Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Montage Health and Wellness Corp

Organization Family Medicine Physician · NPI 1306443684

Montage Health and Wellness Corp is a Family Medicine Physician in Burke, Virginia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5631 Burke Centre Pkwy Ste C
Burke, VA 22015-2234
Phone: (540) 712-1776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1306443684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patti Lee — Authorized Official · (540) 712-1776
NPI enumeratedOctober 8, 2020
Last updated in NPPESOctober 25, 2021
Certification dateOctober 25, 2021
Mailing address17912 Waterfowl Ct, Purcellville, VA 20132-4281

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