
Leesburg, VA 20175-2905
Phone
(703) 777-6655
Fax
(703) 777-5753
NPI assigned
Feb 23, 2007
Last updated
Feb 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Ms. Melanie J Haines
Title
Office Manager
Phone
(703) 777-6667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

211 S King St
Leesburg, VA 20175-2905

Mailing address

211 S King St
Leesburg, VA 20175-2905
Phone (703) 777-6667

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1932234218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S KING ST",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201752905",
            "telephone_number": "703-777-6667",
            "fax_number": "703-777-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S KING ST",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201752905",
            "telephone_number": "703-777-6655",
            "fax_number": "703-777-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATOCTIN FAMILY PRACTICE OF LEESBURG, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-777-6667",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 21, 2017; 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.