| Hospitalist Medicine Physicians Of Fredericksburg, Llc | |
|
1001 Sam Perry Blvd Fredericksburg VA 22401-4453 | |
| (330) 493-4443 | |
| (330) 493-8677 |
| Full Name | Hospitalist Medicine Physicians Of Fredericksburg, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1001 Sam Perry Blvd, Fredericksburg, Virginia |
| Authorized Official Name and Position | Stephen L Houff (CEO) |
| Authorized Official Contact | 3304926400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Fredericksburg, Llc 4535 Dressler Rd Nw Canton OH 44718-2545 Ph: (330) 493-4443 | Hospitalist Medicine Physicians Of Fredericksburg, Llc 1001 Sam Perry Blvd Fredericksburg VA 22401-4453 Ph: (330) 493-4443 |
| NPI Number | 1447577572 |
|---|---|
| Provider Enumeration Date | 04/29/2010 |
| Last Update Date | 04/29/2010 |
| Medicare PECOS PAC ID | 7719179407 |
|---|---|
| Medicare Enrollment ID | O20101013000902 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447577572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Haya W Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093770224 PECOS PAC ID: 1951205079 Enrollment ID: I20031120000949 |
| Provider Name | Vikas Maan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871521070 PECOS PAC ID: 7113823642 Enrollment ID: I20031208000411 |
| Provider Name | Calina B Zerate |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730170416 PECOS PAC ID: 7012909559 Enrollment ID: I20040402000317 |
| Provider Name | Hugo Moises Rodriguez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740255710 PECOS PAC ID: 1850387614 Enrollment ID: I20040426000511 |
| Provider Name | Marianne Zuggo Liszka |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720051170 PECOS PAC ID: 2668450131 Enrollment ID: I20040712000065 |
| Provider Name | Hyunsun D Ko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952312258 PECOS PAC ID: 6901885615 Enrollment ID: I20040716000200 |
| Provider Name | Adam K Gelrud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982676276 PECOS PAC ID: 0840270435 Enrollment ID: I20040723000444 |
| Provider Name | Joseph L Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922070515 PECOS PAC ID: 2163492547 Enrollment ID: I20040731000276 |
| Provider Name | Kavitha Krottapalli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134118144 PECOS PAC ID: 6103891221 Enrollment ID: I20040831001452 |
| Provider Name | Nsekenene Kolongo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487685301 PECOS PAC ID: 0941277263 Enrollment ID: I20040915000436 |
| Provider Name | Lisa Ann Provance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588645378 PECOS PAC ID: 9830158955 Enrollment ID: I20041005000882 |
| Provider Name | Daniel M Freed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730157066 PECOS PAC ID: 3779481726 Enrollment ID: I20041104001026 |
| Provider Name | Michael Barrett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437122603 PECOS PAC ID: 5890747372 Enrollment ID: I20050211000837 |
| Provider Name | Salman F Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528046026 PECOS PAC ID: 2769420801 Enrollment ID: I20050420000310 |
| Provider Name | Nzinga Z Teule Hekima |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851399901 PECOS PAC ID: 4587608013 Enrollment ID: I20050615001013 |
| Provider Name | Padmalatha Dharanikota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922099720 PECOS PAC ID: 6709821333 Enrollment ID: I20050624000010 |
| Provider Name | Madhur D Solanki |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174585046 PECOS PAC ID: 5799720207 Enrollment ID: I20050624000775 |
| Provider Name | Muhanad Al Jassar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790783884 PECOS PAC ID: 6002851201 Enrollment ID: I20050628000157 |
| Provider Name | Matthew Alan Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780610782 PECOS PAC ID: 9739125352 Enrollment ID: I20050706000290 |
| Provider Name | Jonathan E Briggs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194798553 PECOS PAC ID: 9133156466 Enrollment ID: I20050719000669 |
| Provider Name | Hasan M Yousuf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225068968 PECOS PAC ID: 4284686510 Enrollment ID: I20050808001246 |
| Provider Name | Noemi Romano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508874173 PECOS PAC ID: 3173515335 Enrollment ID: I20050915001152 |
| Provider Name | Sridhar Madhunapantula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003821844 PECOS PAC ID: 3577597582 Enrollment ID: I20050920000536 |
| Provider Name | Hammad Hafeez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427044205 PECOS PAC ID: 5496774820 Enrollment ID: I20051115000879 |
| Provider Name | William P Ciesla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265526578 PECOS PAC ID: 3476572439 Enrollment ID: I20051118000283 |
| Provider Name | Richard E Ruffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922079086 PECOS PAC ID: 6800816166 Enrollment ID: I20051201000111 |
| Provider Name | Sami Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760416929 PECOS PAC ID: 2567485352 Enrollment ID: I20060106000683 |
| Provider Name | Thomas Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124088364 PECOS PAC ID: 5193739621 Enrollment ID: I20060203000228 |
| Provider Name | Clay E Beveridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407807431 PECOS PAC ID: 8729097522 Enrollment ID: I20060405000642 |
| Provider Name | Kareem B Yostos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568475077 PECOS PAC ID: 4284631383 Enrollment ID: I20061102000562 |
| Provider Name | Michael E Murphy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639186992 PECOS PAC ID: 5991702094 Enrollment ID: I20061102000579 |
