Dr Christa Marie Thornberry, MD | |
3013 Kensington Ave, Richmond, VA 23221-2420 | |
(314) 888-5233 | |
(276) 835-4697 |
Full Name | Dr Christa Marie Thornberry |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3013 Kensington Ave, Richmond, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093798357 | NPI | - | NPPES |
136847 | Other | VA | BLUE CROSS |
6737111 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101 057666 (Virginia) | Secondary |
208M00000X | Hospitalist | D85301 (Maryland) | Secondary |
208000000X | Pediatrics | D85301 (Maryland) | Primary |
Entity Name | Uva Community Health Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023483567 PECOS PAC ID: 4688587967 Enrollment ID: O20110311000151 |
Entity Name | Adfinitas Health At Fauquier Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225558109 PECOS PAC ID: 1557627494 Enrollment ID: O20171109002793 |
Entity Name | Southeastern Intensivist Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912942665 PECOS PAC ID: 9335152107 Enrollment ID: O20190131001122 |
Entity Name | My Catholic Doctor Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396201307 PECOS PAC ID: 7214367101 Enrollment ID: O20210304002773 |
Mailing Address | Practice Location Address |
---|---|
Dr Christa Marie Thornberry, MD 3013 Kensington Ave, Richmond, VA 23221-2420 Ph: (143) 888-5233 | Dr Christa Marie Thornberry, MD 3013 Kensington Ave, Richmond, VA 23221-2420 Ph: (314) 888-5233 |
Marieka Ann Helou, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 401 N 11th St, Nelson Clinic, 2nd Floor, Room 210, Richmond, VA 23298 Phone: 804-828-9300 | |
Rhoda B Mahoney, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7113 Three Chopt Rd, Suite 101, Richmond, VA 23226 Phone: 804-282-4205 Fax: 804-673-6432 | |
Dr. Tracy Stroma Mcneish, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9900 Independence Park Dr, Suite 100, Richmond, VA 23233 Phone: 804-747-1855 Fax: 804-762-8837 | |
Dr. Burak Gumuscu, MD, PHD Pediatrics Medicare: Medicare Enrolled Practice Location: 5855 Bremo Road, Mob North,, Suite 703, Richmond, VA 23226 Phone: 804-281-8182 | |
Kathryn B Russell, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7113 Three Chopt Rd, Suite 101, Richmond, VA 23226 Phone: 804-282-4205 Fax: 804-673-6432 | |
Jan N. Dalby, NP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7113 Three Chopt Rd, Suite 101, Richmond, VA 23226 Phone: 804-282-4205 Fax: 804-673-6432 | |
Randall Wayne Johnson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7101 Jahnke Rd, 2nd Floor, Richmond, VA 23225 Phone: 804-323-8893 |