MEDICARE: ALLIANCE MEDICAL GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1457943987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIANCE MEDICAL GROUP

Provider Business Mailing Address
First Line	:	8013 COLORADO SPRINGS DR
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22153-2751
Country	:	US
Telephone Number	:	571-430-5951
Fax Number	:

Provider Business Practice Location Address
First Line	:	8013 COLORADO SPRINGS DR
Second Line	:
City	:	SPRINGFIELD
State	:	VA
Zip	:	22153-2751
Country	:	US
Telephone Number	:	571-430-5951
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	DEREK MERCER
Credential	:
Telephone Number	:	571-430-5951

Provider Enumeration Date	:	02/05/2021
Last Update Date	:	02/05/2021

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1275464711 — MATTHEW DESJARDINS
Practice Location Address:

7420 FULLERTON RD STE 110
SPRINGFIELD, VA
22153-2836

Practice Phone: 240-342-2666
Practice Fax:

1992636435 — CATHERINE RICHARDSON
Practice Location Address:

7420 FULLERTON RD STE 110
SPRINGFIELD, VA
22153-2836

Practice Phone: 240-342-2666
Practice Fax:

1629909163 — ISABEL ROSA-IRIZARRY
Practice Location Address:

7420 FULLERTON RD STE 110
SPRINGFIELD, VA
22153-2836

Practice Phone: 240-342-2666
Practice Fax:

1346170776 — STEPHEN GRANT
Practice Location Address:

8607 LAUREN DR
SPRINGFIELD, VA
22153-1712

Practice Phone: 703-303-6542
Practice Fax:

1194504068 — MRS. REBECCA MENSAH FNP
Practice Location Address:

8020 POHICK RD
SPRINGFIELD, VA
22153-3211

Practice Phone: 571-484-0443
Practice Fax:

Directions to “ALLIANCE MEDICAL GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.