Cvhs Downtown Petersburg | |
25 S Union St Petersburg VA 23803-4221 | |
(804) 957-9601 | |
(804) 957-5850 |
Full Name | Cvhs Downtown Petersburg |
---|---|
Speciality | Clinic/Center |
Location | 25 S Union St, Petersburg, Virginia |
Authorized Official Name and Position | Charles Allbaugh (CFO) |
Authorized Official Contact | 4345814073 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cvhs Downtown Petersburg Po Box 220 New Canton VA 23123-0220 Ph: (434) 581-3271 | Cvhs Downtown Petersburg 25 S Union St Petersburg VA 23803-4221 Ph: (804) 957-9601 |
NPI Number | 1134258601 |
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Provider Enumeration Date | 03/02/2007 |
Last Update Date | 12/16/2019 |
Medicare PECOS PAC ID | 0345158432 |
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Medicare Enrollment ID | O20031119000823 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134258601 | NPI | - | NPPES |
007602758 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Provider Name | Brian Blackwell |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447238738 PECOS PAC ID: 3779487210 Enrollment ID: I20031201000272 |
Provider Name | Michael K Reynolds |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104822386 PECOS PAC ID: 6103892179 Enrollment ID: I20040909001381 |
Provider Name | Vidyullatha Shivaram |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1821018730 PECOS PAC ID: 3971540774 Enrollment ID: I20050413000673 |
Provider Name | Marian A Hahesy-calhoun |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245275346 PECOS PAC ID: 3678474541 Enrollment ID: I20050919000532 |
Provider Name | Ellen T Fleenor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790763035 PECOS PAC ID: 3577588243 Enrollment ID: I20051011001185 |
Provider Name | Randall Thomas Bashore |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992783286 PECOS PAC ID: 1254249345 Enrollment ID: I20060328000062 |
Provider Name | David M Campanelli |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1790763829 PECOS PAC ID: 0648288944 Enrollment ID: I20060328000753 |
Provider Name | Denise S Young |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1659407757 PECOS PAC ID: 9931117041 Enrollment ID: I20060331000310 |
Provider Name | Andrew F Walker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912908450 PECOS PAC ID: 4284731050 Enrollment ID: I20070514000400 |
Provider Name | Angela N Ernst |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528069002 PECOS PAC ID: 7719085513 Enrollment ID: I20070601000168 |
Provider Name | Sandra Page Hall |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1659599025 PECOS PAC ID: 8921108671 Enrollment ID: I20070710000602 |
Provider Name | Colleen C Collins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427036623 PECOS PAC ID: 4486748258 Enrollment ID: I20070924000735 |
Provider Name | Margaret J Hobson |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1437129863 PECOS PAC ID: 9739266636 Enrollment ID: I20080402000516 |
Provider Name | Juan Rivas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962482968 PECOS PAC ID: 7012932239 Enrollment ID: I20080402000847 |
Provider Name | Sudhir Channapatna Nagaraja |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1306054325 PECOS PAC ID: 8921185638 Enrollment ID: I20080404000625 |
Provider Name | John G Villanueva |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265410427 PECOS PAC ID: 3870670979 Enrollment ID: I20080414000030 |
Provider Name | Robbie L Lewis Blackwell |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1598743841 PECOS PAC ID: 1456420652 Enrollment ID: I20080514000175 |
Provider Name | Onyeije W Ozurumba |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235331786 PECOS PAC ID: 7113061904 Enrollment ID: I20100217000390 |
Provider Name | Joseph Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609854736 PECOS PAC ID: 2769515295 Enrollment ID: I20100804000062 |
Provider Name | Sharon L Chandler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427036649 PECOS PAC ID: 3476686973 Enrollment ID: I20100804000911 |
Provider Name | Mary Linn Wolf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851379028 PECOS PAC ID: 5092848507 Enrollment ID: I20100804001046 |
Provider Name | April D Breen |
---|---|
Provider Type | Practitioner - Other (physician) |
Provider Identifiers | NPI Number: 1811203508 PECOS PAC ID: 6002092665 Enrollment ID: I20110516000500 |
Provider Name | Mary P Holc |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942593405 PECOS PAC ID: 4385821669 Enrollment ID: I20110614000655 |
Provider Name | Melba W Bryant |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1184844656 PECOS PAC ID: 6103090196 Enrollment ID: I20111201000610 |
