| Patient First Maryland Medical Group, Pllc | |
|
5000 Cox Rd Suite 100 Glen Allen VA 23060-9263 | |
| (804) 822-4355 | |
| Not Available |
| Full Name | Patient First Maryland Medical Group, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5000 Cox Rd, Glen Allen, Virginia |
| Authorized Official Name and Position | George H. Morison (PRESIDENT) |
| Authorized Official Contact | 8049685700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patient First Maryland Medical Group, Pllc 5000 Cox Rd Glen Allen VA 23060-9263 Ph: (804) 968-5700 | Patient First Maryland Medical Group, Pllc 5000 Cox Rd Suite 100 Glen Allen VA 23060-9263 Ph: (804) 822-4355 |
| NPI Number | 1962423632 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 03/05/2024 |
| Medicare PECOS PAC ID | 4385538735 |
|---|---|
| Medicare Enrollment ID | O20040209000543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962423632 | NPI | - | NPPES |
| CH7434 | Other | MD | MEDICARE RAILROAD CARRIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Clarence Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285672006 PECOS PAC ID: 5799684809 Enrollment ID: I20040110000102 |
| Provider Name | Boris Gronas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770537714 PECOS PAC ID: 8022000413 Enrollment ID: I20040402001325 |
| Provider Name | James Lacey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184627747 PECOS PAC ID: 8820085178 Enrollment ID: I20040428000856 |
| Provider Name | Steven M Bentman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861431280 PECOS PAC ID: 8325038516 Enrollment ID: I20040518000829 |
| Provider Name | Kathryn L. Yamamoto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154549251 PECOS PAC ID: 7719965466 Enrollment ID: I20040709000986 |
| Provider Name | Melissa Denham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023074937 PECOS PAC ID: 3274511522 Enrollment ID: I20040712001507 |
| Provider Name | Mary Beth Grotz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710916598 PECOS PAC ID: 5991765257 Enrollment ID: I20041012001158 |
| Provider Name | Loan N Lai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205875523 PECOS PAC ID: 7517923006 Enrollment ID: I20041207000234 |
| Provider Name | Michele C Henley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760448278 PECOS PAC ID: 0244297612 Enrollment ID: I20041216001043 |
| Provider Name | Felicia K Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669404547 PECOS PAC ID: 0648238139 Enrollment ID: I20041230000245 |
| Provider Name | Robert Y Hsiao |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1396700514 PECOS PAC ID: 9032167010 Enrollment ID: I20050106000293 |
| Provider Name | Bhagya J Pallerla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194780205 PECOS PAC ID: 7911957154 Enrollment ID: I20050126000400 |
| Provider Name | Hamida K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891790994 PECOS PAC ID: 8426011693 Enrollment ID: I20051019000406 |
| Provider Name | Malini K. Joel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316053382 PECOS PAC ID: 7113945841 Enrollment ID: I20051110000588 |
| Provider Name | Lawanda C Summers Stephen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528024379 PECOS PAC ID: 9335155530 Enrollment ID: I20060224000616 |
| Provider Name | Jeffrey Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518986132 PECOS PAC ID: 0648254110 Enrollment ID: I20061207000206 |
| Provider Name | Charisse C Davenport |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962500652 PECOS PAC ID: 0648272989 Enrollment ID: I20070215000274 |
| Provider Name | Tatyana M Kushnir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083666168 PECOS PAC ID: 1759483704 Enrollment ID: I20070222000559 |
| Provider Name | Dhimitri E Gross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750321220 PECOS PAC ID: 2466499520 Enrollment ID: I20070906000822 |
| Provider Name | Surendra Marur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679524847 PECOS PAC ID: 2264457290 Enrollment ID: I20071211000799 |
| Provider Name | Contah Nimely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538350335 PECOS PAC ID: 0547340770 Enrollment ID: I20071231000154 |
| Provider Name | Natelaine E Fripp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205970241 PECOS PAC ID: 9537243613 Enrollment ID: I20080227000864 |
| Provider Name | Paul Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922084524 PECOS PAC ID: 9830140151 Enrollment ID: I20080826000213 |
| Provider Name | Sonia M Rhoden Salmon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164524922 PECOS PAC ID: 0446318042 Enrollment ID: I20081215000057 |
