Lindsay E Roach, DO | |
19500 Sandridge Way, Suite 110, Leesburg, VA 20176-6821 | |
(703) 723-7337 | |
(703) 723-8278 |
Full Name | Lindsay E Roach |
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Gender | Female |
Speciality | Pediatrics |
Location | 19500 Sandridge Way, Leesburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659695526 | NPI | - | NPPES |
1659695526 | Medicaid | VA | |
30016583650001 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 0102206599 (Virginia) | Secondary |
208D00000X | General Practice | 881 (Nebraska) | Secondary |
208000000X | Pediatrics | 0102206599 (Virginia) | Primary |
Entity Name | Loudoun Medical Group, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679591440 PECOS PAC ID: 0042119661 Enrollment ID: O20041115000474 |
Mailing Address | Practice Location Address |
---|---|
Lindsay E Roach, DO 224d Cornwall Street Nw, Suite 403, Leesburg, VA 20176-2704 Ph: (703) 737-6001 | Lindsay E Roach, DO 19500 Sandridge Way, Suite 110, Leesburg, VA 20176-6821 Ph: (703) 723-7337 |
James Tomkinson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 19441 Golf Vista Plaza Suite 230 & 310, Leesburg, VA 20176 Phone: 703-729-3420 Fax: 703-729-3422 | |
Corinna Talley Schrankel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19500 Sandridge Way, Suite 110, Leesburg, VA 20176 Phone: 703-723-7337 Fax: 703-723-6848 | |
Nicole Baig, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44045 Riverside Pkwy, Leesburg, VA 20176 Phone: 703-858-6000 | |
Dr. Janine A Rethy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 163 Fort Evans Rd Ne, Leesburg, VA 20176 Phone: 703-443-2000 | |
Rebecca Alkire Santos, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 525k E Market St # 173, Leesburg, VA 20176 Phone: 704-591-7196 | |
Mrs. Sosun Z. Faqiri, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 161 Fort Evans Road Ne, Suite 330, Leesburg, VA 20176 Phone: 703-777-5224 Fax: 703-777-5227 | |
Dr. Anil Kumar Sharma, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44045 Riverside Pkwy, Leesburg, VA 20176 Phone: 703-777-3300 |