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COUNTRYSIDE AMBULATORY SURG CENTER
NPI 1073534012
Clinic/Center - Ambulatory Surgical in Leesburg, VA

Active since July 23, 2006
44045 RIVERSIDE PKWY, LEESBURG, VA 20176(703) 858-6000 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Countryside Ambulatory Surg Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRYSIDE AMBULATORY SURG CENTER (NPI 1073534012) is a healthcare organization registered as an ambulatory surgical in Leesburg, Virginia and active in the NPI registry since July 2006. The organization lists John Grish, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1073534012
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOUNTRYSIDE AMBULATORY SURG CENTER
Location Address44045 RIVERSIDE PKWYLeesburg, VA 20176-5101
Mailing Address4 Pidgeon Hill DrSterling, VA 20165-6101 · (703) 737-7513
Phone(703) 858-6000
Organization SubpartNo
Authorized OfficialJohn GrishChief Financial Officer · (703) 858-6604
Enumeration DateJuly 23, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073534012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in VA · OH 652
44045 RIVERSIDE PKWY, Leesburg, VA 20176
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MUNIRA DABHIYA MD
Internal Medicine
44045 RIVERSIDE PKWY
LEESBURG, VA 20176
Loudoun County (703) 858-6000
DR. JOSHUA JAMES WIND M.D.
Neurological Surgery
44045 RIVERSIDE PKWY
LEESBURG, VA 20176
Loudoun County (703) 858-6000
TAYLOR HELENE LUNA
Registered Nurse
44045 RIVERSIDE PKWY
LEESBURG, VA 20176
Loudoun County (703) 858-6000
JENNIFER GUT
Nurse Anesthetist, Certified Registered
44045 RIVERSIDE PKWY
LEESBURG, VA 20176
Loudoun County (703) 858-6000
DR. WILLIAM PAUL HARRIS MD
Anesthesiology
44045 RIVERSIDE PKWY
LEESBURG, VA 20176
Loudoun County (703) 858-6000
BENJAMIN HARRISON MCILWAINE MD
Family Medicine
44045 RIVERSIDE PKWY, INOVA LOUDOUN HOSPITAL
LEESBURG, VA 20176
Loudoun County (703) 858-6044
MR. ANDREW SANDERS JR. CRNA
Nurse Anesthetist, Certified Registered
44045 RIVERSIDE PKWY, INOVA LOUDOUN HOSPITAL
LEESBURG, VA 20176
Loudoun County (703) 858-6000
MS. MINTRA SARASUP CRNA
Nurse Anesthetist, Certified Registered
44045 RIVERSIDE PKWY
LEESBURG, VA 20176
Loudoun County (703) 858-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Countryside Ambulatory Surg Center's NPI number?

The NPI number for Countryside Ambulatory Surg Center is 1073534012. It was assigned to this organization in the NPPES registry on July 23, 2006.

Where is Countryside Ambulatory Surg Center located?

Countryside Ambulatory Surg Center is located at 44045 Riverside Pkwy, Leesburg, VA 20176. The listed phone number is (703) 858-6000.

What is Countryside Ambulatory Surg Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Countryside Ambulatory Surg Center was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.