| Chickahominy Family Practice Inc | |
|
9010 Pocahontas Trl Providence Forge VA 23140-3400 | |
| (804) 932-1020 | |
| (804) 966-9712 |
| Full Name | Chickahominy Family Practice Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 9010 Pocahontas Trl, Providence Forge, Virginia |
| Authorized Official Name and Position | Anup Gokli (PHYSICIAN/PARTNER) |
| Authorized Official Contact | 8049324388 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chickahominy Family Practice Inc P.o. Box 278 Providence Forge VA 23140-3400 Ph: (804) 932-1020 | Chickahominy Family Practice Inc 9010 Pocahontas Trl Providence Forge VA 23140-3400 Ph: (804) 932-1020 |
| NPI Number | 1689683724 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 07/23/2013 |
| Medicare PECOS PAC ID | 7719977560 |
|---|---|
| Medicare Enrollment ID | O20040525000387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689683724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Margaret Mountcastle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497753032 PECOS PAC ID: 2668462599 Enrollment ID: I20040513000959 |
| Provider Name | Elizabeth H Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306936034 PECOS PAC ID: 7315991262 Enrollment ID: I20050303000739 |
| Provider Name | Christina C Wills |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922174341 PECOS PAC ID: 3971540576 Enrollment ID: I20100414000864 |
| Provider Name | John Peter Kowalski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285632497 PECOS PAC ID: 3779564059 Enrollment ID: I20100806000557 |
| Provider Name | Anup Jagdish Gokli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407853542 PECOS PAC ID: 3072594357 Enrollment ID: I20100830000764 |
| Provider Name | Charles Kavanaugh Sparrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255339305 PECOS PAC ID: 9638150915 Enrollment ID: I20101201000468 |
| Provider Name | Dennis Lee Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730186883 PECOS PAC ID: 4981685161 Enrollment ID: I20110107000401 |
| Provider Name | Sandra K Voll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215201652 PECOS PAC ID: 8820058498 Enrollment ID: I20120619000265 |
| Provider Name | Mary E Vann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669855714 PECOS PAC ID: 1557677317 Enrollment ID: I20150825004390 |
| Provider Name | Mona Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174072193 PECOS PAC ID: 4486937117 Enrollment ID: I20170203000564 |
| Provider Name | Margaret C Horner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689195703 PECOS PAC ID: 5395018204 Enrollment ID: I20170829000133 |
Practitioners Heart Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4760 Bishops Gate Way, Providence Forge, VA 23140 Phone: 804-661-6519 Fax: 904-372-6121 | |
Blessed And Favored Home Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5155 Ashborough Dr, Providence Forge, VA 23140 Phone: 804-966-5073 Fax: 804-966-5073 |