Provider Name | Barbara H Hiestand |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639476989 PECOS PAC ID: 3577738822 Enrollment ID: I20111214000920 |
Provider Name | Cathy Lynn Kelly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750679429 PECOS PAC ID: 0345416376 Enrollment ID: I20111222000103 |
Provider Name | Heather Alene Stone |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801110663 PECOS PAC ID: 5991964017 Enrollment ID: I20120309000195 |
Provider Name | Phyllis Sykes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376859637 PECOS PAC ID: 2769641026 Enrollment ID: I20120417000871 |
Provider Name | Greta A Dunn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184996910 PECOS PAC ID: 6103088810 Enrollment ID: I20120425000466 |
Provider Name | Preeti K Sastry |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1639426760 PECOS PAC ID: 9739336629 Enrollment ID: I20120828000820 |
Provider Name | Nora M Vassar |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548504467 PECOS PAC ID: 0840443859 Enrollment ID: I20121226000170 |
Provider Name | Kate E Becker |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1457525297 PECOS PAC ID: 9830260181 Enrollment ID: I20130807000324 |
Provider Name | Janet Carol Chenault |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407908932 PECOS PAC ID: 6507094711 Enrollment ID: I20140115001489 |
Provider Name | Brooke G Bailey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497156202 PECOS PAC ID: 8921320037 Enrollment ID: I20141126001935 |
Provider Name | Melissa B South |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821499609 PECOS PAC ID: 2163749839 Enrollment ID: I20150318001507 |
Provider Name | Harold B Duhart |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1295808160 PECOS PAC ID: 0547589749 Enrollment ID: I20150511001979 |
Provider Name | Erica L Bagby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184909962 PECOS PAC ID: 1254560030 Enrollment ID: I20151121000366 |
Provider Name | Michele Burtner Johnson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710354451 PECOS PAC ID: 6709186794 Enrollment ID: I20151123002772 |
Provider Name | Paula R Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366826406 PECOS PAC ID: 3274833207 Enrollment ID: I20151124001540 |
Provider Name | Sarah M Trimble |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508236977 PECOS PAC ID: 7416258629 Enrollment ID: I20151214000144 |
Provider Name | Angela M Newman |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1821393646 PECOS PAC ID: 8224335153 Enrollment ID: I20160321001758 |
Provider Name | Kimberly D Jubb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174988950 PECOS PAC ID: 3173820289 Enrollment ID: I20160404001583 |
Provider Name | Michael D Richmond |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689646879 PECOS PAC ID: 1355478926 Enrollment ID: I20160902001906 |
Provider Name | David C Streicher |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1457339681 PECOS PAC ID: 8628365665 Enrollment ID: I20160920000513 |
Provider Name | Petheree Laura Mae Nissley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932656048 PECOS PAC ID: 0941580427 Enrollment ID: I20161130000664 |
Provider Name | Mary Pruitt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275841199 PECOS PAC ID: 3779865076 Enrollment ID: I20170123000154 |
Provider Name | Crystal Caroline Chance |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104293711 PECOS PAC ID: 5395028138 Enrollment ID: I20170201002614 |
Provider Name | Mercy P Bradshaw |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124566625 PECOS PAC ID: 5496022469 Enrollment ID: I20170522002999 |
Provider Name | Morgan E Honickel |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053614933 PECOS PAC ID: 1456620384 Enrollment ID: I20170707001967 |
Provider Name | Melissa Leigh Morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467975250 PECOS PAC ID: 4486927290 Enrollment ID: I20170830000831 |
Provider Name | Jonathan W Biggers |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184038705 PECOS PAC ID: 7810261682 Enrollment ID: I20170918000806 |
Provider Name | Katherine A Hedian |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437563392 PECOS PAC ID: 3779874490 Enrollment ID: I20170928001275 |
Provider Name | John David Mandeville |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306017959 PECOS PAC ID: 9830318021 Enrollment ID: I20171009000503 |
Provider Name | Michael N Bombardier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457876559 PECOS PAC ID: 3779859061 Enrollment ID: I20171101002317 |
