Capital Digestive Care ,llc | |
217 Bulifants Blvd Ste B Williamsburg VA 23188-5751 | |
(757) 534-7701 | |
Not Available |
Full Name | Capital Digestive Care ,llc |
---|---|
Speciality | Internal Medicine |
Location | 217 Bulifants Blvd Ste B, Williamsburg, Virginia |
Authorized Official Name and Position | Michael L Weinstein (CEO/PRESIDENT) |
Authorized Official Contact | 2404855210 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Capital Digestive Care ,llc 10770 Columbia Pike Ste 400 Silver Spring MD 20901-4462 Ph: (240) 485-5210 | Capital Digestive Care ,llc 217 Bulifants Blvd Ste B Williamsburg VA 23188-5751 Ph: (757) 534-7701 |
NPI Number | 1992752521 |
---|---|
Provider Enumeration Date | 05/28/2006 |
Last Update Date | 01/10/2024 |
Medicare PECOS PAC ID | 3870669419 |
---|---|
Medicare Enrollment ID | O20211124000446 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992752521 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Provider Name | Michael Ryan |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1962488668 PECOS PAC ID: 7517866247 Enrollment ID: I20040102000056 |
Provider Name | David A Johnson |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1447236112 PECOS PAC ID: 9234038969 Enrollment ID: I20040102000060 |
Provider Name | Frank Taylor Wootton |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1750366761 PECOS PAC ID: 2860391505 Enrollment ID: I20040102000071 |
Provider Name | Kelvin Hornbuckle |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1215976154 PECOS PAC ID: 1557260296 Enrollment ID: I20040102000098 |
Provider Name | Whitney D Brooks |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1558305128 PECOS PAC ID: 7618876350 Enrollment ID: I20040102000104 |
Provider Name | Paul Rein |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1841255692 PECOS PAC ID: 1850292608 Enrollment ID: I20040115001067 |
Provider Name | Brent W Geissinger |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1821079146 PECOS PAC ID: 0143122184 Enrollment ID: I20040121000996 |
Provider Name | Maribel K Abenir |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1093754079 PECOS PAC ID: 4981690708 Enrollment ID: I20040426000236 |
Provider Name | Franklin G Lundy |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1902827900 PECOS PAC ID: 5991792632 Enrollment ID: I20040426001910 |
Provider Name | Marsha F Edwards |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1902891005 PECOS PAC ID: 7517955388 Enrollment ID: I20040503000467 |
Provider Name | Carol J Wade |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1700809258 PECOS PAC ID: 9032109012 Enrollment ID: I20040512001594 |
Provider Name | Aimee Marie Darling |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1316932411 PECOS PAC ID: 5698757367 Enrollment ID: I20040605000116 |
Provider Name | Kevin Thomas White |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1861434730 PECOS PAC ID: 6305824749 Enrollment ID: I20040712000649 |
Provider Name | Gary H Payman |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1265431266 PECOS PAC ID: 7810975265 Enrollment ID: I20040712000682 |
Provider Name | Lisa Odabasi |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1639161458 PECOS PAC ID: 9638149099 Enrollment ID: I20040731000099 |
Provider Name | Anant S Damle |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1831173665 PECOS PAC ID: 3072581347 Enrollment ID: I20040923000924 |
Provider Name | Deborah E Pantangan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104987304 PECOS PAC ID: 7012978232 Enrollment ID: I20041021000388 |
Provider Name | Suzette K Henahan |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1225092232 PECOS PAC ID: 5698730513 Enrollment ID: I20041119000714 |
Provider Name | Joanne Frances Smith |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1306857479 PECOS PAC ID: 4688639750 Enrollment ID: I20041130001000 |
Provider Name | Andrew S Clark |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1245223056 PECOS PAC ID: 0648238303 Enrollment ID: I20041228000432 |
Provider Name | Jan Albert Janson |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1124060298 PECOS PAC ID: 5496703902 Enrollment ID: I20050113001119 |