| Provider Name | Mesfin A Tefera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073678272 PECOS PAC ID: 8224131867 Enrollment ID: I20070320000109 |
| Provider Name | Menbere Bahru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528130218 PECOS PAC ID: 4789787284 Enrollment ID: I20070320000694 |
| Provider Name | Denise Tandjeu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932206406 PECOS PAC ID: 6800898719 Enrollment ID: I20070430000247 |
| Provider Name | Khoi B Do |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992913636 PECOS PAC ID: 9436242922 Enrollment ID: I20070829000265 |
| Provider Name | Imran Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689889511 PECOS PAC ID: 1355434911 Enrollment ID: I20070912000677 |
| Provider Name | Samer F Hawari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245451178 PECOS PAC ID: 8123112935 Enrollment ID: I20070924000312 |
| Provider Name | Maria Doubrovskaia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760601306 PECOS PAC ID: 9830285592 Enrollment ID: I20071011000412 |
| Provider Name | Faizur Rahman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992724520 PECOS PAC ID: 6204850977 Enrollment ID: I20071012000418 |
| Provider Name | Sheron T Wyatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245422351 PECOS PAC ID: 0345323283 Enrollment ID: I20080214000576 |
| Provider Name | Razaak A Eniola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518902014 PECOS PAC ID: 0749298628 Enrollment ID: I20080617000042 |
| Provider Name | Gauri Aggarwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356471114 PECOS PAC ID: 8123047750 Enrollment ID: I20080822000308 |
| Provider Name | Atoosa D Purveyor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407012859 PECOS PAC ID: 1355409640 Enrollment ID: I20081014000721 |
| Provider Name | Melvin L Pegram |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083773089 PECOS PAC ID: 2264590132 Enrollment ID: I20081021000655 |
| Provider Name | Zelalem A Ashiny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922172873 PECOS PAC ID: 1456351709 Enrollment ID: I20081024000663 |
| Provider Name | Kyong Un Chong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023225059 PECOS PAC ID: 6002975224 Enrollment ID: I20081103000592 |
| Provider Name | Cassandra A Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518113091 PECOS PAC ID: 9638238652 Enrollment ID: I20081106000011 |
| Provider Name | Bernard T Pegis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285671669 PECOS PAC ID: 9436181401 Enrollment ID: I20081205000652 |
| Provider Name | Ilona Ewa Kalka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669551263 PECOS PAC ID: 8426151622 Enrollment ID: I20090128000044 |
| Provider Name | Philip Cogan Casey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144216078 PECOS PAC ID: 8527079201 Enrollment ID: I20090312000505 |
| Provider Name | Ann Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275750804 PECOS PAC ID: 8325144363 Enrollment ID: I20090615000369 |
| Provider Name | Mocho Mensah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932340932 PECOS PAC ID: 1658422522 Enrollment ID: I20090706000653 |
| Provider Name | Dawn P Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053525600 PECOS PAC ID: 9739245911 Enrollment ID: I20090707000507 |
| Provider Name | Dereje D Hailesilasie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548495294 PECOS PAC ID: 2163578931 Enrollment ID: I20090918000535 |
| Provider Name | Kyaw T Zaw |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467655076 PECOS PAC ID: 0345389680 Enrollment ID: I20091130000530 |
| Provider Name | Carlos J Mencias Vera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215110283 PECOS PAC ID: 4688716657 Enrollment ID: I20100128000939 |
| Provider Name | John S Carrick |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013982230 PECOS PAC ID: 6305980137 Enrollment ID: I20100217000720 |
| Provider Name | Khalid K Albedrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831337542 PECOS PAC ID: 9133254550 Enrollment ID: I20100324000018 |
| Provider Name | Shyama Rosenfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497720098 PECOS PAC ID: 1456357979 Enrollment ID: I20100513000745 |
| Provider Name | Andrew Edwards Schwentker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649232331 PECOS PAC ID: 5799873303 Enrollment ID: I20100628000079 |
| Provider Name | William Clarence Brink |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619933447 PECOS PAC ID: 3072574367 Enrollment ID: I20100713000671 |
| Provider Name | Lubna Rana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023133469 PECOS PAC ID: 2466553789 Enrollment ID: I20100726000747 |
| Provider Name | Iryna Aberkorn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780846071 PECOS PAC ID: 7810011426 Enrollment ID: I20100903000469 |
| Provider Name | Kari Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003965021 PECOS PAC ID: 4587637632 Enrollment ID: I20101014000746 |
| Provider Name | Diego F Martinez Vasquez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063483188 PECOS PAC ID: 4183726854 Enrollment ID: I20101102001018 |
| Provider Name | Fariah Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568774347 PECOS PAC ID: 5991993032 Enrollment ID: I20101216000327 |
| Provider Name | Nabeel A Mohamed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205968732 PECOS PAC ID: 1759579972 Enrollment ID: I20110103000483 |
| Provider Name | Mark N Dumas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548245855 PECOS PAC ID: 9739260779 Enrollment ID: I20110211000725 |
