Individual provider · Type 1 NPI

Ian Thomas Greenwalt, MD

Surgery Physician · Haymarket, VA

NPI number 1720405665 Active

Practice location

15195 Heathcote Blvd Ste 240
Haymarket, VA 20169-6245

Mailing address

PO Box 748613
Atlanta, GA 30384-8613

Other practice locations

  • 3800 Reservoir Rd NW, Washington, DC 20007-2113 · (202) 295-0560
  • 15225 Heathcote Blvd, Haymarket, VA 20169-6264 · (571) 284-1000
  • 8700 Sudley Rd, Manassas, VA 20110-4418 · (703) 369-8000

Specialties and licenses

TaxonomyCodeLicense
Surgical Oncology Physician 2086X0206XMD047318 (DC)
Surgery Physician Primary 208600000X0101283801 (VA)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

2 other providers at this address

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About NPI 1720405665

Ian Thomas Greenwalt, MD's National Provider Identifier is 1720405665, issued on Mar 27, 2014. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Haymarket, VA. The record was last updated on Dec 6, 2024.