Provider Name | Jeffrey Harris Kauffman |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1033151105 PECOS PAC ID: 7810946092 Enrollment ID: I20050113001145 |
Provider Name | Glen M Arluk |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1861462913 PECOS PAC ID: 0244282960 Enrollment ID: I20050210000603 |
Provider Name | Kathryn Ann Longworth |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1205843695 PECOS PAC ID: 8426000977 Enrollment ID: I20050214000309 |
Provider Name | John H Smith |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1447230750 PECOS PAC ID: 4587619176 Enrollment ID: I20050316000800 |
Provider Name | Linda Ferro |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1174584734 PECOS PAC ID: 4789666256 Enrollment ID: I20050510000949 |
Provider Name | Jessica D Snook |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003883661 PECOS PAC ID: 9234165549 Enrollment ID: I20050708000569 |
Provider Name | Teresa Robin Cousins |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1053329870 PECOS PAC ID: 3678522109 Enrollment ID: I20050810000296 |
Provider Name | Sheri W Taylor |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1487616678 PECOS PAC ID: 6901883511 Enrollment ID: I20050928000684 |
Provider Name | David Stockwell |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1326080490 PECOS PAC ID: 4183607427 Enrollment ID: I20060313000115 |
Provider Name | Jennifer D Mcclain |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1053413641 PECOS PAC ID: 8224922448 Enrollment ID: I20060321000547 |
Provider Name | Brian R Smith |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1851359046 PECOS PAC ID: 4284644949 Enrollment ID: I20060426000529 |
Provider Name | Scott L Yagel |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1326028747 PECOS PAC ID: 7315957776 Enrollment ID: I20060428000465 |
Provider Name | Edward Tindal Trapani |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1245206887 PECOS PAC ID: 6901843564 Enrollment ID: I20060510000298 |
Provider Name | Elizabeth Foxx |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1427043975 PECOS PAC ID: 2466346218 Enrollment ID: I20061031000475 |
Provider Name | Grace E Carroll |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1689774978 PECOS PAC ID: 2264401272 Enrollment ID: I20061202000036 |
Provider Name | Michael Wayne Jackson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1558379362 PECOS PAC ID: 5496849432 Enrollment ID: I20070920000703 |
Provider Name | Steven Todd Pietruszynski |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1801862701 PECOS PAC ID: 4880683291 Enrollment ID: I20080229000584 |
Provider Name | Scott Edward Colton |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1447421466 PECOS PAC ID: 1759451966 Enrollment ID: I20080530000324 |
Provider Name | Katrina L Harris |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1346419835 PECOS PAC ID: 4385714377 Enrollment ID: I20080603000220 |
Provider Name | Michelle C Dayday |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1538338207 PECOS PAC ID: 5597835504 Enrollment ID: I20080603000382 |
Provider Name | Courtney E Hanson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1821268061 PECOS PAC ID: 5193895035 Enrollment ID: I20080604000351 |
Provider Name | Stacy Lynn Hux |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1861664518 PECOS PAC ID: 8123198785 Enrollment ID: I20080609000402 |
Provider Name | Rodger Christy |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1477546828 PECOS PAC ID: 8123192200 Enrollment ID: I20080807000344 |
Provider Name | Gurshan Rakhra |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1528093143 PECOS PAC ID: 2062588155 Enrollment ID: I20080915000388 |
Provider Name | Syed Ismail Thiwan |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1932174687 PECOS PAC ID: 1254235294 Enrollment ID: I20081016000181 |
Provider Name | Pamela J Blanchard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851524524 PECOS PAC ID: 4385783661 Enrollment ID: I20091125000615 |
Provider Name | Susan R Oconnell |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1619985439 PECOS PAC ID: 8426192907 Enrollment ID: I20100222000618 |
Provider Name | Anshu Mahajan |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1639386840 PECOS PAC ID: 7810025517 Enrollment ID: I20100517000217 |
