| Central Virginia Family Physicians, Inc. | |
|
1111 Corporate Park Dr Suite C Forest VA 24551-2286 | |
| (434) 382-1139 | |
| (434) 525-5748 |
| Full Name | Central Virginia Family Physicians, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1111 Corporate Park Dr, Forest, Virginia |
| Authorized Official Name and Position | Shawn Crawford (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 4343821139 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Virginia Family Physicians, Inc. 1111 Corporate Park Dr Ste C Forest VA 24551-2286 Ph: (434) 382-1139 | Central Virginia Family Physicians, Inc. 1111 Corporate Park Dr Suite C Forest VA 24551-2286 Ph: (434) 382-1139 |
| NPI Number | 1528155892 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 01/14/2015 |
| Medicare PECOS PAC ID | 1759356694 |
|---|---|
| Medicare Enrollment ID | O20050627000421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528155892 | NPI | - | NPPES |
| 1528155892 | Medicaid | VA | |
| CA2436 | Other | VA | MEDICARE RAILROAD CARRIER |
| CF1947 | Other | VA | MEDICARE RAILROAD CARRIER |
| CI3834 | Other | VA | MEDICARE RAILROAD CARRIER |
| CC2392 | Other | VA | MEDICARE RAILROAD CARRIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Raena M Pettitt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124025085 PECOS PAC ID: 5395713978 Enrollment ID: I20040921001071 |
| Provider Name | John A Hoffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457335689 PECOS PAC ID: 6608893714 Enrollment ID: I20051028000042 |
| Provider Name | Michael G Hueber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598737876 PECOS PAC ID: 7315969193 Enrollment ID: I20051221000177 |
| Provider Name | Robert Irvin Elliott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669454344 PECOS PAC ID: 6608784483 Enrollment ID: I20060103000372 |
| Provider Name | Keith Alan Metzler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275510919 PECOS PAC ID: 9234153594 Enrollment ID: I20060125000710 |
| Provider Name | Michael A Okin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275515835 PECOS PAC ID: 0547235483 Enrollment ID: I20060921000138 |
| Provider Name | Walter B Beverly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457365033 PECOS PAC ID: 9537164405 Enrollment ID: I20060927000430 |
| Provider Name | Mark A Kleiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982610184 PECOS PAC ID: 8527082635 Enrollment ID: I20061101000435 |
| Provider Name | Laura Robert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235111899 PECOS PAC ID: 1557362217 Enrollment ID: I20070123000429 |
| Provider Name | Louis B Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043292741 PECOS PAC ID: 9133217789 Enrollment ID: I20071114000452 |
| Provider Name | David S Haga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649252347 PECOS PAC ID: 5496843047 Enrollment ID: I20071114000459 |
| Provider Name | Gertrude K Shahady |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487639878 PECOS PAC ID: 7911095567 Enrollment ID: I20071114000487 |
| Provider Name | Leah H Hinkle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740264803 PECOS PAC ID: 0345338901 Enrollment ID: I20071114000527 |
| Provider Name | John F Carmack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639152812 PECOS PAC ID: 3971509894 Enrollment ID: I20071116000337 |
| Provider Name | Charles H Coggin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881677565 PECOS PAC ID: 1456319292 Enrollment ID: I20071116000446 |
| Provider Name | Thomas W Eppes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700869906 PECOS PAC ID: 6800861741 Enrollment ID: I20071226000255 |
| Provider Name | John E Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619959293 PECOS PAC ID: 0941380455 Enrollment ID: I20080109000269 |
| Provider Name | David M Wodicka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982687125 PECOS PAC ID: 3577645696 Enrollment ID: I20080129000319 |
| Provider Name | Ronna Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609850106 PECOS PAC ID: 5799781613 Enrollment ID: I20080129000469 |
| Provider Name | Verna C Guanzon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861652331 PECOS PAC ID: 7315011392 Enrollment ID: I20080808000657 |
| Provider Name | Leanna J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235303371 PECOS PAC ID: 9133287766 Enrollment ID: I20081024000668 |
| Provider Name | Sandy J Robertson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255339123 PECOS PAC ID: 6305832833 Enrollment ID: I20090128000316 |