Provider Name | Mary K Ward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609391440 PECOS PAC ID: 4082971726 Enrollment ID: I20171205000889 |
Provider Name | Adam J Arnold |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003326315 PECOS PAC ID: 6901164284 Enrollment ID: I20171213003199 |
Provider Name | Carrie A Schaefer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063921898 PECOS PAC ID: 7214295146 Enrollment ID: I20171221001958 |
Provider Name | Jamie L Pettus |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1548520125 PECOS PAC ID: 1254694839 Enrollment ID: I20180412001330 |
Provider Name | Shelia K Talbott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285133306 PECOS PAC ID: 7810251568 Enrollment ID: I20180503001985 |
Provider Name | Erin E Kruschwitz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912156605 PECOS PAC ID: 3577628197 Enrollment ID: I20181101003287 |
Provider Name | Samantha A Sweitzer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467939835 PECOS PAC ID: 7214275965 Enrollment ID: I20190205002288 |
Provider Name | Elizabeth Swann Hirner |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1790255354 PECOS PAC ID: 0345588554 Enrollment ID: I20190214000091 |
Provider Name | Annetta C Williams |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952729865 PECOS PAC ID: 0648511204 Enrollment ID: I20190408002570 |
Provider Name | Sarah Henley Reed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598270621 PECOS PAC ID: 3375872351 Enrollment ID: I20190917002645 |
Provider Name | Alexandra Grace Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841735883 PECOS PAC ID: 1759649288 Enrollment ID: I20190924000801 |
Provider Name | Brittney R Wagner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659920429 PECOS PAC ID: 7911330709 Enrollment ID: I20191210000040 |
Provider Name | Julia F Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285278390 PECOS PAC ID: 6800224973 Enrollment ID: I20200324001495 |
Provider Name | Sarah Wenger Deane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992338305 PECOS PAC ID: 6103256763 Enrollment ID: I20200422001202 |
Provider Name | Haley Bolton Blackwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831707421 PECOS PAC ID: 4880012681 Enrollment ID: I20200910001928 |
Provider Name | Galia Patricia Feliciano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174159552 PECOS PAC ID: 9133548761 Enrollment ID: I20201001001359 |
Provider Name | Loretta Anne Raiford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760089981 PECOS PAC ID: 8224448766 Enrollment ID: I20201111002816 |
Provider Name | Latonia Janel Mcswain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801430434 PECOS PAC ID: 1658782966 Enrollment ID: I20201117002475 |
Provider Name | Lauren Currier Ingle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538762075 PECOS PAC ID: 2163833989 Enrollment ID: I20201201000358 |
Provider Name | Laura P Bounds |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750988101 PECOS PAC ID: 3274947379 Enrollment ID: I20210202000259 |
Provider Name | Rochelle Morgan |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1629631338 PECOS PAC ID: 3072856723 Enrollment ID: I20210301001753 |
Provider Name | Patricia Lee Dawson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013535079 PECOS PAC ID: 7911315411 Enrollment ID: I20210422000907 |
Provider Name | Ashley Nicole Waddell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962900621 PECOS PAC ID: 1850795055 Enrollment ID: I20210810003639 |
Provider Name | Christine Louise Lightfoot |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457507352 PECOS PAC ID: 9830121235 Enrollment ID: I20210819002931 |
Provider Name | Jill Elizabeth Richmond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922674662 PECOS PAC ID: 9234535469 Enrollment ID: I20210913003214 |
Provider Name | Stella L Ngetich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386110302 PECOS PAC ID: 8628316809 Enrollment ID: I20211202001176 |
Provider Name | Michael Kipruto Ngetich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447717665 PECOS PAC ID: 0345582201 Enrollment ID: I20211202001310 |
Provider Name | Amy E Barras |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730854613 PECOS PAC ID: 0345635264 Enrollment ID: I20220311000525 |
Provider Name | Tiffany Nicole Stewart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386166411 PECOS PAC ID: 8123392156 Enrollment ID: I20220624000141 |
Provider Name | Lashonda Cherrese Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497491658 PECOS PAC ID: 6406238070 Enrollment ID: I20220728001692 |