Provider Name | Melissa T Shearer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578733523 PECOS PAC ID: 8325177116 Enrollment ID: I20100604000162 |
Provider Name | David M Capuzzi |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1114911021 PECOS PAC ID: 5092849364 Enrollment ID: I20100823000679 |
Provider Name | Daniel A Neumann |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1295719094 PECOS PAC ID: 1254411259 Enrollment ID: I20100917000478 |
Provider Name | Norman Ross Goldin |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1306820139 PECOS PAC ID: 6507877446 Enrollment ID: I20100917000496 |
Provider Name | John M Lawson |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1164406716 PECOS PAC ID: 8527148527 Enrollment ID: I20100917000516 |
Provider Name | Neena Joseph |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1902111776 PECOS PAC ID: 5092902957 Enrollment ID: I20101206000353 |
Provider Name | Suhas Lashpatrao Deshmukh |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1053399501 PECOS PAC ID: 1951481688 Enrollment ID: I20110215000476 |
Provider Name | Jacqueline Salcedo |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1528046158 PECOS PAC ID: 7214017946 Enrollment ID: I20110215000572 |
Provider Name | Trent Douglas Martin |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1194703728 PECOS PAC ID: 9032299763 Enrollment ID: I20110215000651 |
Provider Name | Jaclyn Amelia Martucci |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1265735054 PECOS PAC ID: 7113100934 Enrollment ID: I20110331000432 |
Provider Name | Meredith Camille Sobers |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1982993804 PECOS PAC ID: 2860677051 Enrollment ID: I20110503000864 |
Provider Name | Alex O Williams |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1548269483 PECOS PAC ID: 5294910295 Enrollment ID: I20110505000686 |
Provider Name | Douglas H Howerton |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1295734283 PECOS PAC ID: 1850471681 Enrollment ID: I20110505000735 |
Provider Name | Emerald D Osullivan-mejia |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1548461932 PECOS PAC ID: 5991970634 Enrollment ID: I20111208000538 |
Provider Name | Bruce David Waldholtz |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1871592840 PECOS PAC ID: 6002081510 Enrollment ID: I20111212000946 |
Provider Name | Lorraine M Bundschuh |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1518975333 PECOS PAC ID: 3870760879 Enrollment ID: I20120113000697 |
Provider Name | John Lenahan |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1053391839 PECOS PAC ID: 8820250517 Enrollment ID: I20120425000364 |
Provider Name | Jennifer Lyn Thompson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1437415502 PECOS PAC ID: 6608030606 Enrollment ID: I20120601000430 |
Provider Name | Elizabeth Oconnor |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1104849652 PECOS PAC ID: 9436191061 Enrollment ID: I20120606000297 |
Provider Name | Amanda Hill Fenn |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1528331311 PECOS PAC ID: 4183888530 Enrollment ID: I20120614000383 |
Provider Name | Paul Ricketts |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1326222928 PECOS PAC ID: 8527223973 Enrollment ID: I20120710000188 |
Provider Name | Samuel Yoselevitz |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1336279884 PECOS PAC ID: 1557526712 Enrollment ID: I20120713000313 |
Provider Name | Pamela M Smith |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1093044463 PECOS PAC ID: 4486781820 Enrollment ID: I20120725001047 |
Provider Name | Jin X Zhang |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1952480238 PECOS PAC ID: 9537100425 Enrollment ID: I20120827000364 |
Provider Name | Danielle J Culbert |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1508074220 PECOS PAC ID: 9133394745 Enrollment ID: I20121114000470 |
Provider Name | Karin Lundgren |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1518967538 PECOS PAC ID: 0244482321 Enrollment ID: I20121219000181 |
Provider Name | Harish Iyer |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1033325477 PECOS PAC ID: 0840337226 Enrollment ID: I20130613000680 |
Provider Name | Tamera G Larsen |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1790055721 PECOS PAC ID: 1052550084 Enrollment ID: I20130622000094 |
