| Parktown Medical Associates Llc | |
|
10076 Dumfries Rd Ste 80a Manassas VA 20110-7949 | |
| (703) 424-9911 | |
| (888) 814-0934 |
| Full Name | Parktown Medical Associates Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10076 Dumfries Rd Ste 80a, Manassas, Virginia |
| Authorized Official Name and Position | Pierre Mawesa Diomi (PRESIDENT) |
| Authorized Official Contact | 7034249911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parktown Medical Associates Llc 10076 Dumfries Rd Ste 80a Manassas VA 20110-7949 Ph: (703) 424-9911 | Parktown Medical Associates Llc 10076 Dumfries Rd Ste 80a Manassas VA 20110-7949 Ph: (703) 424-9911 |
| NPI Number | 1356114474 |
|---|---|
| Provider Enumeration Date | 10/31/2023 |
| Last Update Date | 11/14/2023 |
| Medicare PECOS PAC ID | 0941648398 |
|---|---|
| Medicare Enrollment ID | O20240403003522 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356114474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Paul Liszka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942273305 PECOS PAC ID: 4486691482 Enrollment ID: I20050412000226 |
| Provider Name | Pierre Mawesa Diomi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619521051 PECOS PAC ID: 7517297864 Enrollment ID: I20210614002435 |
Santa Cruz Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8703 Stonewall Rd, 2b, Manassas, VA 20110 Phone: 703-361-1955 Fax: 703-361-3277 | |
Uva Diabetes And Nutrition Manassas Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8644 Sudley Rd Ste 315, Manassas, VA 20110 Phone: 703-369-8405 Fax: 703-369-8533 | |
Greater Prince William Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9444 Taney Rd, Manassas, VA 20110 Phone: 571-722-4590 Fax: 703-680-7953 | |
Ashton Avenue Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8100 Ashton Ave, Suite 207, Manassas, VA 20109 Phone: 703-334-5801 Fax: 703-334-5805 | |
Manassas Family Medicine Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8691 Stonewall Rd, Manassas, VA 20110 Phone: 703-368-1182 Fax: 703-368-0247 | |
Primedoc Of Manassas Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-369-8000 | |
Sudley Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10757 Ambassador Dr, Suite 101, Manassas, VA 20109 Phone: 703-626-7501 Fax: 571-379-7468 |