| Provider Name | Endalkachew G Erena |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669631909 PECOS PAC ID: 7719169127 Enrollment ID: I20110307000495 |
| Provider Name | Sally Ann Tracy Mcintosh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003915851 PECOS PAC ID: 5193887214 Enrollment ID: I20110415000517 |
| Provider Name | Elena M Tilly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144393844 PECOS PAC ID: 7810036423 Enrollment ID: I20110422000136 |
| Provider Name | Samuel C Umesegha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891826202 PECOS PAC ID: 6204928666 Enrollment ID: I20110527000584 |
| Provider Name | Parishram B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992940977 PECOS PAC ID: 6002093671 Enrollment ID: I20110608000000 |
| Provider Name | Gerald L Quirk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346403474 PECOS PAC ID: 4486831062 Enrollment ID: I20110608000100 |
| Provider Name | Zhengqi Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407098783 PECOS PAC ID: 7416125141 Enrollment ID: I20110722000326 |
| Provider Name | Mahmud Uzzaman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578726014 PECOS PAC ID: 3476722737 Enrollment ID: I20110803000553 |
| Provider Name | Punit Goel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1073761565 PECOS PAC ID: 8426228966 Enrollment ID: I20110819000217 |
| Provider Name | Mushtaq Anis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417112855 PECOS PAC ID: 3971773029 Enrollment ID: I20110826000470 |
| Provider Name | Vidya Nagamangala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720241128 PECOS PAC ID: 7719157577 Enrollment ID: I20110902000568 |
| Provider Name | Mihai F Gavris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306810049 PECOS PAC ID: 8820089709 Enrollment ID: I20110914000660 |
| Provider Name | Wondaya Tamene Debeb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063717239 PECOS PAC ID: 1759552128 Enrollment ID: I20110914000689 |
| Provider Name | Sasan Makipour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144540139 PECOS PAC ID: 5193996288 Enrollment ID: I20110921000568 |
| Provider Name | Srivani Angadala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952559460 PECOS PAC ID: 9436321130 Enrollment ID: I20110930000076 |
| Provider Name | Gabriella T Joffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992999874 PECOS PAC ID: 8820168917 Enrollment ID: I20111027000796 |
| Provider Name | Sudha Koduru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073772455 PECOS PAC ID: 5991978900 Enrollment ID: I20111107000500 |
| Provider Name | Narayan Bhetwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841418506 PECOS PAC ID: 9032205042 Enrollment ID: I20111206000522 |
| Provider Name | Renee Tierney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144511957 PECOS PAC ID: 0345415972 Enrollment ID: I20111209000765 |
| Provider Name | Patricia L Schmitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578668398 PECOS PAC ID: 9739134966 Enrollment ID: I20120206000029 |
| Provider Name | Kurwa Nyigu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417925272 PECOS PAC ID: 7416928650 Enrollment ID: I20120225000178 |
| Provider Name | Yi Sun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720201577 PECOS PAC ID: 0042318388 Enrollment ID: I20120508000236 |
| Provider Name | Emerencienne Deungwe-yonga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205093705 PECOS PAC ID: 6507927340 Enrollment ID: I20120706000021 |
| Provider Name | Shayasta S Mufti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093973687 PECOS PAC ID: 1557526027 Enrollment ID: I20120706000590 |
| Provider Name | William A Thistlethwaite |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568696458 PECOS PAC ID: 8527214287 Enrollment ID: I20120813000035 |
| Provider Name | Jon-erik Houser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659513075 PECOS PAC ID: 0042467334 Enrollment ID: I20120821000687 |
| Provider Name | Padmavathi Murakonda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285906602 PECOS PAC ID: 1254588809 Enrollment ID: I20120904000491 |
| Provider Name | Larissa N Dobransky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508092511 PECOS PAC ID: 1759539802 Enrollment ID: I20120913000685 |
| Provider Name | Margaret Olubunmi Daramola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114126117 PECOS PAC ID: 4789729278 Enrollment ID: I20130122000388 |
| Provider Name | Radhika Nandi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992953467 PECOS PAC ID: 4789839663 Enrollment ID: I20130226000183 |
| Provider Name | Chanda Yaqub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740596469 PECOS PAC ID: 3577759208 Enrollment ID: I20130409000300 |
| Provider Name | Babar Hussain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336377613 PECOS PAC ID: 5799928529 Enrollment ID: I20130827000541 |
| Provider Name | Guneet Sarai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144534546 PECOS PAC ID: 0244474401 Enrollment ID: I20130910000698 |
| Provider Name | Vidya Raghavan |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1194955286 PECOS PAC ID: 0547404675 Enrollment ID: I20130911000599 |
| Provider Name | John V Kottarathil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477735439 PECOS PAC ID: 4082750484 Enrollment ID: I20131004000278 |
| Provider Name | Sam C Rodd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134138548 PECOS PAC ID: 0446485320 Enrollment ID: I20131030001886 |
| Provider Name | Sachin Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063731339 PECOS PAC ID: 0648422444 Enrollment ID: I20131104000301 |
