Moira Hanley-nieman
Physician Assistant (Medical)

Address: 44055 Riverside Pkwy, Suite 216, Leesburg, VA 20176-5179
Phone: 7038581395

Moira Hanley-nieman (NPI# 1629100185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1629100185
Entity Type Individual
Full Name Moira Hanley-nieman
Credential PA-C
Gender Female
Practice Address 44055 Riverside Pkwy
Suite 216
Leesburg
VA 20176-5179
Practice Telephone 7038581395
Practice Fax Number 7038587468
Mailing Address Po Box 17334
Baltimore
MD 21297-1334
Mailing Telephone 7034436717
Mailing Fax Number 7034438643
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-03-11
Last Update Date 2012-09-06

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers 0110003807 VA

Physician Overview

NPI 1629100185
PAC ID by PECOS 9739195371
Professional Enrollment ID I20120501000831
Full Name Moira E Hanley-nieman
Organization Legal Name LOUDOUN MEDICAL GROUP PC
Phone Number 7037297652
Gender F
Credential PA
Graduation Year 1985
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 0042119661
Number of Group Practice Members 209
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490043 INOVA LOUDOUN HOSPITAL

Office Location

Street Address 44055 RIVERSIDE PKWY
SUITE 216
City LEESBURG
State VA
Zip Code 20176-5179

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437141173 Chauncey C Stokes IIi Obstetrics & Gynecology 44055 Riverside Pkwy, Suite 220, Leesburg, VA 20176-5179 2005-08-18
1184174336 Loudoun Medical Group . P.c Internal Medicine 44055 Riverside Pkwy, Suite 224, Leesburg, VA 20176-5179 2016-10-12
1295285666 Robin Jennifer Pass Tucker Advanced Practice Midwife 44055 Riverside Pkwy, Suite 234, Leesburg, VA 20176-5179 2016-10-10
1265987036 Northern Virginia Pelvic Surgery Associates, PC Obstetrics & Gynecology 44055 Riverside Pkwy, Suite 242, Leesburg, VA 20176-5179 2016-08-22
1437525201 Eastern Cranial Affiliates, LLC Prosthetic/Orthotic Supplier 44055 Riverside Pkwy, Suite 106a, Leesburg, VA 20176-5179 2015-08-17
1306277793 Loudoun Medical Group PC Internal Medicine 44055 Riverside Pkwy, Suite 224, Leesburg, VA 20176-5179 2013-12-10
1164778932 Loudoun Medical Group PC Internal Medicine 44055 Riverside Pkwy, Suite 226, Leesburg, VA 20176-5179 2012-07-31
1881974939 Valerie Sherman Oare Nurse Practitioner 44055 Riverside Pkwy, Suite 110, Leesburg, VA 20176-5179 2011-08-21
1801182878 Janee Mao Leong Obstetrics & Gynecology 44055 Riverside Pkwy, Leesburg, VA 20176 2011-06-28
1144558768 Nehal Jain Physical Therapist 44055 Riverside Pkwy, 118, Leesburg, VA 20176-5179 2009-11-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194203026 Jing Cao Acupuncturist 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 2018-08-02
1134648314 Alaina Marie Gotwalt Speech-Language Pathologist 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 2017-09-19
1841717105 Happy Inhome Care Corp Respite Care 722 E Market St Ste 103, Leesburg, VA 20176 2017-08-28
1912423484 Aaa Good Healthcare LLC Nursing Care 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 2017-08-16
1740704253 Anna Maria Domingo Seaford Physician Assistant 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 2017-07-27
1710436480 Reena Patel Physician Assistant 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 2016-09-23
1750838363 Promenade Complete Dental Center Clinic/Center 19340 Promenade Drive, Leesburg, VA 20176 2016-09-01
1780044628 Northspring Behavioral Healthcare Inc Psychiatric Hospital 42049 Victory Lane, Leesburg, VA 20176 2016-03-04
1982076899 Jennifer Lynn Mendrysa Nurse Practitioner 19415 Deerfield Avenue, Suite 112, The Urology Group, Lansdowne, VA 20176 2015-10-30
1083084776 Liana Chen Nurse Practitioner 51 Catoctin Cir Ne, Leesburg, VA 20176 2015-10-07
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770828774 John O'hara Snow Physician Assistant 18706 Woodburn Rd, Leesburg, VA 20175-9030 2012-12-01
1285622829 John A Horn Physician Assistant 600 Dixie Hwy, Leesburg, FL 34748 2005-10-07
1437629490 Alexandrea Weeks Physician Assistant 1801 Us Highway 441 Bldg 100, Leesburg, FL 34748-2545 2018-12-03
1710461595 Grace Fantl Physician Assistant 27950 Us Highway 27, Leesburg, FL 34748-9050 2018-09-18
1588061956 Jaster Francis Physician Assistant 44035 Riverside Pkwy, Leesburg, VA 20176 2014-12-01
1073919197 Alexandra Jean Bache Physician Assistant 44035 Riverside Pkwy Ste 400, Leesburg, VA 20176-8260 2014-11-17
1821492067 Kelly Ashley Boardman Physician Assistant 19415 Deerfield Ave, Suite 213, Leesburg, VA 20176-8452 2014-10-17
1437564911 Ellen T. Godfrey Physician Assistant 601 Potomac Station Dr Ne, Leesburg, VA 20176-1816 2014-06-24
1497993802 Ilyas Gutale Physician Assistant 600 E Dixie Ave, Leesburg, FL 34748-5925 2009-01-23
1477640654 Nathaniel A Stevens Physician Assistant 44035 Riverside Pkwy, Suite 450, Leesburg, VA 20176-8260 2006-10-06
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Competitor

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City LEESBURG
Zip Code 20176

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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