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Executive Healthcare Services Pllc

Family Medicine Physician in Reston, VA · enumerated 2007 · authorized official Cheryl Eccleston, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1760664007

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Registry record

Entity type Organization (Type 2)
Legal business name Executive Healthcare Services Pllc
Practice address 12040 S Lakes Dr, Suite 195, Reston, VA, 20191
Fax (703) 230-0350
Enumeration date Nov 28, 2007
Last updated in NPPES Aug 25, 2022

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 0101050406 (VA) Primary

Authorized official

Name Cheryl Eccleston
Title Administrator

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Executive Healthcare Services Pllc?
Executive Healthcare Services Pllc is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-08-25.