Provider Name | Kathleen Joy Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508504705 PECOS PAC ID: 7810379401 Enrollment ID: I20220728002384 |
Provider Name | Lisa Darlene Washington-mora |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083387500 PECOS PAC ID: 2264818202 Enrollment ID: I20220929000163 |
Provider Name | Jessica Danielle Gray |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780318667 PECOS PAC ID: 9032595483 Enrollment ID: I20221007002365 |
Provider Name | Elizabeth Ruth Rivlin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316665250 PECOS PAC ID: 4880060375 Enrollment ID: I20221025002441 |
Provider Name | Hannah Kathryn Kraus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639898836 PECOS PAC ID: 0547637415 Enrollment ID: I20221104002794 |
Provider Name | Christine Gray Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336869221 PECOS PAC ID: 7214304708 Enrollment ID: I20221114001923 |
Provider Name | Tempest Janiar Graham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558084343 PECOS PAC ID: 9335519834 Enrollment ID: I20221227001771 |
Provider Name | Judith Evangelus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457751794 PECOS PAC ID: 4183937246 Enrollment ID: I20230221003126 |
Provider Name | Barbara Jean Camero |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043917198 PECOS PAC ID: 6103291786 Enrollment ID: I20230413000163 |
Provider Name | Alexandra E Bradsher |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1982316774 PECOS PAC ID: 3375908643 Enrollment ID: I20230421000129 |
Provider Name | Chelsea Marie Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861119448 PECOS PAC ID: 7214392745 Enrollment ID: I20230504003048 |
Provider Name | Patricia Mason Williamson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285334078 PECOS PAC ID: 4183080815 Enrollment ID: I20230522002547 |
Provider Name | Jessica Harvey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285305409 PECOS PAC ID: 0941668339 Enrollment ID: I20230616000287 |
Provider Name | Cheryl Ann Stoddard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659058139 PECOS PAC ID: 9931569035 Enrollment ID: I20230720004284 |
Provider Name | Jennifer Beryl Weston |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326724402 PECOS PAC ID: 7911360581 Enrollment ID: I20230830000023 |
Provider Name | Robyn Arlean Thirkill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467144907 PECOS PAC ID: 3173986759 Enrollment ID: I20230830000476 |
Provider Name | Patricia Claire Scrivani |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1669932745 PECOS PAC ID: 0547595621 Enrollment ID: I20230831003631 |
Provider Name | Ashley Shull Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407631435 PECOS PAC ID: 2668828468 Enrollment ID: I20231031002013 |
Provider Name | Stephanie Karen Brownell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396528642 PECOS PAC ID: 5092165969 Enrollment ID: I20231219002869 |
Provider Name | Dana Harrison Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194183384 PECOS PAC ID: 7911341060 Enrollment ID: I20240216003490 |
Provider Name | Nicole Downey Haag |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992469654 PECOS PAC ID: 8729422878 Enrollment ID: I20240216003532 |
Provider Name | Heather N Spivey |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386411411 PECOS PAC ID: 8325485543 Enrollment ID: I20240325000322 |
Provider Name | Brianna Joy Smith |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1235900622 PECOS PAC ID: 9537507686 Enrollment ID: I20240409001238 |
Provider Name | Dorcas Aba Asante |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053176487 PECOS PAC ID: 8224477435 Enrollment ID: I20240422000921 |
Physician Associates Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 S Sycamore St, Petersburg, VA 23803 Phone: 804-733-8821 Fax: 804-861-4365 | |
Vanessa O. Johnson,m.d.,pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Medical Park Boulevard, Suite B, Petersburg, VA 23805 Phone: 804-732-7100 Fax: 804-732-7101 | |
Back Pain Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3333 S Crater Rd, Petersburg, VA 23805 Phone: 804-733-6870 Fax: 804-226-9496 | |
Bon Secours Freedom Healthcare Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 W Washington St, Suite B, Petersburg, VA 23803 Phone: 804-431-3400 Fax: 804-733-3858 | |
Alliance Family Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Liberty St, Petersburg, VA 23803 Phone: 804-862-2878 Fax: 804-862-2879 | |
Emily Ashley Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3335 S Crater Rd, Petersburg, VA 23805 Phone: 804-765-5445 |