| Harrisonburg Family Practice Associates Pc | |
|
1831 Reservoir St Harrisonburg VA 22801-8743 | |
| (540) 433-9151 | |
| (540) 433-0547 |
| Full Name | Harrisonburg Family Practice Associates Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1831 Reservoir St, Harrisonburg, Virginia |
| Authorized Official Name and Position | George Weidig (PARTNER) |
| Authorized Official Contact | 5404339151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harrisonburg Family Practice Associates Pc 1831 Reservoir St Harrisonburg VA 22801-8743 Ph: (540) 433-9151 | Harrisonburg Family Practice Associates Pc 1831 Reservoir St Harrisonburg VA 22801-8743 Ph: (540) 433-9151 |
| NPI Number | 1003832999 |
|---|---|
| Provider Enumeration Date | 07/14/2006 |
| Last Update Date | 04/09/2012 |
| Medicare PECOS PAC ID | 3274792049 |
|---|---|
| Medicare Enrollment ID | O20120314000407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003832999 | NPI | - | NPPES |
| 221884 | Other | VA | SOUTHERN HEALTH GROUP # |
| 002381 | Other | VA | ANTHEM GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Virginia) | Primary |
| Provider Name | Anthony C Iudica |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265433932 PECOS PAC ID: 8325056708 Enrollment ID: I20060327000439 |
| Provider Name | Gregory C Jesteadt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083631170 PECOS PAC ID: 1850466640 Enrollment ID: I20080813000365 |
| Provider Name | John M Syptak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679574321 PECOS PAC ID: 5496916157 Enrollment ID: I20120405000668 |
| Provider Name | Deborah Nio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609877380 PECOS PAC ID: 3476717463 Enrollment ID: I20120601000357 |
| Provider Name | George Weidig |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730180464 PECOS PAC ID: 3375707367 Enrollment ID: I20120601000367 |
| Provider Name | Jeffrey Ashby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053312702 PECOS PAC ID: 4284898206 Enrollment ID: I20120604000052 |
| Provider Name | Kathleen Iudica |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821099508 PECOS PAC ID: 7517121536 Enrollment ID: I20120604000084 |
| Provider Name | Amanda M Loucks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457640476 PECOS PAC ID: 3577791862 Enrollment ID: I20140815002085 |
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