| Provider Name | Haroon Akhtar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164614764 PECOS PAC ID: 4981781150 Enrollment ID: I20090305000189 |
| Provider Name | Tahani L Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144492471 PECOS PAC ID: 5193882223 Enrollment ID: I20090317000443 |
| Provider Name | Motti B Mulleta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568676070 PECOS PAC ID: 7911996129 Enrollment ID: I20090430000117 |
| Provider Name | Isaac S Yoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417913310 PECOS PAC ID: 5799679080 Enrollment ID: I20090513000062 |
| Provider Name | Shelley M Cabbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821053877 PECOS PAC ID: 1355234766 Enrollment ID: I20090514000372 |
| Provider Name | Igor B Voronetsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629033741 PECOS PAC ID: 0941359301 Enrollment ID: I20090514000492 |
| Provider Name | Eric Simball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720043805 PECOS PAC ID: 1153470406 Enrollment ID: I20090518000087 |
| Provider Name | Faranak E Moghadam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770548893 PECOS PAC ID: 6507750809 Enrollment ID: I20090518000163 |
| Provider Name | Melanie J Mendoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225093396 PECOS PAC ID: 2264326560 Enrollment ID: I20090518000206 |
| Provider Name | Melissa L Fox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700843273 PECOS PAC ID: 8628127982 Enrollment ID: I20090518000262 |
| Provider Name | Patricia Bowyer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235130121 PECOS PAC ID: 9436200813 Enrollment ID: I20090624000575 |
| Provider Name | Everette D Lafon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588856132 PECOS PAC ID: 3375698814 Enrollment ID: I20090904000068 |
| Provider Name | Anne K Monroe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104028349 PECOS PAC ID: 4789730821 Enrollment ID: I20090915000570 |
| Provider Name | Julie B Krusling |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326013541 PECOS PAC ID: 9335295047 Enrollment ID: I20090922000577 |
| Provider Name | Mark A Paster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770656365 PECOS PAC ID: 1759271174 Enrollment ID: I20100108000293 |
| Provider Name | Elena Sabaeva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396931861 PECOS PAC ID: 3971644824 Enrollment ID: I20100114000177 |
| Provider Name | Dung-thu Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851362982 PECOS PAC ID: 0446386106 Enrollment ID: I20100405000247 |
| Provider Name | Adam T Faill |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982753216 PECOS PAC ID: 6800924523 Enrollment ID: I20100517000377 |
| Provider Name | Winko Zan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518190016 PECOS PAC ID: 8628108230 Enrollment ID: I20100608000760 |
| Provider Name | Donna Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568414506 PECOS PAC ID: 9032249578 Enrollment ID: I20100610000396 |
| Provider Name | Jamie Harms |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780685073 PECOS PAC ID: 3072644186 Enrollment ID: I20100706000043 |
| Provider Name | Leonard A Sowah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003007824 PECOS PAC ID: 3375675291 Enrollment ID: I20100713000101 |
| Provider Name | David George Rorison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083650253 PECOS PAC ID: 4789708314 Enrollment ID: I20100902000635 |
| Provider Name | Delbert Ulisses Morales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851581698 PECOS PAC ID: 2365637709 Enrollment ID: I20101111000811 |
| Provider Name | Harish P Dave |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275683062 PECOS PAC ID: 8224224464 Enrollment ID: I20101130000432 |
| Provider Name | Dana Bebu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407038474 PECOS PAC ID: 2961691415 Enrollment ID: I20110113001056 |
| Provider Name | Michael Paul Dalgetty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831177419 PECOS PAC ID: 9537341177 Enrollment ID: I20110303000366 |
| Provider Name | Halcyeane T Dardaine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356599740 PECOS PAC ID: 4082897798 Enrollment ID: I20110317000518 |
| Provider Name | Bruce C Kinzinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174552012 PECOS PAC ID: 2961432752 Enrollment ID: I20110329000713 |
| Provider Name | Lihua Xu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124172549 PECOS PAC ID: 4688700172 Enrollment ID: I20110412000115 |
| Provider Name | Michele Martin Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760557011 PECOS PAC ID: 6103001938 Enrollment ID: I20110421000120 |
