| Centre Pointe Health Specialties | |
|
3920 Plank Rd 120 Fredericksburg VA 22407-7104 | |
| (540) 242-4141 | |
| (540) 786-2396 |
| Full Name | Centre Pointe Health Specialties |
|---|---|
| Speciality | Internal Medicine |
| Location | 3920 Plank Rd, Fredericksburg, Virginia |
| Authorized Official Name and Position | Cherian Joseph (PHYSICIAN) |
| Authorized Official Contact | 7572716898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centre Pointe Health Specialties 3920 Plank Rd Ste 110 Fredericksburg VA 22407-7104 Ph: (540) 242-4141 | Centre Pointe Health Specialties 3920 Plank Rd 120 Fredericksburg VA 22407-7104 Ph: (540) 242-4141 |
| NPI Number | 1942364617 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 08/12/2024 |
| Medicare PECOS PAC ID | 6901900539 |
|---|---|
| Medicare Enrollment ID | O20070409000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942364617 | NPI | - | NPPES |
| 30014959140002 | Medicaid | VA | |
| 30015851470001 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| Provider Name | Cherian Joseph |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1922097286 PECOS PAC ID: 2466433685 Enrollment ID: I20050910000018 |
| Provider Name | Kavita R Kalidindi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801002449 PECOS PAC ID: 5799815817 Enrollment ID: I20120814000008 |
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