Integrated Dermatology of Loudoun LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

INTEGRATED DERMATOLOGY OF LOUDOUN LLC

Practice address

19455 Deerfield Ave Ste 311
Leesburg, VA 20176-8102

Phone

(703) 723-9751

NPI assigned

Jan 2, 2024

Last updated

Jan 2, 2024By 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

Jeffrey S Fromowitz, MD

Title

Authorized Official

Phone

(561) 314-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 6

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.

• Jane T Nguyen, M.D.

  • Dermatology Physician
  • Lansdowne, VA
  • NPI 1275585473
  Medicare reassignment Care Compare group NPD
• Vishal Anil Patel, MD

  • Dermatology Physician
  • Lansdowne, VA
  • NPI 1447410246
  Medicare reassignment Care Compare group NPD
• Khoa Q Tran, MD

  • Internal Medicine Physician
  • Lansdowne, VA
  • NPI 1952381451
  Medicare reassignment Care Compare group NPD
• Keri Church, PA-C

  • Dermatology Physician
  • Lansdowne, VA
  • NPI 1851877336
  Medicare reassignment Care Compare group
• Sofia N Hanger, PA

  • Physician Assistant
  • Lansdowne, VA
  • NPI 1780942755
  Medicare reassignment Care Compare group
• Meredith Helser, PA-C

  • Dermatology Physician
  • Lansdowne, VA
  • NPI 1992469720
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704153600000",
    "number": "1942070958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-314-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19455 DEERFIELD AVE STE 311",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768102",
            "telephone_number": "703-723-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED DERMATOLOGY OF LOUDOUN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A",
        "authorized_official_last_name": "FROMOWITZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "561-314-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inova Loudoun Ambulatory Surgery
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• Institute of Facial & Oral Surgery
• Integrative Family Medicine Center
• Integrative Health and Wellness LLC (Integrative Chiropractic and Wellness)
• Integrative Hyperbaric Nova LLC
• Ruth Tavenner Ionashku, COTA/L
• Iq Dispatch LLC

• Dermatology Physician in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.