MTV HEALTH CENTER
NPI 1598054793
Clinic/Center - Primary Care in Manassas, VA

Q: What is Premise Health Of Connecticut Medical, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since March 29, 2011

9600 GODWIN DR, MANASSAS, VA 20110(703) 396-1067(703) 396-1060 Get Directions Write a Review

NPPES record last updated: August 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mtv Health Center NPPES

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

MTV HEALTH CENTER (NPI 1598054793) is a healthcare organization registered as a primary care in Manassas, Virginia and active in the NPI registry since March 2011. The organization lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1598054793

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NamePREMISE HEALTH OF CONNECTICUT MEDICAL, P.C.

Location Address9600 GODWIN DRManassas, VA 20110-4162

Mailing Address5500 Maryland WayBrentwood, TN 37027-4948 · (703) 396-1067 · Fax (703) 396-1060

Phone(703) 396-1067

Fax(703) 396-1060

Organization SubpartNo

Authorized OfficialJon LeizmanPresident · (216) 479-9063

Enumeration DateMarch 29, 2011

Last NPPES UpdateAugust 15, 2022

NPPES CertifiedAugust 15, 2022

✔ NPI 1598054793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

9600 GODWIN DR, Manassas, VA 20110

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Other Names 1

Doing Business AsMtv Health Center

Other Providers at the Same Location NPPES 2

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

SHAHNOZA MAMATOVA FNP-C

Nurse Practitioner (Family)

9600 GODWIN DR
MANASSAS, VA 20110

Manassas City (703) 396-1064

M CONSTANCE FINLEY-HARRIER FNP

Nurse Practitioner (Family)

9600 GODWIN DR, MTV HEALTH CENTER
MANASSAS, VA 20110

Manassas City (703) 396-1067

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 Premise Health Of Connecticut Medical, P.C.'s NPI number?

The NPI number for Premise Health Of Connecticut Medical, P.C. is 1598054793. It was assigned to this organization in the NPPES registry on March 29, 2011. The provider is doing business as Mtv Health Center.

Where is Premise Health Of Connecticut Medical, P.C. located?

Premise Health Of Connecticut Medical, P.C. is located at 9600 Godwin Dr, Manassas, VA 20110. The listed phone number is (703) 396-1067.

What is Premise Health Of Connecticut Medical, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Premise Health Of Connecticut Medical, P.C. was last updated on August 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.