SPECIALTY PHYSICIANS OF NORTHERN VIRGINIA, LLC
NPI 1114157054
Surgery in Dulles, VA
NPI Status: Active since July 24, 2009
Contact Information
24430 STONE SPRINGS BLVD
DULLES, VA
ZIP 20166
Phone: (703) 665-2430
- Organization
- Surgery
- CLIA Number: 49D2148161
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-03-2026
About SPECIALTY PHYSICIANS OF NORTHERN VIRGINIA, LLC
This page provides the complete NPI Profile along with additional information for Specialty Physicians Of Northern Virginia, Llc, a provider established in Dulles, Virginia operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1114157054 assigned on July 2009. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Louis Joseph (Vp)
- NPI
- 1114157054
- Provider Name
- SPECIALTY PHYSICIANS OF NORTHERN VIRGINIA, LLC
- Entity Type
- Organization
- Location Address
- 24430 STONE SPRINGS BLVD DULLES, VA 20166
- Location Phone
- (703) 665-2430
- Mailing Address
- 2000 HEALTH PARK DR BRENTWOOD, TN 37027
- Mailing Phone
- (615) 373-7600
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-24-2009
- Last Update Date
- 01-02-2023
- Code Navigator
A surgeon like Specialty Physicians Of Northern Virginia, Llc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1114157054 | MEDICAID (05) | VA |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 49D2148161
- Facility Type
- Physician Office
- Certificate Effective Date
- May 04, 2024
- Certificate Expiration Date
- May 03, 2026
- Laboratory Director
- MARGARET P. BRANDQUIST
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Specialty Physicians Of Northern Virginia, Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 1 | 5 | 7 | 0 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 2 | 5 | 14 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 2 + 5 + 1 + 4 + 0 + 1 + 0 + 24 = 46 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 46 = 4 | 4 | ||||||||
The NPI number 1114157054 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1871645317 | DR. DEBORAH BOWERS MD Individual | Obstetrics & Gynecology | 24430 STONE SPRINGS BLVD STE 550 DULLES, VA 20166 (703) 957-1245 |
| 1326595901 | THE CARDIOVASCULAR GROUP, PC Organization | Internal Medicine (Cardiovascular Disease) | 24430 STONE SPRINGS BLVD #425 DULLES, VA 20166 (703) 722-5860 |
| 1043752272 | LOUDOUN MEDICAL GROUP, PC Organization | Pediatrics | 24430 STONE SPRINGS BLVD SUITE 115 DULLES, VA 20166 (703) 957-1247 |
| 1629520531 | LOUDOUN MEDICAL GROUP, PC Organization | Family Medicine | 24430 STONE SPRINGS BLVD SUITE 135 DULLES, VA 20166 (703) 957-1255 |
| 1215693411 | LOUDOUN MEDICAL GROUP, PC Organization | Surgery | 24430 STONE SPRINGS BLVD SUITE 100 DULLES, VA 20166 (703) 858-3200 |
| 1376085407 | LOUDOUN MEDICAL GROUP, PC Organization | Specialist | 24430 STONE SPRINGS BLVD SUITE 100 DULLES, VA 20166 (703) 858-3208 |
| 1477096352 | LOUDOUN MEDICAL GROUP, PC Organization | Specialist | 24430 STONE SPRINGS BLVD SUITE 100 DULLES, VA 20166 (703) 723-3398 |
| 1588106710 | LOUDOUN MEDICAL GROUP, PC Organization | Internal Medicine (Hematology & Oncology) | 24430 STONE SPRINGS BLVD SUITE 515 DULLES, VA 20166 (703) 858-3110 |
| 1598113730 | LOUDOUN MEDICAL GROUP, PC Organization | Internal Medicine | 24430 STONE SPRINGS BLVD SUITE 250 DULLES, VA 20166 (703) 858-3220 |
| 1629510748 | LOUDOUN MEDICAL GROUP, PC Organization | Internal Medicine (Infectious Disease) | 24430 STONE SPRINGS BLVD SUITE 100 DULLES, VA 20166 (703) 737-6012 |
| 1679018550 | LOUDOUN MEDICAL GROUP, PC Organization | Specialist | 24430 STONE SPRINGS BLVD SUITE 100 DULLES, VA 20166 (703) 723-6774 |
| 1750828703 | LOUDOUN MEDICAL GROUP, PC Organization | Specialist | 24430 STONE SPRINGS BLVD DULLES, VA 20166 (703) 737-6012 |
| 1831636786 | LOUDOUN MEDICAL GROUP, PC Organization | Specialist | 24430 STONE SPRINGS BLVD SUITE 100 DULLES, VA 20166 (703) 723-3398 |
| 1912449042 | LOUDOUN MEDICAL GROUP, PC Organization | Specialist | 24430 STONE SPRINGS BLVD SUITE 100 DULLES, VA 20166 (703) 777-3262 |
| 1932646213 | LOUDOUN MEDICAL GROUP, PC Organization | Specialist | 24430 STONE SPRINGS BLVD SUITE 100 DULLES, VA 20166 (703) 737-6012 |
| 1962850107 | LOUDOUN MEDICAL GROUP, PC Organization | Internal Medicine | 24430 STONE SPRINGS BLVD SUITE 250 DULLES, VA 20166 (703) 404-5900 |
| 1033720487 | DANAH JAGUETA BALMACEDA NURSE PRACTITIONER Individual | Nurse Practitioner (Critical Care Medicine) | 24430 STONE SPRINGS BLVD DULLES, VA 20166 (571) 439-4000 |
| 1083609580 | MARGARET JEANNE BRANDQUIST CNM Individual | Advanced Practice Midwife | 24430 STONE SPRINGS BLVD SUITE 550 DULLES, VA 20166 (703) 957-1245 |
| 1659728889 | LOUDOUN MEDICAL GROUP, PC Organization | Urology | 24430 STONE SPRINGS BLVD SUITE 545 DULLES, VA 20166 (703) 957-1022 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114157054, enumerated in the NPI registry as an "organization" on July 24, 2009
The provider is located at 24430 Stone Springs Blvd Dulles, Va 20166 and the phone number is (703) 665-2430
This medical organization specializes in Surgery with taxonomy code 208600000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 49D2148161 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on July 24, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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