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PRINCE WILLIAM DERMATOLOGY, P.C.
NPI 1508046293
Specialist in Gainesville, VA

Active since November 09, 2007CLIA 49D1086545 · Certificate of Compliance
7051 HEATHCOTE VILLAGE WAY, SUITE 210, GAINESVILLE, VA 20155(571) 261-1234(571) 261-2235 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prince William Dermatology, P.c. NPPES

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

PRINCE WILLIAM DERMATOLOGY, P.C. (NPI 1508046293) is a healthcare organization registered as a specialist in Gainesville, Virginia and active in the NPI registry since November 2007. The organization holds a CLIA Certificate of Compliance certificate valid through July 22, 2027, maintains a secondary practice location in Gainesville, and lists Cuong T. Ha, President, as its authorized official.

NPPES Registry Identity

NPI1508046293
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePRINCE WILLIAM DERMATOLOGY, P.C.
Location Address7051 HEATHCOTE VILLAGE WAY, SUITE 210Gainesville, VA 20155
Mailing Address7051 Heathcote Village Way, Suite 210Gainesville, VA 20155 · (571) 261-1234 · Fax (571) 261-2235
Phone(571) 261-1234
Fax(571) 261-2235
Organization SubpartNo
Authorized OfficialCuong T. HaPresident · (571) 261-1234
Enumeration DateNovember 9, 2007
Last NPPES UpdateApril 29, 2020
NPPES CertifiedApril 29, 2020
✔ NPI 1508046293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 0101234235
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
7051 HEATHCOTE VILLAGE WAY, Gainesville, VA 20155
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Secondary Practice Location 1

Location 17500 Iron Bar Ln, Suite 215Gainesville, VA 20155-3603 · Phone (571) 261-1234 · Fax (571) 261-2235

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 49D1086545

Prince William Dermatology, PC · Gainesville, VA
Active · expires Jul 22, 2027
CLIA Number49D1086545
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2025
Certificate Expiration DateJuly 22, 2027
Laboratory DirectorCuong T. Ha
Laboratory Phone(571) 261-1234
Laboratory LocationPrince William Dermatology, PC7051 Heathcote Village Way, Suite 210, Gainesville, VA 20155
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 9

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

DR. VIPUL VIRENDRA PARIKH M.D.
Internal Medicine
7051 HEATHCOTE VILLAGE WAY, SUITE 155
GAINESVILLE, VA 20155
Prince William County (571) 248-0167
CHANTALLE J WALKER PA-C
Physician Assistant
7051 HEATHCOTE VILLAGE WAY
GAINESVILLE, VA 20155
Prince William County (571) 248-0167
LARISSA PERALTA LPC
Counselor (Professional)
7051 HEATHCOTE VILLAGE WAY
GAINESVILLE, VA 20155
Prince William County (571) 918-9239
ALEICE F BARRY LMSW
Social Worker
7051 HEATHCOTE VILLAGE WAY
GAINESVILLE, VA 20155
Prince William County (703) 621-7121
COURTNEY SHAUGHNESSY
Counselor (Professional)
7051 HEATHCOTE VILLAGE WAY
GAINESVILLE, VA 20155
Prince William County (571) 358-9077
JOHN PATRICK JEZIOR
Physical Therapist
7051 HEATHCOTE VILLAGE WAY
GAINESVILLE, VA 20155
Prince William County (571) 755-6040
JAMIE CLARK
Audiologist
7051 HEATHCOTE VILLAGE WAY
GAINESVILLE, VA 20155
Prince William County (703) 754-0951
DR. CUONG T. HA M.D.
Specialist
7051 HEATHCOTE VILLAGE WAY, SUITE 210
GAINESVILLE, VA 20155
Prince William County (571) 261-1234

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 Prince William Dermatology, P.C.'s NPI number?

The NPI number for Prince William Dermatology, P.C. is 1508046293. It was assigned to this organization in the NPPES registry on November 9, 2007.

Where is Prince William Dermatology, P.C. located?

Prince William Dermatology, P.C. is located at 7051 Heathcote Village Way Suite 210, Gainesville, VA 20155. The listed phone number is (571) 261-1234.

What is Prince William Dermatology, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Prince William Dermatology, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 49D1086545) is associated with this NPI, valid through July 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prince William Dermatology, P.C. was last updated on April 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.