| Provider Name | Adeola O Adeyeye |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649432048 PECOS PAC ID: 7618149584 Enrollment ID: I20131125000511 |
| Provider Name | Melanie A Rosin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962838219 PECOS PAC ID: 8921236183 Enrollment ID: I20140115000233 |
| Provider Name | Onan Walker Bomar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740445543 PECOS PAC ID: 9133390677 Enrollment ID: I20140310000298 |
| Provider Name | Faraz Masood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609071661 PECOS PAC ID: 8426242066 Enrollment ID: I20140410000021 |
| Provider Name | Rosla Royal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770858367 PECOS PAC ID: 8921262908 Enrollment ID: I20140422000453 |
| Provider Name | Sridevi Mannem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396066346 PECOS PAC ID: 7517190390 Enrollment ID: I20140501000699 |
| Provider Name | Anna Villalobos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922270347 PECOS PAC ID: 8628217452 Enrollment ID: I20140512000829 |
| Provider Name | Adedoyin G Akintide |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518142991 PECOS PAC ID: 5991856551 Enrollment ID: I20140707000690 |
| Provider Name | Anthony Oduje Isedeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639445539 PECOS PAC ID: 2567688922 Enrollment ID: I20140722000768 |
| Provider Name | Maria Jeraldine M Tayag |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669485181 PECOS PAC ID: 9335161769 Enrollment ID: I20140911001918 |
| Provider Name | Nir Horev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366860967 PECOS PAC ID: 0345469458 Enrollment ID: I20140922001393 |
| Provider Name | Yohannes Tilahun Mengistu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1912292525 PECOS PAC ID: 0941522718 Enrollment ID: I20141205000341 |
| Provider Name | Michael T Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306139829 PECOS PAC ID: 4486895612 Enrollment ID: I20141208001499 |
| Provider Name | Nelson Enor Airewele |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740546944 PECOS PAC ID: 8022331479 Enrollment ID: I20141216001818 |
| Provider Name | Vijai Bhola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073742409 PECOS PAC ID: 4789908526 Enrollment ID: I20150127000029 |
| Provider Name | Sergey Shvygin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760647051 PECOS PAC ID: 6103094107 Enrollment ID: I20150127000306 |
| Provider Name | Dharmesh Ravjibhai Sanghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780977728 PECOS PAC ID: 0345565628 Enrollment ID: I20150207000457 |
| Provider Name | Li Ouyang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902210685 PECOS PAC ID: 8628393576 Enrollment ID: I20150217001158 |
| Provider Name | Ifeanyichukwu Chukwuma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356602429 PECOS PAC ID: 4284888918 Enrollment ID: I20150630001258 |
| Provider Name | Amika Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336406644 PECOS PAC ID: 0042523532 Enrollment ID: I20150713001465 |
| Provider Name | Meho Jasarevic |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194090498 PECOS PAC ID: 6305089822 Enrollment ID: I20150807014518 |
| Provider Name | Ali Al-saadoon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316209067 PECOS PAC ID: 3678714946 Enrollment ID: I20150813012282 |
| Provider Name | Diana V Minor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194109074 PECOS PAC ID: 1759696768 Enrollment ID: I20150820010443 |
| Provider Name | Khoi Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578820841 PECOS PAC ID: 4587970744 Enrollment ID: I20150902001664 |
| Provider Name | Woldecherkos Abebe Shibeshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669639282 PECOS PAC ID: 4183760010 Enrollment ID: I20151001000587 |
| Provider Name | Robert John Bernard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508192055 PECOS PAC ID: 2365580388 Enrollment ID: I20151016000837 |
| Provider Name | Mohammad Azad Rahman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619239530 PECOS PAC ID: 3375852536 Enrollment ID: I20151029000702 |
| Provider Name | Donna Marie Munsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043578867 PECOS PAC ID: 7416190210 Enrollment ID: I20151102000599 |
| Provider Name | Mesfin Tessema Assefa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689014771 PECOS PAC ID: 8022240688 Enrollment ID: I20151116000775 |
| Provider Name | Zeleke Kassahun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477536811 PECOS PAC ID: 9830189935 Enrollment ID: I20151119001270 |
| Provider Name | Casey V Wehunt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689935298 PECOS PAC ID: 9638310808 Enrollment ID: I20151119001640 |
| Provider Name | Jamie L Cannady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205207131 PECOS PAC ID: 9234439811 Enrollment ID: I20151203002888 |
| Provider Name | Navdeep Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508098104 PECOS PAC ID: 3375770464 Enrollment ID: I20151210002257 |
| Provider Name | Carolyn J Flynn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740253608 PECOS PAC ID: 8628008877 Enrollment ID: I20151214002368 |
| Provider Name | Babak S Pirouz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609072578 PECOS PAC ID: 6103912118 Enrollment ID: I20160516001507 |
| Provider Name | Betegelu Y Taye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306257118 PECOS PAC ID: 8426371626 Enrollment ID: I20160808001932 |
| Provider Name | Kristin A Liebrecht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881031839 PECOS PAC ID: 7214162791 Enrollment ID: I20160822001510 |