Provider Name | Nancy Anne Martin |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1447491816 PECOS PAC ID: 9335109644 Enrollment ID: I20130624000396 |
Provider Name | Roger Scott Cooley |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1568646818 PECOS PAC ID: 5193718682 Enrollment ID: I20130730000095 |
Provider Name | Cherissa N Wrenn |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1487932430 PECOS PAC ID: 5890967251 Enrollment ID: I20131122000998 |
Provider Name | Meredith A Grzybowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609202399 PECOS PAC ID: 3072742436 Enrollment ID: I20140204001974 |
Provider Name | Christopher Jodlowski |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1134182868 PECOS PAC ID: 3971738048 Enrollment ID: I20140327002151 |
Provider Name | George H Pop |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1689841637 PECOS PAC ID: 2365683224 Enrollment ID: I20140602002482 |
Provider Name | Ma Daphnie Pasia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043633837 PECOS PAC ID: 1759505142 Enrollment ID: I20140604001274 |
Provider Name | Kelli C Kneisel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477955367 PECOS PAC ID: 3173845799 Enrollment ID: I20141209001394 |
Provider Name | Jessica Freis |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1144618018 PECOS PAC ID: 2163740978 Enrollment ID: I20150407001583 |
Provider Name | Joseph A Rybicki |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1265516140 PECOS PAC ID: 8325181175 Enrollment ID: I20150706000452 |
Provider Name | Ravi G Chhatrala |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1033438544 PECOS PAC ID: 4284874470 Enrollment ID: I20160112001765 |
Provider Name | Caitlyn Molino Patrick |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1053548826 PECOS PAC ID: 5395991020 Enrollment ID: I20160817001581 |
Provider Name | Stacy L Utton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912351404 PECOS PAC ID: 9032404876 Enrollment ID: I20160818001234 |
Provider Name | Dino D Beduya |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1457558348 PECOS PAC ID: 7618166166 Enrollment ID: I20161025000863 |
Provider Name | Parth J Parekh |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1679862783 PECOS PAC ID: 3375816861 Enrollment ID: I20170905002382 |
Provider Name | Gary D Jones |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1184663668 PECOS PAC ID: 3870529308 Enrollment ID: I20180109003258 |
Provider Name | Vickie L Doscher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932442522 PECOS PAC ID: 1254690910 Enrollment ID: I20180125002877 |
Provider Name | Tayoh J Valdez |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1861900490 PECOS PAC ID: 9234494170 Enrollment ID: I20180524002302 |
Provider Name | Cynthia A Brownell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407936297 PECOS PAC ID: 8921363417 Enrollment ID: I20180605000006 |
Provider Name | Edward Charles Oldfield |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376938530 PECOS PAC ID: 1951611383 Enrollment ID: I20180906002953 |
Provider Name | Jennifer Marie Florez |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1851713325 PECOS PAC ID: 8729332515 Enrollment ID: I20181114001173 |
Provider Name | Kerryann Fogarty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477032332 PECOS PAC ID: 7517201478 Enrollment ID: I20181203003392 |
Provider Name | Amber Lynn Coleman |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1811474208 PECOS PAC ID: 6709126832 Enrollment ID: I20190327001027 |
Provider Name | Karen L Urban |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407319668 PECOS PAC ID: 5092048397 Enrollment ID: I20190530002690 |
Provider Name | Kerryann Fogarty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477032332 PECOS PAC ID: 7517201478 Enrollment ID: I20190610000706 |
Provider Name | Alan Huy Tieu |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1427324458 PECOS PAC ID: 7113176157 Enrollment ID: I20191015002712 |
Provider Name | Annu Gupta |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1972944817 PECOS PAC ID: 9436438728 Enrollment ID: I20200707002940 |
