| CH Specialty Services VA LLC | |
|
10900 Nuckols Rd Ste 110 Glen Allen VA 23060-9246 | |
| (337) 408-0797 | |
| Not Available |
| Full Name | CH Specialty Services VA LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 10900 Nuckols Rd Ste 110, Glen Allen, Virginia |
| Authorized Official Name and Position | Nicole Howard (SR VP OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 3374080797 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| CH Specialty Services VA LLC 5750 Johnston St Ste 205 Lafayette LA 70503-5345 Ph: (337) 408-0797 | CH Specialty Services VA LLC 10900 Nuckols Rd Ste 110 Glen Allen VA 23060-9246 Ph: (337) 408-0797 |
| NPI Number | 1538868435 |
|---|---|
| Provider Enumeration Date | 02/28/2023 |
| Last Update Date | 03/21/2025 |
| Certification Date | 03/21/2025 |
| Medicare PECOS PAC ID | 5890150031 |
|---|---|
| Medicare Enrollment ID | O20230424000813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538868435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Vanessa Sturgill Fant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225013428 PECOS PAC ID: 1052205473 Enrollment ID: I20040209000404 |
| Provider Name | Torino Jennings |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225149750 PECOS PAC ID: 4385625300 Enrollment ID: I20040526000723 |
| Provider Name | Lisa Jefferson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578502969 PECOS PAC ID: 9335240316 Enrollment ID: I20070720000148 |
| Provider Name | Vishwas Patel |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1174793335 PECOS PAC ID: 0143392803 Enrollment ID: I20080712000108 |
| Provider Name | Sharon Naa-densua Addy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174839377 PECOS PAC ID: 9931398617 Enrollment ID: I20110111000743 |
| Provider Name | Stanley Furman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467481234 PECOS PAC ID: 4981704921 Enrollment ID: I20110428000414 |
| Provider Name | Shweta Majhi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770895690 PECOS PAC ID: 0648420331 Enrollment ID: I20131115001098 |
| Provider Name | Sean P Connors Mcbride |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245591775 PECOS PAC ID: 7012221856 Enrollment ID: I20180625000448 |
| Provider Name | Dina F Zeki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427468586 PECOS PAC ID: 5890051932 Enrollment ID: I20180905003511 |
| Provider Name | Chantika Ashe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417444779 PECOS PAC ID: 7719220987 Enrollment ID: I20190510001792 |
| Provider Name | Kerry Urso Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033673983 PECOS PAC ID: 6901149160 Enrollment ID: I20190522000044 |
| Provider Name | Emily Powers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285264671 PECOS PAC ID: 2567892383 Enrollment ID: I20200420000470 |
| Provider Name | Monicah Canty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679163018 PECOS PAC ID: 4587078886 Enrollment ID: I20210127003595 |
| Provider Name | Sherylbeb L Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033528260 PECOS PAC ID: 9931320421 Enrollment ID: I20210224000123 |
| Provider Name | Gifty N Sey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083227847 PECOS PAC ID: 7810387156 Enrollment ID: I20211206000785 |
| Provider Name | Bridgette Monique Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942317557 PECOS PAC ID: 9537246889 Enrollment ID: I20220203001505 |
| Provider Name | Shraddha Lamichhane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013599109 PECOS PAC ID: 2264824564 Enrollment ID: I20220204001256 |
| Provider Name | Dominique Pinilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124103965 PECOS PAC ID: 4880604446 Enrollment ID: I20220330001793 |
| Provider Name | Elise J Young |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518072891 PECOS PAC ID: 5496754392 Enrollment ID: I20220403000027 |
| Provider Name | Liz Ramirez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043544174 PECOS PAC ID: 2264739853 Enrollment ID: I20220624000338 |
| Provider Name | Shannon Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952965105 PECOS PAC ID: 7214316926 Enrollment ID: I20220625000231 |
| Provider Name | Cynthia Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740940287 PECOS PAC ID: 3072993575 Enrollment ID: I20220629003968 |
| Provider Name | Maria Pangatongan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245979483 PECOS PAC ID: 8729468533 Enrollment ID: I20220711000171 |
| Provider Name | Katie Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053087031 PECOS PAC ID: 2961882642 Enrollment ID: I20220712002432 |
| Provider Name | Saba Afraz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972900355 PECOS PAC ID: 2668764325 Enrollment ID: I20221024000388 |
| Provider Name | Ana Patricia Massara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780308601 PECOS PAC ID: 2961878566 Enrollment ID: I20221024001137 |
| Provider Name | Kiana Fussner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285146217 PECOS PAC ID: 2062772031 Enrollment ID: I20230105002325 |
| Provider Name | Aimee Punsalang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083268973 PECOS PAC ID: 2860721578 Enrollment ID: I20230109000507 |
| Provider Name | Ashley Minton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467173641 PECOS PAC ID: 7113399726 Enrollment ID: I20230208001049 |
| Provider Name | Sherrika Evans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144681594 PECOS PAC ID: 1254639875 Enrollment ID: I20230209000549 |
| Provider Name | Rhonda Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255050209 PECOS PAC ID: 6901270040 Enrollment ID: I20230313002052 |
| Provider Name | Ramon Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211627 PECOS PAC ID: 2860829355 Enrollment ID: I20230706000466 |