| Provider Name | Seema M Bhansali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942482633 PECOS PAC ID: 9133272370 Enrollment ID: I20160829000272 |
| Provider Name | Ahmet Altay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568693067 PECOS PAC ID: 5496892796 Enrollment ID: I20160914002176 |
| Provider Name | Christopher Oti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124066535 PECOS PAC ID: 4082679915 Enrollment ID: I20160927003017 |
| Provider Name | Kanika Varma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801237904 PECOS PAC ID: 8628377306 Enrollment ID: I20161007001331 |
| Provider Name | Uyen V Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124360995 PECOS PAC ID: 4789972530 Enrollment ID: I20161011000188 |
| Provider Name | Esteban Antonio Marquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851352819 PECOS PAC ID: 7315943131 Enrollment ID: I20161026000690 |
| Provider Name | Simon Getachew Atena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598156309 PECOS PAC ID: 8325326002 Enrollment ID: I20161101000310 |
| Provider Name | Kerry C Lanigan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801186481 PECOS PAC ID: 7416279963 Enrollment ID: I20161102001868 |
| Provider Name | Verlecia L Self |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255885638 PECOS PAC ID: 9931488020 Enrollment ID: I20161213001390 |
| Provider Name | Theodros H Gebremeskel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215367008 PECOS PAC ID: 6305127440 Enrollment ID: I20170103000763 |
| Provider Name | Gonzalo Luizaga Coca |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831331032 PECOS PAC ID: 7911163027 Enrollment ID: I20170207002070 |
| Provider Name | Darlene Frances Proctor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659506954 PECOS PAC ID: 1254616147 Enrollment ID: I20170327001916 |
| Provider Name | Heather A Schilling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194262923 PECOS PAC ID: 6002192739 Enrollment ID: I20170413000318 |
| Provider Name | Joseph Lewis Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205814399 PECOS PAC ID: 3072524453 Enrollment ID: I20170417001849 |
| Provider Name | Omid Entezari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235361007 PECOS PAC ID: 0446401905 Enrollment ID: I20170502002321 |
| Provider Name | Md A Rahman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982990495 PECOS PAC ID: 6103147236 Enrollment ID: I20170519001692 |
| Provider Name | Keisha Q James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235660655 PECOS PAC ID: 8123395282 Enrollment ID: I20170522002081 |
| Provider Name | Michelle O Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932540747 PECOS PAC ID: 3173890118 Enrollment ID: I20170524000015 |
| Provider Name | Olubukola Bolaji |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497750277 PECOS PAC ID: 7911815741 Enrollment ID: I20170606003119 |
| Provider Name | David Htoon-boehme |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548606429 PECOS PAC ID: 6406152081 Enrollment ID: I20170620000293 |
| Provider Name | Christine Mary Lenore Curran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083834774 PECOS PAC ID: 8921160011 Enrollment ID: I20170621001990 |
| Provider Name | Mohamad Mouchli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821324179 PECOS PAC ID: 7618123035 Enrollment ID: I20170731003102 |
| Provider Name | Varun K Golla |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578856910 PECOS PAC ID: 9032331186 Enrollment ID: I20170821000982 |
| Provider Name | Abdullahi Musa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760826614 PECOS PAC ID: 7113216003 Enrollment ID: I20170906000798 |
| Provider Name | Yonis Geberemariam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558624619 PECOS PAC ID: 7618281270 Enrollment ID: I20170907000665 |
| Provider Name | Mahmood Shahab Sori |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558662700 PECOS PAC ID: 8123254836 Enrollment ID: I20170912001457 |
| Provider Name | Tsegaye D Gebregiorgis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356731897 PECOS PAC ID: 6507135209 Enrollment ID: I20170914001390 |
| Provider Name | Mohamed Tourky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497916670 PECOS PAC ID: 0143382697 Enrollment ID: I20170915003219 |
| Provider Name | Omer M Wali |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275923906 PECOS PAC ID: 9537456082 Enrollment ID: I20170918000319 |
| Provider Name | Samuel Kebede |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790177129 PECOS PAC ID: 6204100977 Enrollment ID: I20170919001528 |
| Provider Name | Habtamu D Giduma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316235906 PECOS PAC ID: 8123240058 Enrollment ID: I20170922001455 |
| Provider Name | Ahmad Rasheed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952712077 PECOS PAC ID: 6800193418 Enrollment ID: I20170925001836 |
| Provider Name | Nishant Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477967560 PECOS PAC ID: 7113249194 Enrollment ID: I20171003006785 |
| Provider Name | Shanti Prasad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982646113 PECOS PAC ID: 3072609825 Enrollment ID: I20171005001718 |
| Provider Name | Kadija Hersi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740593987 PECOS PAC ID: 9335374628 Enrollment ID: I20171023003068 |
| Provider Name | Bertha Sanchez Valdivieso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356571236 PECOS PAC ID: 0042462947 Enrollment ID: I20171024003696 |
| Provider Name | Quy Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871885194 PECOS PAC ID: 5698902567 Enrollment ID: I20171106000120 |
