| Henrico Doctors Neurology Associates Llc | |
|
7607 Forest Ave Ste 300 Richmond VA 23229-4913 | |
| (804) 228-2742 | |
| (804) 288-9053 |
| Full Name | Henrico Doctors Neurology Associates Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7607 Forest Ave Ste 300, Richmond, Virginia |
| Authorized Official Name and Position | Louis Joseph (VICE PRESIDENT) |
| Authorized Official Contact | 6153737630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Henrico Doctors Neurology Associates Llc 2000 Health Park Dr Brentwood TN 37027-4525 Ph: (615) 373-7600 | Henrico Doctors Neurology Associates Llc 7607 Forest Ave Ste 300 Richmond VA 23229-4913 Ph: (804) 228-2742 |
| NPI Number | 1760542591 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 01/02/2023 |
| Certification Date | 01/02/2023 |
| Medicare PECOS PAC ID | 4284739830 |
|---|---|
| Medicare Enrollment ID | O20070410000627 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760542591 | NPI | - | NPPES |
| 1760542591 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | John J Wittman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366412892 PECOS PAC ID: 2264426261 Enrollment ID: I20040413000447 |
| Provider Name | Daniel M Hardy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932179462 PECOS PAC ID: 3577543891 Enrollment ID: I20040726000548 |
| Provider Name | Alan E Schulman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1992733034 PECOS PAC ID: 8527088459 Enrollment ID: I20051206000898 |
| Provider Name | Jonathan W Bekenstein |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649298266 PECOS PAC ID: 4284763657 Enrollment ID: I20100524000069 |
| Provider Name | Joseph K Harris |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1023089760 PECOS PAC ID: 9830222678 Enrollment ID: I20100802000305 |
| Provider Name | Robert White |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1396718938 PECOS PAC ID: 0840323689 Enrollment ID: I20100803000857 |
| Provider Name | Matthew Scot Boyce |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952513285 PECOS PAC ID: 3577616531 Enrollment ID: I20100916000535 |
| Provider Name | Meredith Britton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174824676 PECOS PAC ID: 0345428827 Enrollment ID: I20110705000353 |
| Provider Name | Dreama V Brar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730386459 PECOS PAC ID: 8729257712 Enrollment ID: I20110809000075 |
| Provider Name | Soundarya Nagaraja Gowda |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184821480 PECOS PAC ID: 4486825122 Enrollment ID: I20110929000025 |
| Provider Name | George Theodore Harris |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952575946 PECOS PAC ID: 7810149259 Enrollment ID: I20151103001823 |
| Provider Name | Anthony Demetrios Julius |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427357102 PECOS PAC ID: 1850604661 Enrollment ID: I20170919002963 |
| Provider Name | Mary Elizabeth Ramsey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649513037 PECOS PAC ID: 5799029732 Enrollment ID: I20181203002054 |
| Provider Name | Philip Israel Denny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891346326 PECOS PAC ID: 2163856675 Enrollment ID: I20191216001802 |
| Provider Name | Umar Naseef Bin Alam |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295112886 PECOS PAC ID: 3678881489 Enrollment ID: I20200610002144 |
| Provider Name | Ilya Arkadiyvich Dubovoy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508390261 PECOS PAC ID: 2769885292 Enrollment ID: I20210721003328 |
| Provider Name | Laura G Mogel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043975527 PECOS PAC ID: 3678965399 Enrollment ID: I20220110000486 |
| Provider Name | Stephanie F Sill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003496563 PECOS PAC ID: 8123420130 Enrollment ID: I20220331001285 |
| Provider Name | Courtney R Wyatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568246395 PECOS PAC ID: 9537514112 Enrollment ID: I20231017003204 |
| Provider Name | Maqbool Ahmed |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1548300916 PECOS PAC ID: 0749304764 Enrollment ID: I20240315000766 |
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