| Provider Name | Alexandra Parise |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306326897 PECOS PAC ID: 7315291531 Enrollment ID: I20230721003164 |
| Provider Name | Jennifer Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770270803 PECOS PAC ID: 2163882143 Enrollment ID: I20230721003381 |
| Provider Name | Erika Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962192732 PECOS PAC ID: 5496112989 Enrollment ID: I20230811000382 |
| Provider Name | Joanna Potterfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649855016 PECOS PAC ID: 2860849460 Enrollment ID: I20231102004021 |
| Provider Name | Vlastimil Smetka |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497974273 PECOS PAC ID: 1658424825 Enrollment ID: I20240130003144 |
| Provider Name | Alexandra Van Hook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649040007 PECOS PAC ID: 8820434939 Enrollment ID: I20240312001739 |
| Provider Name | Nermala Vasu Diven |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497330344 PECOS PAC ID: 1355780750 Enrollment ID: I20240418001138 |
| Provider Name | Nkiru Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881213312 PECOS PAC ID: 8820411440 Enrollment ID: I20240430002172 |
| Provider Name | Kristen Koechert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427454206 PECOS PAC ID: 8022331974 Enrollment ID: I20240522004349 |
| Provider Name | Tammie Hoke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952026981 PECOS PAC ID: 9931564929 Enrollment ID: I20241003002422 |
| Provider Name | Siobhan Manning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982388765 PECOS PAC ID: 1355701293 Enrollment ID: I20241016004741 |
| Provider Name | Sarah Laine Peterson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194564989 PECOS PAC ID: 8729510334 Enrollment ID: I20241021000481 |
| Provider Name | Burgundy Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447826896 PECOS PAC ID: 7315345345 Enrollment ID: I20241212001747 |
| Provider Name | Alessandra Orellana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922820661 PECOS PAC ID: 4183150089 Enrollment ID: I20241214000418 |
| Provider Name | Damien Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043518087 PECOS PAC ID: 0840475711 Enrollment ID: I20250306001994 |
| Provider Name | Paul Scherer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396458543 PECOS PAC ID: 2567833064 Enrollment ID: I20250306002892 |
| Provider Name | Laurie Klimczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588046239 PECOS PAC ID: 7719294735 Enrollment ID: I20250317002775 |
| Provider Name | Tyler Alvare |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851744999 PECOS PAC ID: 4385094440 Enrollment ID: I20250319000696 |
| Provider Name | Rolando Del Aguila Suarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184437154 PECOS PAC ID: 8426573395 Enrollment ID: I20250423002247 |
| Provider Name | Zuhira Shifa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306465844 PECOS PAC ID: 4688114226 Enrollment ID: I20250513001150 |
| Provider Name | Jenna Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073391926 PECOS PAC ID: 8123478906 Enrollment ID: I20250521003836 |
| Provider Name | Ainsly Manning |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851362537 PECOS PAC ID: 4385627314 Enrollment ID: I20250612000208 |
| Provider Name | Rebekka Lindamood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447912134 PECOS PAC ID: 3173919529 Enrollment ID: I20250613000505 |
| Provider Name | Callie Lesher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700332616 PECOS PAC ID: 5496036022 Enrollment ID: I20250818000598 |
| Provider Name | Dillard Elmore |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1841225554 PECOS PAC ID: 1355355983 Enrollment ID: I20250905003817 |
| Provider Name | Ellysse Bertus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083499453 PECOS PAC ID: 3072961549 Enrollment ID: I20251109000084 |
| Provider Name | Humaira Arzomand |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134448855 PECOS PAC ID: 3577707173 Enrollment ID: I20251113000092 |
| Provider Name | Ianina Metcalf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447899091 PECOS PAC ID: 7719374644 Enrollment ID: I20251121001072 |
| Provider Name | Jenni Crossley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700393816 PECOS PAC ID: 3870853716 Enrollment ID: I20251204002506 |
| Provider Name | Roberta Finn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164809323 PECOS PAC ID: 4082952072 Enrollment ID: I20260123000220 |
| Provider Name | Julia Didesiderio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548717192 PECOS PAC ID: 9537441993 Enrollment ID: I20260218001140 |
| Provider Name | Mojgan Sohi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205183126 PECOS PAC ID: 0547557811 Enrollment ID: I20260320003084 |
| Provider Name | Crystal Bell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689228678 PECOS PAC ID: 1254761752 Enrollment ID: I20260324002258 |
| Provider Name | Carol Gibbs |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174606917 PECOS PAC ID: 9739346867 Enrollment ID: I20260401003993 |
| Provider Name | Michael Lysek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265968853 PECOS PAC ID: 3173874823 Enrollment ID: I20260611002253 |
| Provider Name | Sierra Weuve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487215588 PECOS PAC ID: 7618205113 Enrollment ID: I20260623001789 |
Marathon Health @ Hanover Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10412 Washington Hwy Ste C, Glen Allen, VA 23059 Phone: 888-830-6538 |
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 |
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 |
Vera Whole Health Wa, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11341 W Broad St, Glen Allen, VA 23060 Phone: 804-655-6011 |
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 |