| Greater Virginia Medical Group | |
|
2006 Bremo Rd Ste 101 Richmond VA 23226-2438 | |
| (804) 282-9425 | |
| (804) 282-6413 |
| Full Name | Greater Virginia Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 2006 Bremo Rd Ste 101, Richmond, Virginia |
| Authorized Official Name and Position | Glen L Fox (CEO) |
| Authorized Official Contact | 8042829425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Virginia Medical Group Po Box 17085 Richmond VA 23226-7085 Ph: (804) 282-9425 | Greater Virginia Medical Group 2006 Bremo Rd Ste 101 Richmond VA 23226-2438 Ph: (804) 282-9425 |
| NPI Number | 1417978768 |
|---|---|
| Provider Enumeration Date | 07/22/2006 |
| Last Update Date | 11/30/2011 |
| Medicare PECOS PAC ID | 9032017579 |
|---|---|
| Medicare Enrollment ID | O20031222000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417978768 | NPI | - | NPPES |
| Provider Name | Matthew Lee Jones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285691535 PECOS PAC ID: 2264427764 Enrollment ID: I20040415000407 |
| Provider Name | Abdul L Amir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255315081 PECOS PAC ID: 1557349313 Enrollment ID: I20040709000274 |
| Provider Name | Edward M Saylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134199573 PECOS PAC ID: 7113970948 Enrollment ID: I20050222000168 |
| Provider Name | James E Jernigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871550079 PECOS PAC ID: 2769421122 Enrollment ID: I20050426001015 |
| Provider Name | Laura Ashley Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427042530 PECOS PAC ID: 2961420229 Enrollment ID: I20051104000298 |
| Provider Name | Matthew Joseph Jaeger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487604393 PECOS PAC ID: 5890719256 Enrollment ID: I20060124000889 |
| Provider Name | Michele T Primavera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477765766 PECOS PAC ID: 6507951936 Enrollment ID: I20071001000399 |
| Provider Name | Faizur Rahman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992724520 PECOS PAC ID: 6204850977 Enrollment ID: I20071012000418 |
| Provider Name | Brian William Hanrahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093920449 PECOS PAC ID: 3375609159 Enrollment ID: I20090303000189 |
| Provider Name | Michael S Ellwood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467490664 PECOS PAC ID: 7517018542 Enrollment ID: I20090701000648 |
| Provider Name | Michael H Joynes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508830977 PECOS PAC ID: 7719014539 Enrollment ID: I20100427000060 |
| Provider Name | Kenneth Roberts Simpson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679530323 PECOS PAC ID: 2961404215 Enrollment ID: I20100813000083 |
| Provider Name | Neshan Michael Vranian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801847561 PECOS PAC ID: 5890811889 Enrollment ID: I20100928000275 |
| Provider Name | William D Brock |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336161520 PECOS PAC ID: 7012163041 Enrollment ID: I20120807000935 |
| Provider Name | Caroline R Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972834232 PECOS PAC ID: 8820247711 Enrollment ID: I20121010000050 |
| Provider Name | Arielle M Tusing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730444324 PECOS PAC ID: 9931350139 Enrollment ID: I20121116000371 |
| Provider Name | Jeremy T Walden |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649535246 PECOS PAC ID: 0042532194 Enrollment ID: I20141201001474 |
| Provider Name | Elisabeth A Taurino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780081323 PECOS PAC ID: 0244556983 Enrollment ID: I20150224001148 |
| Provider Name | Nicole Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316340920 PECOS PAC ID: 6901125061 Enrollment ID: I20150512001795 |
| Provider Name | Andrea R Weisman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124102884 PECOS PAC ID: 1951616234 Enrollment ID: I20150814014661 |
| Provider Name | Aimee Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730566795 PECOS PAC ID: 6002194859 Enrollment ID: I20161028001185 |
| Provider Name | Jessica M Tate |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295384147 PECOS PAC ID: 0345673919 Enrollment ID: I20191212001509 |
| Provider Name | Jennifer A Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750985644 PECOS PAC ID: 5597179440 Enrollment ID: I20210204000934 |
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