| Provider Name | Victor G Mcglaughlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033191564 PECOS PAC ID: 1456381524 Enrollment ID: I20111028000235 |
| Provider Name | Marilyn Donna Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831167816 PECOS PAC ID: 5698941227 Enrollment ID: I20120104000174 |
| Provider Name | Dani Boulattouf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609006618 PECOS PAC ID: 5698812923 Enrollment ID: I20120216000156 |
| Provider Name | Simon S Boulattouf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821383761 PECOS PAC ID: 4486825411 Enrollment ID: I20120221000264 |
| Provider Name | David M Bishai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487618252 PECOS PAC ID: 5496914731 Enrollment ID: I20120307000147 |
| Provider Name | Anatoli Bute Gusaim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770726127 PECOS PAC ID: 6800043746 Enrollment ID: I20120828000221 |
| Provider Name | Elisabeth A Kerness |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407837495 PECOS PAC ID: 4880656180 Enrollment ID: I20121024000131 |
| Provider Name | Kim Bondurant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548251549 PECOS PAC ID: 2466436944 Enrollment ID: I20121204000047 |
| Provider Name | Dahlia Reid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598759888 PECOS PAC ID: 0547293227 Enrollment ID: I20121212000335 |
| Provider Name | Rafai A Bukhari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710114855 PECOS PAC ID: 3072765379 Enrollment ID: I20121213000314 |
| Provider Name | Josephine N Osire |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477736312 PECOS PAC ID: 3678725611 Enrollment ID: I20121220000273 |
| Provider Name | Jarita A Hagans |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205084506 PECOS PAC ID: 8426125758 Enrollment ID: I20130412000030 |
| Provider Name | Billie Downing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619122116 PECOS PAC ID: 3971790429 Enrollment ID: I20131216000308 |
| Provider Name | Wehti Blackledge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760767735 PECOS PAC ID: 4385871177 Enrollment ID: I20131227000667 |
| Provider Name | Kasahun D Temesgen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780725879 PECOS PAC ID: 0941340251 Enrollment ID: I20140326001453 |
| Provider Name | David Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336198654 PECOS PAC ID: 1052303302 Enrollment ID: I20140710000299 |
| Provider Name | Muhammad Imran |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740548718 PECOS PAC ID: 2264755636 Enrollment ID: I20141217000545 |
| Provider Name | Ashish K Tolia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538155437 PECOS PAC ID: 9830162882 Enrollment ID: I20150410000275 |
| Provider Name | Maryann A Ifurung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750726709 PECOS PAC ID: 7517270549 Enrollment ID: I20150721000539 |
| Provider Name | Chunxiao Zhu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457779290 PECOS PAC ID: 2264748854 Enrollment ID: I20150827000790 |
| Provider Name | Jon B Geno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093049827 PECOS PAC ID: 0749425544 Enrollment ID: I20151014000216 |
| Provider Name | Soyini A Mccatty |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497804769 PECOS PAC ID: 7315000635 Enrollment ID: I20151021001641 |
| Provider Name | Vikram S Sodhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114157112 PECOS PAC ID: 2860663853 Enrollment ID: I20151202001891 |
| Provider Name | Phyllis V Acquah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285996868 PECOS PAC ID: 7416265574 Enrollment ID: I20160822000866 |
| Provider Name | Holly A Hancock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326402462 PECOS PAC ID: 5496040479 Enrollment ID: I20160830001879 |
| Provider Name | Wouhabe Bancheno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023421427 PECOS PAC ID: 3476869827 Enrollment ID: I20161007001232 |
| Provider Name | Jemima Blackmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194179531 PECOS PAC ID: 2860770153 Enrollment ID: I20161020000408 |
| Provider Name | Shukdeo Sankar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871823468 PECOS PAC ID: 0840415709 Enrollment ID: I20161020001171 |
| Provider Name | Varinder Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811389893 PECOS PAC ID: 5395026413 Enrollment ID: I20170104001522 |
| Provider Name | Jean Masoso |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003251158 PECOS PAC ID: 4587945456 Enrollment ID: I20170109000861 |
| Provider Name | Melinda L Sutton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841231107 PECOS PAC ID: 4284710476 Enrollment ID: I20170218000127 |
