| Dr James Anthony Treadwell, DO | |
|
422 Hamilton Blvd, South Boston, VA 24592-5200 | |
| (434) 572-4074 | |
| Not Available |
| Full Name | Dr James Anthony Treadwell |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 22 Years |
| Location | 422 Hamilton Blvd, South Boston, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023089299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | 147558 (Montana) | Secondary |
| 208D00000X | General Practice | 0102201627 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Benefis Hospitals Inc | Great falls, MT | Hospital |
| Parkview Medical Center, Inc | Pueblo, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkview Ancillary Services Corporation | 4385722511 | 273 |
| Poudre Valley Medical Group Llc | 9638208549 | 1992 |
| Benefis Hospitals Inc | 1153235296 | 339 |
| Entity Name | Parkview Ancillary Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982878765 PECOS PAC ID: 4385722511 Enrollment ID: O20080429000248 |
| Entity Name | Poudre Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225356868 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122 |
| Entity Name | Intermountain Medical Group Grand Junction, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356765556 PECOS PAC ID: 3779707856 Enrollment ID: O20140611000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Anthony Treadwell, DO 109 Bridge St Ste 300, Danville, VA 24541-1222 Ph: (434) 793-4711 | Dr James Anthony Treadwell, DO 422 Hamilton Blvd, South Boston, VA 24592-5200 Ph: (434) 572-4074 |
Dante De Los Santos Bruno, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 1020 Bill Tuck Hwy, Ste 900, South Boston, VA 24592 Phone: 484-575-7555 Fax: 484-575-5556 |