| Provider Name | Pamela Royall Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518483023 PECOS PAC ID: 8820354822 Enrollment ID: I20171107003531 |
| Provider Name | Ruma Dahal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376858498 PECOS PAC ID: 1850514019 Enrollment ID: I20171110002648 |
| Provider Name | Patrick Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427571439 PECOS PAC ID: 4385900810 Enrollment ID: I20171115003408 |
| Provider Name | Samip Dave |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194132126 PECOS PAC ID: 1355608662 Enrollment ID: I20171121002766 |
| Provider Name | Rizwana K Zaidi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881037885 PECOS PAC ID: 3375775489 Enrollment ID: I20171204000935 |
| Provider Name | Monika Bhalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114368974 PECOS PAC ID: 6507153541 Enrollment ID: I20171205001440 |
| Provider Name | Upendra Maddineni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437393493 PECOS PAC ID: 9931467099 Enrollment ID: I20171218003424 |
| Provider Name | Nidal N Babaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396150371 PECOS PAC ID: 6305102468 Enrollment ID: I20171228002724 |
| Provider Name | Richard Craig Stockwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063707792 PECOS PAC ID: 4688975238 Enrollment ID: I20180129000024 |
| Provider Name | Akua Safo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275821803 PECOS PAC ID: 0749407344 Enrollment ID: I20180203000078 |
| Provider Name | Christopher Mcrae Broaddus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1457753758 PECOS PAC ID: 5890091490 Enrollment ID: I20180219000150 |
| Provider Name | Helen Y Walsh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679734685 PECOS PAC ID: 7315117579 Enrollment ID: I20180227001056 |
| Provider Name | Ahmed Hassan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639560162 PECOS PAC ID: 1456667088 Enrollment ID: I20180410000841 |
| Provider Name | Raeva Shakun Malik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467863530 PECOS PAC ID: 6800185745 Enrollment ID: I20180420001672 |
| Provider Name | Jennifer Latasha Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447765573 PECOS PAC ID: 6800150004 Enrollment ID: I20180515001687 |
| Provider Name | Matthew Tyler Lisk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992016844 PECOS PAC ID: 2961643143 Enrollment ID: I20180612001001 |
| Provider Name | Mirza Baig |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578586236 PECOS PAC ID: 3072595743 Enrollment ID: I20180613001935 |
| Provider Name | Elmutaz Eltahir |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982723821 PECOS PAC ID: 5991897969 Enrollment ID: I20180619003043 |
| Provider Name | David Moh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295026607 PECOS PAC ID: 8224275979 Enrollment ID: I20180702002694 |
| Provider Name | Oumoul Khairi Barry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619358942 PECOS PAC ID: 2466744180 Enrollment ID: I20180730002312 |
| Provider Name | Anusha Kanagala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811384886 PECOS PAC ID: 7214285428 Enrollment ID: I20180803002407 |
| Provider Name | Phillip D Klahr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821066432 PECOS PAC ID: 4284691049 Enrollment ID: I20180810000661 |
| Provider Name | Jessica Irit Mirakov Cohen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255750600 PECOS PAC ID: 7315160819 Enrollment ID: I20180813000054 |
| Provider Name | Amber Marie Sholl Jenkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912385790 PECOS PAC ID: 7810246659 Enrollment ID: I20180828000419 |
| Provider Name | Glenn L Goodhart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568481356 PECOS PAC ID: 5496917304 Enrollment ID: I20180904002094 |
| Provider Name | Seme Tabassum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942686282 PECOS PAC ID: 4486905478 Enrollment ID: I20181002001435 |
| Provider Name | Ang Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003282427 PECOS PAC ID: 0648522631 Enrollment ID: I20181002001817 |
| Provider Name | Zeeshan Khakwani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417207812 PECOS PAC ID: 8123241544 Enrollment ID: I20181002003897 |
| Provider Name | Asad G Almsallam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740659168 PECOS PAC ID: 7416257712 Enrollment ID: I20181017002210 |
| Provider Name | Kevin Azzam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295140879 PECOS PAC ID: 1355694720 Enrollment ID: I20181101000803 |
| Provider Name | Nardos Fikru Asfaw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952796351 PECOS PAC ID: 4981958055 Enrollment ID: I20181108002835 |
| Provider Name | Ali Entezari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770847527 PECOS PAC ID: 3678886132 Enrollment ID: I20181112001015 |
| Provider Name | Abigail Amuquandoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669951869 PECOS PAC ID: 6800140153 Enrollment ID: I20181126003273 |
| Provider Name | Nilsa M Jimenez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912153487 PECOS PAC ID: 1951620376 Enrollment ID: I20190103002251 |
| Provider Name | Joel Nathaniel Palmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952664963 PECOS PAC ID: 7113230392 Enrollment ID: I20190212003020 |
| Provider Name | Atousa Mamhmoudzadeh Tabrizian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013221449 PECOS PAC ID: 2860689197 Enrollment ID: I20190213002437 |
| Provider Name | Natasha Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962898700 PECOS PAC ID: 7113227174 Enrollment ID: I20190221000259 |
