Dr Ethan S Ko, DO | |
609 Jefferson Davis Hwy, 201, Fredericksburg, VA 22401-4436 | |
(540) 899-3107 | |
(540) 899-3183 |
Full Name | Dr Ethan S Ko |
---|---|
Gender | Male |
Speciality | Internal Medicine - Nephrology |
Location | 609 Jefferson Davis Hwy, Fredericksburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992955058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 54475 (Minnesota) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 010220875 (Virginia) | Primary |
Entity Name | Inova Health Care Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644 |
Entity Name | Hospitalist Medicine Physicians Of Virginia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770756991 PECOS PAC ID: 5698842235 Enrollment ID: O20150918002379 |
Entity Name | Hospitalist Medicine Physicians Of Virginia - Alexandria, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194203703 PECOS PAC ID: 8527318427 Enrollment ID: O20180913000594 |
Mailing Address | Practice Location Address |
---|---|
Dr Ethan S Ko, DO 609 Jefferson Davis Hwy, 201, Fredericksburg, VA 22401-4436 Ph: (540) 899-3107 | Dr Ethan S Ko, DO 609 Jefferson Davis Hwy, 201, Fredericksburg, VA 22401-4436 Ph: (540) 899-3107 |
Dr. Thomas P Officer, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 101 Park Hill Dr, Fredericksburg, VA 22401 Phone: 540-371-3010 Fax: 540-899-9821 | |
Mrs. Jennifer Lynn Ross, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 4510 Plank Rd Ste 200, Fredericksburg, VA 22407 Phone: 540-870-6550 Fax: 540-870-6552 | |
Dr. Robert H Seamon, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 130 Executive Center Pkwy, Fredericksburg, VA 22401 Phone: 540-370-4468 Fax: 540-370-4460 | |
Anson Le Pham, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2300 Fall Hill Ave Ste 401, Fredericksburg, VA 22401 Phone: 540-741-3580 | |
Harry Garrett Oldland, MD Nephrology Medicare: Medicare Enrolled Practice Location: 4535 Spotsylvania Pkwy, Fredericksburg, VA 22408 Phone: 540-374-3160 | |
Dien Nguyen, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 3031 Plank Rd, Fredericksburg, VA 22401 Phone: 540-736-5043 Fax: 540-736-5044 | |
Shahab S Virani, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1300 Thornton St Ste 200, Fredericksburg, VA 22401 Phone: 540-371-6810 Fax: 540-371-9154 |