Provider Name | Kristen Evette Brown |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1003439548 PECOS PAC ID: 8729402185 Enrollment ID: I20200720001127 |
Provider Name | Patty Tian Wang |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1962842583 PECOS PAC ID: 6800015702 Enrollment ID: I20200727003444 |
Provider Name | Kelly S Cook |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912520164 PECOS PAC ID: 9436578515 Enrollment ID: I20200923003147 |
Provider Name | Edwin Js Lee |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1972921047 PECOS PAC ID: 3072874056 Enrollment ID: I20210721000344 |
Provider Name | Gurjeet S Kang |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1144635178 PECOS PAC ID: 6507181823 Enrollment ID: I20210730000153 |
Provider Name | Liana Porchie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346811445 PECOS PAC ID: 6709271612 Enrollment ID: I20220311000147 |
Provider Name | Anna Marie Vance |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1629346309 PECOS PAC ID: 2163647108 Enrollment ID: I20220330001981 |
Provider Name | Tanya Milask |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1578549549 PECOS PAC ID: 5799752382 Enrollment ID: I20220415000032 |
Provider Name | Amanda Boyd |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609262450 PECOS PAC ID: 0244560472 Enrollment ID: I20220601002252 |
Provider Name | Bradley R Reuter |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215381801 PECOS PAC ID: 4789979493 Enrollment ID: I20220616000056 |
Provider Name | Hosanna Julina Morillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861982738 PECOS PAC ID: 2062891146 Enrollment ID: I20220621000287 |
Provider Name | Kristina N Barsten |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386008472 PECOS PAC ID: 0941593339 Enrollment ID: I20220719001953 |
Provider Name | Marc Hines |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1508211046 PECOS PAC ID: 5597050989 Enrollment ID: I20220805000596 |
Provider Name | Cecilia Elisabeth Bardy-gagner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770217804 PECOS PAC ID: 1951785807 Enrollment ID: I20220826001576 |
Provider Name | Justin Griffin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629795711 PECOS PAC ID: 2466829197 Enrollment ID: I20221109000560 |
Provider Name | Kari L Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497410518 PECOS PAC ID: 9436526175 Enrollment ID: I20221109000687 |
Provider Name | Leila Kissick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831347699 PECOS PAC ID: 5294964284 Enrollment ID: I20221208000247 |
Provider Name | Debra Joanne Barnes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427788660 PECOS PAC ID: 5991176448 Enrollment ID: I20230120002266 |
Provider Name | Julia Dinnen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831590413 PECOS PAC ID: 7113148495 Enrollment ID: I20230202001593 |
Provider Name | Alexandra Huffman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578186862 PECOS PAC ID: 8820414709 Enrollment ID: I20230703002532 |
Provider Name | Haja Dumbuya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861951816 PECOS PAC ID: 7113353152 Enrollment ID: I20231003001323 |
Crown And Soul Primary Care And Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7151 Richmond Rd, Williamsburg, VA 23188 Phone: 757-561-8014 | |
Logue & Associates, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1310 Jamestown Rd, Williamsburg, VA 23185 Phone: 757-879-2934 | |
Student Heath Service Pharmacy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Gooch Dr, Williamsburg, VA 23185 Phone: 757-221-2190 Fax: 757-221-1245 | |
Williamsburg Gastroenterology, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 457 Mclaws Cir, Suite 1, Williamsburg, VA 23185 Phone: 757-221-0750 Fax: 757-345-3243 | |
Riverside Internal Medicine Williamsburg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3700 Battery Blvd Ste 200, Williamsburg, VA 23185 Phone: 757-782-6350 Fax: 757-808-7010 | |
John A. Lanzalotti, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 136 Professional Cir, Williamsburg, VA 23185 Phone: 757-253-2450 Fax: 757-253-2607 | |
Riverside Gastroenterology Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Kings Way, Suite 3200 & 3300, Williamsburg, VA 23185 Phone: 757-221-0750 Fax: 757-229-5168 |