| Provider Name | Taira Everett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528353901 PECOS PAC ID: 8123242096 Enrollment ID: I20170608000837 |
| Provider Name | Eun A Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700291689 PECOS PAC ID: 2466670872 Enrollment ID: I20170728000946 |
| Provider Name | Jeanhyong D Park |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558628164 PECOS PAC ID: 4183856750 Enrollment ID: I20170818001684 |
| Provider Name | Hoang N Pham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154597706 PECOS PAC ID: 9739234758 Enrollment ID: I20170912001041 |
| Provider Name | Sarah J Arnold |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447222542 PECOS PAC ID: 7911263694 Enrollment ID: I20171113003345 |
| Provider Name | Kehinde Olatunji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043611288 PECOS PAC ID: 6709103765 Enrollment ID: I20171202000133 |
| Provider Name | Smita Massey-gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376808667 PECOS PAC ID: 8628379757 Enrollment ID: I20171207002649 |
| Provider Name | Jason Federline |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396087847 PECOS PAC ID: 5193943215 Enrollment ID: I20171227002209 |
| Provider Name | Tarsha J. Darden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679732234 PECOS PAC ID: 8628139649 Enrollment ID: I20180118001107 |
| Provider Name | Yehuda A Mond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770967796 PECOS PAC ID: 3274839683 Enrollment ID: I20180201000223 |
| Provider Name | Daniel R Wehner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215905450 PECOS PAC ID: 6507814837 Enrollment ID: I20180531000048 |
| Provider Name | Anil Ashok Bajnath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730568684 PECOS PAC ID: 4385959691 Enrollment ID: I20180718001378 |
| Provider Name | Maziar Sadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922487198 PECOS PAC ID: 1456608199 Enrollment ID: I20180726000248 |
| Provider Name | Curtis J Read |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194137158 PECOS PAC ID: 7618196718 Enrollment ID: I20181010000521 |
| Provider Name | Leah Prescott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144709429 PECOS PAC ID: 3971855578 Enrollment ID: I20181015001189 |
| Provider Name | Romtin Sharolli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508361510 PECOS PAC ID: 0648514174 Enrollment ID: I20181228000034 |
| Provider Name | Vitaly Stepensky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912299629 PECOS PAC ID: 0143518662 Enrollment ID: I20190130001874 |
| Provider Name | Anne Marie M Mullikin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619229143 PECOS PAC ID: 0547414633 Enrollment ID: I20190301000931 |
| Provider Name | Sudha Sikri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194804070 PECOS PAC ID: 7214098516 Enrollment ID: I20190410002818 |
| Provider Name | Catherine A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568026870 PECOS PAC ID: 5193059608 Enrollment ID: I20190702002816 |
| Provider Name | Harold P Kramer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215902275 PECOS PAC ID: 9830257013 Enrollment ID: I20190802001398 |
| Provider Name | Chioma B Akwara |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639523731 PECOS PAC ID: 4385931229 Enrollment ID: I20190812001204 |
| Provider Name | Todd E Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679569164 PECOS PAC ID: 9133100365 Enrollment ID: I20191002001432 |
| Provider Name | Katia Alexander |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619362472 PECOS PAC ID: 5698087492 Enrollment ID: I20191014001595 |
| Provider Name | Mary Graham |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891181293 PECOS PAC ID: 9436448198 Enrollment ID: I20191029000016 |
| Provider Name | Rushia Butler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376582072 PECOS PAC ID: 6608779038 Enrollment ID: I20191122001452 |
| Provider Name | Sha'llah S Brewton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467818112 PECOS PAC ID: 3678867504 Enrollment ID: I20191206002185 |
| Provider Name | Abolanle Ahmed-orepitan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295397305 PECOS PAC ID: 8820422546 Enrollment ID: I20200106000003 |
| Provider Name | Marla Rejbi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972964393 PECOS PAC ID: 2961732359 Enrollment ID: I20200115001386 |
| Provider Name | Amy E Shivone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679866040 PECOS PAC ID: 9335379882 Enrollment ID: I20200127001367 |
