| Fall Hill Gastroenterology Associates, Ltd. | |
|
2601 Fall Hill Ave Fredericksburg VA 22401-3323 | |
| (540) 371-9696 | |
| Not Available |
| Full Name | Fall Hill Gastroenterology Associates, Ltd. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2601 Fall Hill Ave, Fredericksburg, Virginia |
| Authorized Official Name and Position | John Boniface (MANAGING PHYSICIAN) |
| Authorized Official Contact | 5403719696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fall Hill Gastroenterology Associates, Ltd. 2601 Fall Hill Ave Fredericksburg VA 22401-3323 Ph: (540) 371-9696 | Fall Hill Gastroenterology Associates, Ltd. 2601 Fall Hill Ave Fredericksburg VA 22401-3323 Ph: (540) 371-9696 |
| NPI Number | 1902991151 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 01/30/2014 |
| Medicare PECOS PAC ID | 7012019581 |
|---|---|
| Medicare Enrollment ID | O20070301000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902991151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Lawrence Whitley Comerford |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982646519 PECOS PAC ID: 9032163589 Enrollment ID: I20050308000412 |
| Provider Name | Thomas Mastri |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073566642 PECOS PAC ID: 3870695364 Enrollment ID: I20070305000356 |
| Provider Name | Barbara Arcarese |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1659514628 PECOS PAC ID: 4385796416 Enrollment ID: I20120423000789 |
| Provider Name | Allan L Hardy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235229584 PECOS PAC ID: 9739287038 Enrollment ID: I20120809000079 |
| Provider Name | Sharon L Pemberton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407288624 PECOS PAC ID: 7113160441 Enrollment ID: I20130925000354 |
| Provider Name | Sanita Piya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891239067 PECOS PAC ID: 5294018651 Enrollment ID: I20170208002326 |
| Provider Name | Michele L Lattimer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568904399 PECOS PAC ID: 6507133592 Enrollment ID: I20170523000778 |
| Provider Name | Leslie Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538667498 PECOS PAC ID: 9638433147 Enrollment ID: I20180509002894 |
| Provider Name | Jenny Potter |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1275152035 PECOS PAC ID: 2961812896 Enrollment ID: I20201104002995 |
| Provider Name | Jessica Nicole Rollins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932719549 PECOS PAC ID: 6305256132 Enrollment ID: I20201106001753 |
| Provider Name | Leah Kathryn Glynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326632340 PECOS PAC ID: 0547678104 Enrollment ID: I20210420000973 |
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