| Provider Name | Philip White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679046189 PECOS PAC ID: 8729326350 Enrollment ID: I20190312002738 |
| Provider Name | Umar Mohammed Hardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972680239 PECOS PAC ID: 7810947892 Enrollment ID: I20190313002455 |
| Provider Name | Sushma Madala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437530003 PECOS PAC ID: 7315240199 Enrollment ID: I20190319002964 |
| Provider Name | Jaimin Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609261932 PECOS PAC ID: 5193027712 Enrollment ID: I20190328000020 |
| Provider Name | Lindsay Edwards Muncy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013322734 PECOS PAC ID: 4183942469 Enrollment ID: I20190507003067 |
| Provider Name | Ashif K Jethava |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1669632782 PECOS PAC ID: 5193908879 Enrollment ID: I20190610002729 |
| Provider Name | Amer Aldamouk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083060404 PECOS PAC ID: 9739415076 Enrollment ID: I20190726001978 |
| Provider Name | Kamrul Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245490010 PECOS PAC ID: 7113072331 Enrollment ID: I20190809002182 |
| Provider Name | James Patrick Gundersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972683274 PECOS PAC ID: 9638166689 Enrollment ID: I20190813003711 |
| Provider Name | Arielle N Duncan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144648114 PECOS PAC ID: 2769755594 Enrollment ID: I20190822001156 |
| Provider Name | Shreyas Sureshbhai Mistry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447558614 PECOS PAC ID: 1557502184 Enrollment ID: I20190917000250 |
| Provider Name | Robert Anthony Ratzlaff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679545008 PECOS PAC ID: 9830368133 Enrollment ID: I20190917001862 |
| Provider Name | Raju Khanal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1134560568 PECOS PAC ID: 5193018315 Enrollment ID: I20191001000320 |
| Provider Name | Maitri Shah Goldman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730525882 PECOS PAC ID: 8921230343 Enrollment ID: I20191001002341 |
| Provider Name | Asad Javaid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841652484 PECOS PAC ID: 8921390402 Enrollment ID: I20191014001998 |
| Provider Name | Nicole F Brassington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861877862 PECOS PAC ID: 5395055040 Enrollment ID: I20191016001789 |
| Provider Name | Nitisha Md Kamath |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144676032 PECOS PAC ID: 7618262577 Enrollment ID: I20191021002643 |
| Provider Name | Tejas Raiyani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932336922 PECOS PAC ID: 7517113376 Enrollment ID: I20191022001775 |
| Provider Name | Munir Ahmed Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033548839 PECOS PAC ID: 9830487370 Enrollment ID: I20191106003523 |
| Provider Name | Omoye E Imoisili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275945396 PECOS PAC ID: 3476874371 Enrollment ID: I20191114001327 |
| Provider Name | Michael Lucrezio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023382207 PECOS PAC ID: 5193957116 Enrollment ID: I20191118002737 |
| Provider Name | Sarah Ann Wolcott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235695214 PECOS PAC ID: 2466886692 Enrollment ID: I20191223000269 |
| Provider Name | Sandra M Donahue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952765588 PECOS PAC ID: 6204260169 Enrollment ID: I20191231000711 |
| Provider Name | Manie Juneja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609868975 PECOS PAC ID: 8921085093 Enrollment ID: I20200102001386 |
| Provider Name | Girmay Asgedom |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699129213 PECOS PAC ID: 0345674982 Enrollment ID: I20200107001814 |
| Provider Name | Omer Bangash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376063826 PECOS PAC ID: 4789019167 Enrollment ID: I20200113000859 |
| Provider Name | Christie Michal Hudson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912551177 PECOS PAC ID: 1557796794 Enrollment ID: I20200116002753 |
| Provider Name | Nizam Din |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861659625 PECOS PAC ID: 4587721352 Enrollment ID: I20200221002212 |
| Provider Name | Jason Mclavy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639245459 PECOS PAC ID: 7214993948 Enrollment ID: I20200303001627 |
| Provider Name | Cody Yochum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376898965 PECOS PAC ID: 7810146610 Enrollment ID: I20200316001645 |
| Provider Name | Nora Jamil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629519285 PECOS PAC ID: 0749517829 Enrollment ID: I20200406003191 |
| Provider Name | Sarah Arshad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255744157 PECOS PAC ID: 2062788581 Enrollment ID: I20200506002080 |
| Provider Name | Sean P Winfrey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508243577 PECOS PAC ID: 3072865492 Enrollment ID: I20200609002460 |
| Provider Name | Anjali Bhateja |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285924126 PECOS PAC ID: 8426345901 Enrollment ID: I20200710001694 |
| Provider Name | Nawaraj Adhikari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851828875 PECOS PAC ID: 4688911647 Enrollment ID: I20200827000902 |
| Provider Name | Meagan Pate |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902240112 PECOS PAC ID: 0749576742 Enrollment ID: I20200828000598 |
| Provider Name | Jamie Lynn Temple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174159644 PECOS PAC ID: 3274950704 Enrollment ID: I20200831000084 |