| Provider Name | Olaperi Koletowo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609399393 PECOS PAC ID: 5294065355 Enrollment ID: I20200225001401 |
| Provider Name | Nausheen Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871028423 PECOS PAC ID: 3577838267 Enrollment ID: I20200304002644 |
| Provider Name | Camille Amanda Clarke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265793004 PECOS PAC ID: 4284943838 Enrollment ID: I20200428000243 |
| Provider Name | Vasantha Udugampola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861694978 PECOS PAC ID: 2860662681 Enrollment ID: I20200520001120 |
| Provider Name | Erica Gaertner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124478755 PECOS PAC ID: 2961824198 Enrollment ID: I20200617001125 |
| Provider Name | Sydney Radding |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437561123 PECOS PAC ID: 9830315522 Enrollment ID: I20200710000014 |
| Provider Name | Shehryar Masood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932634540 PECOS PAC ID: 3072881325 Enrollment ID: I20200714002867 |
| Provider Name | Nancy Bierman-dear |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689698813 PECOS PAC ID: 6406032226 Enrollment ID: I20201015002515 |
| Provider Name | Michael Johnson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144365974 PECOS PAC ID: 9436256914 Enrollment ID: I20201020000061 |
| Provider Name | Beryl K Kompancaril |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568872059 PECOS PAC ID: 7214157932 Enrollment ID: I20201020002404 |
| Provider Name | Rohini Manda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174053474 PECOS PAC ID: 8628343415 Enrollment ID: I20201104000283 |
| Provider Name | Abigail M Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821592817 PECOS PAC ID: 1850636150 Enrollment ID: I20201117001991 |
| Provider Name | Martha Dodson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548267073 PECOS PAC ID: 0446429716 Enrollment ID: I20210308000823 |
| Provider Name | Bisola Efa Egbe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770073868 PECOS PAC ID: 1850638701 Enrollment ID: I20210324002399 |
| Provider Name | Kamani N Karandana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598967671 PECOS PAC ID: 0648364430 Enrollment ID: I20210601000737 |
| Provider Name | Annie Mouafo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134634538 PECOS PAC ID: 8729313812 Enrollment ID: I20210723000864 |
| Provider Name | Henry Zwally |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669408936 PECOS PAC ID: 5193913119 Enrollment ID: I20210812001244 |
| Provider Name | Robert Miles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306833223 PECOS PAC ID: 8527106152 Enrollment ID: I20210825000884 |
| Provider Name | Sacari Thomas Mohamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598955494 PECOS PAC ID: 6800984006 Enrollment ID: I20210830000529 |
| Provider Name | Marcus Jennings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114292588 PECOS PAC ID: 1153678446 Enrollment ID: I20210922002316 |
| Provider Name | Dee Mcconnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245906064 PECOS PAC ID: 9638576911 Enrollment ID: I20210930001249 |
| Provider Name | Jian Mei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386706885 PECOS PAC ID: 0840515615 Enrollment ID: I20211021002899 |
| Provider Name | Deborah Oris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124598412 PECOS PAC ID: 2961831573 Enrollment ID: I20211208000988 |
| Provider Name | April Puskar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528674132 PECOS PAC ID: 0345630026 Enrollment ID: I20211213001272 |
| Provider Name | Nickol Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215695366 PECOS PAC ID: 7618369265 Enrollment ID: I20220112000568 |
| Provider Name | Nounguim Virginia Calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497420129 PECOS PAC ID: 1052703303 Enrollment ID: I20220118000852 |
| Provider Name | Arman S Majumder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558929356 PECOS PAC ID: 4486044609 Enrollment ID: I20220215001728 |
| Provider Name | Chioma Anyikwa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447710884 PECOS PAC ID: 8527390731 Enrollment ID: I20220404000016 |
| Provider Name | Jocelyn Wood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932158912 PECOS PAC ID: 6800811274 Enrollment ID: I20220411002277 |
| Provider Name | Naveed Mughal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1316919954 PECOS PAC ID: 7911065479 Enrollment ID: I20220503002799 |
| Provider Name | Mary Fakorede |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922569714 PECOS PAC ID: 8123405693 Enrollment ID: I20220809003394 |
