| Healogics Specialty Physicians Of Virginia, Llc | |
|
1001 Sam Perry Blvd Fredericksburg VA 22401-4453 | |
| (540) 741-1100 | |
| Not Available |
| Full Name | Healogics Specialty Physicians Of Virginia, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1001 Sam Perry Blvd, Fredericksburg, Virginia |
| Authorized Official Name and Position | Frank Williams (CEO) |
| Authorized Official Contact | 9044463519 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healogics Specialty Physicians Of Virginia, Llc 5220 Belfort Rd Suite 130 Jacksonville FL 32256-6017 Ph: () - | Healogics Specialty Physicians Of Virginia, Llc 1001 Sam Perry Blvd Fredericksburg VA 22401-4453 Ph: (540) 741-1100 |
| NPI Number | 1689079055 |
|---|---|
| Provider Enumeration Date | 10/28/2014 |
| Last Update Date | 06/01/2023 |
| Medicare PECOS PAC ID | 1052637733 |
|---|---|
| Medicare Enrollment ID | O20150225000563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689079055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nina K Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235190604 PECOS PAC ID: 9931003191 Enrollment ID: I20031120000607 |
| Provider Name | Peter M Vandermeid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912959768 PECOS PAC ID: 2163489980 Enrollment ID: I20041214000304 |
| Provider Name | Rene L Ernest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013071018 PECOS PAC ID: 7719900257 Enrollment ID: I20060110000955 |
| Provider Name | Sanford Kent Marcuson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710952676 PECOS PAC ID: 6507760683 Enrollment ID: I20060714000192 |
| Provider Name | Eleanor A Erwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891704003 PECOS PAC ID: 5991808081 Enrollment ID: I20070309000388 |
| Provider Name | Enrique H Ramirez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285801837 PECOS PAC ID: 6507937828 Enrollment ID: I20080613000454 |
| Provider Name | Peter D Buckman |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1538110135 PECOS PAC ID: 0840362703 Enrollment ID: I20080709000458 |
| Provider Name | William Mcconahey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538278106 PECOS PAC ID: 1557429164 Enrollment ID: I20081027000566 |
| Provider Name | Eric Kramer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265473250 PECOS PAC ID: 2163553322 Enrollment ID: I20100701000715 |
| Provider Name | Michael Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477652535 PECOS PAC ID: 0648458752 Enrollment ID: I20110620000449 |
| Provider Name | Cornell Shelton |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1003807538 PECOS PAC ID: 9537156104 Enrollment ID: I20120320000575 |
| Provider Name | Nancy A Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033461579 PECOS PAC ID: 2264686252 Enrollment ID: I20130128000352 |
| Provider Name | Erin M Bowser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043466634 PECOS PAC ID: 6608935465 Enrollment ID: I20131029001686 |
| Provider Name | Thomas A Piscitelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063444289 PECOS PAC ID: 8325003361 Enrollment ID: I20140219001713 |
| Provider Name | Richard A Schmitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487653291 PECOS PAC ID: 9830232594 Enrollment ID: I20141015001171 |
| Provider Name | August S Olinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396144523 PECOS PAC ID: 3173744562 Enrollment ID: I20141029000273 |
| Provider Name | Carrie E Schlabach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093247017 PECOS PAC ID: 5092082388 Enrollment ID: I20170516002098 |
| Provider Name | Ashkan Karimi |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1982996716 PECOS PAC ID: 4880823608 Enrollment ID: I20170804000005 |
| Provider Name | Steven P Manuli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245236959 PECOS PAC ID: 4183512650 Enrollment ID: I20180427000051 |
| Provider Name | Karen Oaks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679097133 PECOS PAC ID: 2860749744 Enrollment ID: I20180724001391 |
| Provider Name | Bianca Monique Vaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588167688 PECOS PAC ID: 5597017244 Enrollment ID: I20181009001084 |
| Provider Name | Anne L White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043714850 PECOS PAC ID: 1951651132 Enrollment ID: I20181126000736 |
| Provider Name | James Robert Dyson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467937854 PECOS PAC ID: 1456695535 Enrollment ID: I20181129002643 |
| Provider Name | Stacy L Street |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1275566234 PECOS PAC ID: 2860442027 Enrollment ID: I20190830002180 |
| Provider Name | Frances Ruth Vitalis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356446116 PECOS PAC ID: 5193793651 Enrollment ID: I20191030003382 |
| Provider Name | Ashley Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356811863 PECOS PAC ID: 8527492529 Enrollment ID: I20191230000196 |
| Provider Name | Susan Mara Cash |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780695320 PECOS PAC ID: 8628072048 Enrollment ID: I20200901002368 |
| Provider Name | Michelle Hoffmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033319553 PECOS PAC ID: 0244493930 Enrollment ID: I20210722001161 |
| Provider Name | Tracy L Basham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841734688 PECOS PAC ID: 5799060562 Enrollment ID: I20210924000159 |
| Provider Name | Sarantuya Sukhee-hungerford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891266847 PECOS PAC ID: 4082049333 Enrollment ID: I20211206002399 |
| Provider Name | Tanya G Rivera-tyler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336296292 PECOS PAC ID: 1759457542 Enrollment ID: I20211213001183 |
| Provider Name | Amir Ghaznavi |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1508021445 PECOS PAC ID: 1951609361 Enrollment ID: I20220908001010 |
| Provider Name | Eric H Krantz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346702784 PECOS PAC ID: 6507190055 Enrollment ID: I20230726001892 |
Mary Washington Internal Medicine Residency Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1041 Fax: 540-741-1408 | |
Lloyd F. Moss Free Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Sam Perry Blvd, Suite 100, Fredericksburg, VA 22401 Phone: 540-741-1055 Fax: 540-741-3103 | |
Primary And Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10009 South Point Parkway, Suite # 200, Fredericksburg, VA 22407 Phone: 540-785-9900 | |
Mount Arvon Inpatient Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408 Phone: 540-862-6011 | |
Fredericksburg Geriatric Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 Townes Pl, Fredericksburg, VA 22405 Phone: 800-832-9258 | |
Jay David Brock, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4304 Lafayette Blvd, Fredericksburg, VA 22408 Phone: 540-891-5600 Fax: 540-891-9034 | |
Medidoctors Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1428 Fax: 540-741-1420 |