| Provider Name | Joel M Burroughs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710951785 PECOS PAC ID: 5799851127 Enrollment ID: I20090605000255 |
| Provider Name | Carin Schofield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487752010 PECOS PAC ID: 6406935873 Enrollment ID: I20090622000511 |
| Provider Name | Olubukola Ojuola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942477005 PECOS PAC ID: 7113078064 Enrollment ID: I20090706000461 |
| Provider Name | Sigmund Placid Seiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225087299 PECOS PAC ID: 2365515657 Enrollment ID: I20090710000169 |
| Provider Name | Patricia Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053319640 PECOS PAC ID: 0749269116 Enrollment ID: I20091202000313 |
| Provider Name | Kimberly H Combs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174505945 PECOS PAC ID: 2365579356 Enrollment ID: I20100422001009 |
| Provider Name | Bradley J Haupricht |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083876981 PECOS PAC ID: 1052597416 Enrollment ID: I20120810000419 |
| Provider Name | Elizabeth Ann Melcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518222520 PECOS PAC ID: 1153579602 Enrollment ID: I20120907000407 |
| Provider Name | Pamela M Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558603050 PECOS PAC ID: 2163669193 Enrollment ID: I20130513000108 |
| Provider Name | Joanna B Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275768855 PECOS PAC ID: 5294918751 Enrollment ID: I20131029000395 |
| Provider Name | Kimberly Devolld |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225028806 PECOS PAC ID: 9032102777 Enrollment ID: I20140107000916 |
| Provider Name | Michael Rowland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992791081 PECOS PAC ID: 0345133393 Enrollment ID: I20140128001784 |
| Provider Name | David Robert Paulus |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366418063 PECOS PAC ID: 5597653741 Enrollment ID: I20140915000956 |
| Provider Name | Shauntell Reed Kline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063802312 PECOS PAC ID: 4880911932 Enrollment ID: I20150330000482 |
| Provider Name | Kathleen P Bogacz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417973470 PECOS PAC ID: 7810975182 Enrollment ID: I20150616000772 |
| Provider Name | James W Kribs |
|---|---|
| Provider Type | Practitioner - Single Or Multispecialty Clinic Or Group Practice |
| Provider Identifiers | NPI Number: 1568563179 PECOS PAC ID: 4284630344 Enrollment ID: I20150616000887 |
| Provider Name | David Frederick Klink |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1003886581 PECOS PAC ID: 3173761509 Enrollment ID: I20150619000889 |
| Provider Name | James W Kribs |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1568563179 PECOS PAC ID: 4284630344 Enrollment ID: I20150721002078 |
| Provider Name | Aaron W Kelley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255547089 PECOS PAC ID: 3476749797 Enrollment ID: I20150825004717 |
| Provider Name | Debra Peters Warren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659741395 PECOS PAC ID: 4385946177 Enrollment ID: I20160111002724 |
| Provider Name | Ashley R Toler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699903021 PECOS PAC ID: 9133374382 Enrollment ID: I20160310002298 |
| Provider Name | Mark Everett Rolfs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861781544 PECOS PAC ID: 1254564958 Enrollment ID: I20160912001215 |
| Provider Name | Susan E Robbins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023088226 PECOS PAC ID: 3274432216 Enrollment ID: I20161219000970 |
Andrew J Anderson Do, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18024 Forest Rd, Forest, VA 24551 Phone: 434-214-0722 | |
Access Healthcare Multi-specialty Group, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2103 Graves Mill Rd, Forest, VA 24551 Phone: 434-316-7199 Fax: 434-316-6185 | |
Grace Family Medicine Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15421 Forest Rd Ste B, Forest, VA 24551 Phone: 434-525-4722 | |
Cprpm, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 113 Cold Branch Rd, Forest, VA 24551 Phone: 434-546-3576 | |
Forest Family Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1175 Corporate Park Dr, Forest, VA 24551 Phone: 434-525-6964 Fax: 434-525-4035 | |
Igata And Parke Plc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14805 Forest Rd Ste 229, Forest, VA 24551 Phone: 540-986-5480 |