| Provider Name | Amit Singh Babra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275185159 PECOS PAC ID: 3678800067 Enrollment ID: I20220906001993 |
| Provider Name | Ifeoma Stella Izuchukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811992738 PECOS PAC ID: 1951390392 Enrollment ID: I20220927001438 |
| Provider Name | Umer Farooq |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568975977 PECOS PAC ID: 9931430519 Enrollment ID: I20220928001266 |
| Provider Name | Jeduthun Harris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700238250 PECOS PAC ID: 2062888738 Enrollment ID: I20221020003472 |
| Provider Name | Nicholas Magno |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1174983381 PECOS PAC ID: 3678940947 Enrollment ID: I20221031001818 |
| Provider Name | Veronica C Obodo Eckblad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295813020 PECOS PAC ID: 7416973631 Enrollment ID: I20221117000108 |
| Provider Name | Selamawi Mesfin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992201834 PECOS PAC ID: 1355695834 Enrollment ID: I20221201000020 |
| Provider Name | Mark E. Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457640526 PECOS PAC ID: 9638398712 Enrollment ID: I20230123000017 |
| Provider Name | Chung Yul Woo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376519470 PECOS PAC ID: 7012934615 Enrollment ID: I20230223000005 |
| Provider Name | Bernice Andrew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053951749 PECOS PAC ID: 7416322284 Enrollment ID: I20230408000136 |
| Provider Name | Benjamin Todd Gillingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922636224 PECOS PAC ID: 3476963323 Enrollment ID: I20230809000007 |
| Provider Name | Irene Atieno Olonde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013401439 PECOS PAC ID: 8729484761 Enrollment ID: I20230830000037 |
| Provider Name | Vida Falahatian |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1104386200 PECOS PAC ID: 7719340389 Enrollment ID: I20230830000145 |
| Provider Name | Robert Sehgel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619230307 PECOS PAC ID: 2264746866 Enrollment ID: I20231018003356 |
| Provider Name | Manthan Ramkishan Mirani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699359869 PECOS PAC ID: 1850747999 Enrollment ID: I20231026001629 |
| Provider Name | Sohini Bandy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356845812 PECOS PAC ID: 5991040016 Enrollment ID: I20231107004019 |
| Provider Name | Brittney Michelle Morning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700464617 PECOS PAC ID: 5496152316 Enrollment ID: I20231108002492 |
| Provider Name | Bushra Mian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760060495 PECOS PAC ID: 5193122901 Enrollment ID: I20231109001726 |
| Provider Name | Joshua Perlman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457931883 PECOS PAC ID: 3779980693 Enrollment ID: I20231110002400 |
| Provider Name | Abiola Nike Oke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295296408 PECOS PAC ID: 5496097008 Enrollment ID: I20231121001462 |
| Provider Name | Charles Sandor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649776659 PECOS PAC ID: 4587912720 Enrollment ID: I20231211002914 |
| Provider Name | David Ira Wartenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447293386 PECOS PAC ID: 2264484153 Enrollment ID: I20240118003336 |
| Provider Name | Matthew Kramp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073540712 PECOS PAC ID: 1052200888 Enrollment ID: I20240325001399 |
| Provider Name | Kwame Gyasi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1437470085 PECOS PAC ID: 2264665223 Enrollment ID: I20240501000016 |
Patient First Richmond Physician's Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Cox Rd, Suite 100, Glen Allen, VA 23060 Phone: 804-968-5700 Fax: 804-217-7991 | |
Concentra Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9900 W Broad St, Suite C, Glen Allen, VA 23060 Phone: 804-358-0361 | |
Allyalign Health, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10900 Nuckols Rd, Suite 110, Glen Allen, VA 23060 Phone: 804-747-0720 Fax: 804-823-2568 | |
Glen Allen Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059 Phone: 804-612-2980 Fax: 804-762-7102 | |
Glen Allen Medi Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11551 Nuckols Rd Ste C, Glen Allen, VA 23059 Phone: 704-926-7546 | |
Innsbrook Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4900 Cox Rd, Suite 150, Glen Allen, VA 23060 Phone: 804-346-1780 Fax: 804-346-1781 | |
Dada Bhagwan Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5028 Hickory Meadows Pl, Glen Allen, VA 23059 Phone: 804-514-6958 Fax: 804-282-9135 |