| Provider Name | Cara Smith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841619723 PECOS PAC ID: 2466753116 Enrollment ID: I20200914001722 |
| Provider Name | Ji-suk Moon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952831133 PECOS PAC ID: 2264702158 Enrollment ID: I20200921000314 |
| Provider Name | Betelhem Gebremichel Woldemariam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801322813 PECOS PAC ID: 9133547318 Enrollment ID: I20200921001611 |
| Provider Name | Alazar Woldegorgis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477074995 PECOS PAC ID: 2769752765 Enrollment ID: I20201012000010 |
| Provider Name | Tarun K Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205363769 PECOS PAC ID: 0648690644 Enrollment ID: I20201013001543 |
| Provider Name | Andrew Core |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063875771 PECOS PAC ID: 0446544423 Enrollment ID: I20201016001765 |
| Provider Name | Mariam Mir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376074864 PECOS PAC ID: 2466722038 Enrollment ID: I20201103000759 |
| Provider Name | Rachal Michelle Crum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407385511 PECOS PAC ID: 5193145514 Enrollment ID: I20201221000413 |
| Provider Name | Bleck B Ngwafang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962938803 PECOS PAC ID: 4587078654 Enrollment ID: I20210201002016 |
| Provider Name | Arlyn Pericano Salabao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013493766 PECOS PAC ID: 7315352184 Enrollment ID: I20210209002392 |
| Provider Name | Andrew Bolton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376961367 PECOS PAC ID: 6103047428 Enrollment ID: I20210222000499 |
| Provider Name | Ahmed Rasuli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609309939 PECOS PAC ID: 7618382565 Enrollment ID: I20210226001531 |
| Provider Name | Haydar Al Dabbagh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720471824 PECOS PAC ID: 4183907553 Enrollment ID: I20210330001924 |
| Provider Name | Karen King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598343774 PECOS PAC ID: 1557778651 Enrollment ID: I20210407000679 |
| Provider Name | Yousef Almuzaini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376030254 PECOS PAC ID: 5991036444 Enrollment ID: I20210504001995 |
| Provider Name | Hager Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013413434 PECOS PAC ID: 6901143361 Enrollment ID: I20210720002492 |
| Provider Name | Haresh Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881140119 PECOS PAC ID: 1557648490 Enrollment ID: I20210816002763 |
| Provider Name | Max A Triantafillou |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841795689 PECOS PAC ID: 4284962523 Enrollment ID: I20210826001909 |
| Provider Name | Oluwakemi Owoyemi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578926721 PECOS PAC ID: 7214235886 Enrollment ID: I20210826003483 |
| Provider Name | Wissam Sabri Zaeeter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801191408 PECOS PAC ID: 5092966887 Enrollment ID: I20210913003011 |
| Provider Name | Bradley Foster Bender |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013356237 PECOS PAC ID: 0446540561 Enrollment ID: I20211021002432 |
| Provider Name | Siddharth Munsif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184926040 PECOS PAC ID: 0648414375 Enrollment ID: I20211021002967 |
| Provider Name | Anitha Chandran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720574742 PECOS PAC ID: 2264784388 Enrollment ID: I20211028000708 |
| Provider Name | Bruno Elias Massare |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1346747987 PECOS PAC ID: 7517222938 Enrollment ID: I20211108000746 |
| Provider Name | Lutf Sroush |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104207711 PECOS PAC ID: 0345594917 Enrollment ID: I20211110001710 |
| Provider Name | Hidenobu Shigemitsu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033164009 PECOS PAC ID: 5395765606 Enrollment ID: I20211210000017 |
| Provider Name | Jennifer Diane Karabin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306518097 PECOS PAC ID: 0244625762 Enrollment ID: I20220321001057 |
| Provider Name | Ashok Kumar Ahuja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508048778 PECOS PAC ID: 7113312356 Enrollment ID: I20220324002214 |
| Provider Name | Imtiaz Sadiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407319288 PECOS PAC ID: 4587991047 Enrollment ID: I20220411002083 |
| Provider Name | Charlsey Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528546462 PECOS PAC ID: 6406233238 Enrollment ID: I20220517003219 |
| Provider Name | Martha Wendemineh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265075428 PECOS PAC ID: 7214314707 Enrollment ID: I20220602002072 |
| Provider Name | Ramez Issam Emile Alyacoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346802659 PECOS PAC ID: 2567842297 Enrollment ID: I20220712000508 |
| Provider Name | Jason Patrick Itson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578158465 PECOS PAC ID: 7113307877 Enrollment ID: I20220712001701 |
| Provider Name | Sandipan Chakraborty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568815686 PECOS PAC ID: 1951637909 Enrollment ID: I20221020000646 |
| Provider Name | Mueez Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932636875 PECOS PAC ID: 8224449970 Enrollment ID: I20221101002391 |
| Provider Name | Amanda Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033496286 PECOS PAC ID: 1254556392 Enrollment ID: I20221114002675 |
| Provider Name | Chioma Udogu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487825667 PECOS PAC ID: 2163588963 Enrollment ID: I20221129000594 |
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 |