| Chestnut Physician Services LLC | |
|
100 15th St Nw Norton VA 24273-1616 | |
| (276) 679-9600 | |
| (540) 679-9664 |
| Full Name | Chestnut Physician Services LLC |
|---|---|
| Speciality | Hospitalist |
| Location | 100 15th St Nw, Norton, Virginia |
| Authorized Official Name and Position | Lisha C Falk (VICE PRESIDENT) |
| Authorized Official Contact | 3376091221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chestnut Physician Services LLC 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | Chestnut Physician Services LLC 100 15th St Nw Norton VA 24273-1616 Ph: (276) 679-9600 |
| NPI Number | 1023991445 |
|---|---|
| Provider Enumeration Date | 07/31/2025 |
| Last Update Date | 07/31/2025 |
| Certification Date | 07/31/2025 |
| Medicare PECOS PAC ID | 8022508266 |
|---|---|
| Medicare Enrollment ID | O20251106003268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023991445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 208M00000X | Hospitalist | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| Provider Name | Marissa G Vito Cruz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922071448 PECOS PAC ID: 5597667857 Enrollment ID: I20040127000197 |
| Provider Name | Jill K Couch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972561702 PECOS PAC ID: 6103878525 Enrollment ID: I20050214000956 |
| Provider Name | Syed I Shafqat |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1750345617 PECOS PAC ID: 1658313929 Enrollment ID: I20050608000865 |
| Provider Name | Rohini Nathan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316130586 PECOS PAC ID: 0547394991 Enrollment ID: I20100820000135 |
| Provider Name | Roy R Deel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043522329 PECOS PAC ID: 5395987093 Enrollment ID: I20130808000636 |
| Provider Name | Pushkas Gopalan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376700930 PECOS PAC ID: 3274679949 Enrollment ID: I20140514001210 |
| Provider Name | Donovan Mabe |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1477815710 PECOS PAC ID: 8022399864 Enrollment ID: I20180910001189 |
| Provider Name | Fnu Warsha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205445079 PECOS PAC ID: 0345602967 Enrollment ID: I20230815000647 |
| Provider Name | Kenneth Onuorah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598129868 PECOS PAC ID: 2961739925 Enrollment ID: I20251204002414 |
| Provider Name | Matthew Sgouros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215673090 PECOS PAC ID: 8628554607 Enrollment ID: I20260108004086 |
Ballad Health Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 601 Commonwealth Dr, Norton, VA 24273 Phone: 276-679-6028 Fax: 276-679-6713 |
Community Physicians Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 96 15th St Nw, Ste 104, Norton, VA 24273 Phone: 276-679-8890 Fax: 276-679-9740 |
Ballad Health Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 15th St Nw, Norton, VA 24273 Phone: 276-679-9002 Fax: 276-679-9078 |
Shahab M. Ehtesham MD PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Trent St Ne, Norton, VA 24273 Phone: 276-679-4200 Fax: 276-679-4230 |
Barongans Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 280 Virginia Ave Ne, Suite 107, Norton, VA 24273 Phone: 276-679-4455 Fax: 276-679-5416 |
Mountain Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 Park Ave Nw, Norton, VA 24273 Phone: 276-219-7178 |