| Colonial Internal Medicine Associates Pc | |
|
125 Olde Greenwich Dr Suite 300 Fredericksburg VA 22408-4001 | |
| (540) 374-5599 | |
| (540) 735-8097 |
| Full Name | Colonial Internal Medicine Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 125 Olde Greenwich Dr, Fredericksburg, Virginia |
| Authorized Official Name and Position | Kenneth M Mcdowell (PHYSICIAN OWNER) |
| Authorized Official Contact | 5403745599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colonial Internal Medicine Associates Pc 125 Olde Greenwich Dr Suite 300 Fredericksburg VA 22408-4001 Ph: (540) 374-5599 | Colonial Internal Medicine Associates Pc 125 Olde Greenwich Dr Suite 300 Fredericksburg VA 22408-4001 Ph: (540) 374-5599 |
| NPI Number | 1346260940 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 02/14/2008 |
| Medicare PECOS PAC ID | 6608842521 |
|---|---|
| Medicare Enrollment ID | O20040902000556 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346260940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0102201579 (Virginia) | Primary |
| Provider Name | Kenneth M Mcdowell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306834379 PECOS PAC ID: 6507757416 Enrollment ID: I20040902000590 |
| Provider Name | Kristie E Mcdowell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275574279 PECOS PAC ID: 5092751594 Enrollment ID: I20050706001020 |
| Provider Name | Cindy S Marrow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407842263 PECOS PAC ID: 3779687678 Enrollment ID: I20070403000141 |
| Provider Name | Bethanne H Elbert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447298880 PECOS PAC ID: 1153408109 Enrollment ID: I20080402000021 |
| Provider Name | Mary Ailis Aiken |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982709960 PECOS PAC ID: 6103984059 Enrollment ID: I20081021000498 |
| Provider Name | Bozena D Wolanska |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689660839 PECOS PAC ID: 1153455308 Enrollment ID: I20100810000930 |
| Provider Name | Gabriel Szmigiel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841462892 PECOS PAC ID: 5597925487 Enrollment ID: I20120330000267 |
| Provider Name | Juan C Munoz-gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588892236 PECOS PAC ID: 5799920963 Enrollment ID: I20130319000149 |
| Provider Name | William T Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245668516 PECOS PAC ID: 7618106261 Enrollment ID: I20140131001422 |
| Provider Name | Mishell Carmela Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811325764 PECOS PAC ID: 1658509534 Enrollment ID: I20170131000804 |
| Provider Name | Michael Y Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033119136 PECOS PAC ID: 1759423122 Enrollment ID: I20190124000520 |
| Provider Name | Abisoye V Fakayode |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225415227 PECOS PAC ID: 9436400892 Enrollment ID: I20200826001309 |
| Provider Name | Manga Omasombo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316599012 PECOS PAC ID: 8921484403 Enrollment ID: I20230515000460 |
| Provider Name | Celeste R Keller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639604358 PECOS PAC ID: 2466818604 Enrollment ID: I20230515001181 |
| Provider Name | Elizabeth Allan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144477142 PECOS PAC ID: 5092141366 Enrollment ID: I20230815002000 |
| Provider Name | Amy Leigh Cassell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114633229 PECOS PAC ID: 6103273990 Enrollment ID: I20240215000587 |
| Provider Name | Andrea Braxton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518149798 PECOS PAC ID: 4082052949 Enrollment ID: I20240411000088 |
| Provider Name | Helena Lee Unhoch Maccauley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013595321 PECOS PAC ID: 3476994542 Enrollment ID: I20240508000175 |
Mary Washington Hospital, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1041 Fax: 540-741-1408 | |
Fredericksburg Area Regional Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1301 Sam Perry Blvd, Suite 100, Fredericksburg, VA 22401 Phone: 540-741-1055 Fax: 540-741-3103 | |
Primary And Urgent Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10009 South Point Parkway, Suite # 200, Fredericksburg, VA 22407 Phone: 540-785-9900 | |
Mount Arvon Inpatient Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408 Phone: 540-862-6011 | |
Fredericksburg Geriatric Medicine, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 Townes Pl, Fredericksburg, VA 22405 Phone: 800-832-9258 | |
Jay David Brock, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4304 Lafayette Blvd, Fredericksburg, VA 22408 Phone: 540-891-5600 Fax: 540-891-9034 | |
Medidoctors Primary Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Sam Perry Blvd, Fredericksburg, VA 22401 Phone: 540-741-1428 Fax: 540-741-1420 |