| Academic Primary Care Associates | |
|
1691 Innovation Dr Ste 2100 Blacksburg VA 24060-6828 | |
| (540) 232-8405 | |
| (540) 232-8429 |
| Full Name | Academic Primary Care Associates |
|---|---|
| Speciality | Neuromusculoskeletal Medicine & OMM |
| Location | 1691 Innovation Dr Ste 2100, Blacksburg, Virginia |
| Authorized Official Name and Position | Ward Stevens (DIRECTOR) |
| Authorized Official Contact | 5402328405 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Academic Primary Care Associates 1691 Innovation Dr Ste 2100 Blacksburg VA 24060-6618 Ph: (540) 232-8405 | Academic Primary Care Associates 1691 Innovation Dr Ste 2100 Blacksburg VA 24060-6828 Ph: (540) 232-8405 |
| NPI Number | 1053340281 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 11/07/2023 |
| Medicare PECOS PAC ID | 3678571866 |
|---|---|
| Medicare Enrollment ID | O20061122000420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053340281 | NPI | - | NPPES |
| 1053340281 | Medicaid | VA | |
| DG6086 | Other | VA | RAILROAD MEDICARE |
| Provider Name | David G Harden |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1831180165 PECOS PAC ID: 6305807595 Enrollment ID: I20041021000205 |
| Provider Name | Mark Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922127950 PECOS PAC ID: 0244324002 Enrollment ID: I20070924000695 |
| Provider Name | Alina H Tobey |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1033232269 PECOS PAC ID: 6406900109 Enrollment ID: I20090814000300 |
| Provider Name | Albert J Kozar |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1841283744 PECOS PAC ID: 2264403799 Enrollment ID: I20151214002541 |
| Provider Name | Luke Robinson |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1740509298 PECOS PAC ID: 3678792298 Enrollment ID: I20181204003021 |
| Provider Name | Mary Morgan Mitchell |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1982051660 PECOS PAC ID: 1850685272 Enrollment ID: I20210519001990 |
| Provider Name | Mohamed Shitia |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1861996555 PECOS PAC ID: 4880940386 Enrollment ID: I20220503000063 |
| Provider Name | Matthew Chung |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1629457098 PECOS PAC ID: 0648509794 Enrollment ID: I20220616000082 |
| Provider Name | Nicole Fremarek |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1417410705 PECOS PAC ID: 1557696622 Enrollment ID: I20230717002988 |
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