| Commonwealth Primary Care | |
|
1800 Glenside Dr Ste 105 Richmond VA 23226-3769 | |
| (804) 288-0399 | |
| (804) 285-0088 |
| Full Name | Commonwealth Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 1800 Glenside Dr Ste 105, Richmond, Virginia |
| Authorized Official Name and Position | Erika Parrish (BILLING ADMINISTRATOR) |
| Authorized Official Contact | 8042880399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Primary Care 1800 Glenside Dr Ste 105 Richmond VA 23226-3769 Ph: (804) 288-0399 | Commonwealth Primary Care 1800 Glenside Dr Ste 105 Richmond VA 23226-3769 Ph: (804) 288-0399 |
| NPI Number | 1750571287 |
|---|---|
| Provider Enumeration Date | 07/31/2007 |
| Last Update Date | 09/15/2011 |
| Medicare PECOS PAC ID | 2264420918 |
|---|---|
| Medicare Enrollment ID | O20040503001117 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750571287 | NPI | - | NPPES |
| 141469 | Other | VA | ANTHEM |
| 303278 | Other | VA | ANTHEM |
| 304078 | Other | VA | ANTHEM |
| CC6597 | Other | VA | MEDICARE RAILROAD |
| 141464 | Other | VA | ANTHEM |
| 141466 | Other | VA | ANTHEM |
| 141468 | Other | VA | ANTHEM |
| CK5367 | Other | VA | MEDICARE RAILROAD |
| CJ7063 | Other | VA | MEDICARE RAILROAD |
| 1141467 | Other | VA | ANTHEM |
| CL1914 | Other | VA | MEDICARE RAILROAD |
| 141465 | Other | VA | ANTHEM |
| 292413 | Other | VA | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Daniel W David |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235104027 PECOS PAC ID: 9537059241 Enrollment ID: I20040317000574 |
| Provider Name | Christine D Allan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376582213 PECOS PAC ID: 5496743148 Enrollment ID: I20040503001049 |
| Provider Name | Todd Joseph Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740263631 PECOS PAC ID: 0648251454 Enrollment ID: I20040527000543 |
| Provider Name | James K Zelenak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154397156 PECOS PAC ID: 4688655145 Enrollment ID: I20040528001194 |
| Provider Name | John K Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538103114 PECOS PAC ID: 4880678671 Enrollment ID: I20040617001204 |
| Provider Name | Alice Ann C Howard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427060110 PECOS PAC ID: 8820063589 Enrollment ID: I20040827000180 |
| Provider Name | Karissa L Hackelton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740341841 PECOS PAC ID: 8123094547 Enrollment ID: I20040908000229 |
| Provider Name | Edward M Saylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134199573 PECOS PAC ID: 7113970948 Enrollment ID: I20050222000168 |
| Provider Name | Elizabeth H Lamb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306936034 PECOS PAC ID: 7315991262 Enrollment ID: I20050303000739 |
| Provider Name | William G Harrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982624862 PECOS PAC ID: 6507895612 Enrollment ID: I20050809000838 |
| Provider Name | Angela D Middleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023177052 PECOS PAC ID: 9638108566 Enrollment ID: I20050810000830 |
| Provider Name | Margaret R Krebs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700845484 PECOS PAC ID: 7416988373 Enrollment ID: I20050830000927 |
| Provider Name | Edwin G Robinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306841564 PECOS PAC ID: 0941251383 Enrollment ID: I20061212000633 |
| Provider Name | Arpita Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306939459 PECOS PAC ID: 4183526627 Enrollment ID: I20070302000234 |
| Provider Name | Ellen Morye Palen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245239938 PECOS PAC ID: 5092812909 Enrollment ID: I20070529000276 |
| Provider Name | Douglas V Klassett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174557516 PECOS PAC ID: 4082714639 Enrollment ID: I20070711000467 |
| Provider Name | Nancy H Broda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265625545 PECOS PAC ID: 6800976093 Enrollment ID: I20071228000406 |
| Provider Name | Vicki B Latham-solomon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023205515 PECOS PAC ID: 9830273010 Enrollment ID: I20080226000881 |
| Provider Name | Natale S Fatchet |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346424900 PECOS PAC ID: 7719063031 Enrollment ID: I20080327000380 |
| Provider Name | Faiza S Akbar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598824542 PECOS PAC ID: 1254419575 Enrollment ID: I20080425000575 |
| Provider Name | George J Mehfoud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518949791 PECOS PAC ID: 2466521810 Enrollment ID: I20080527000458 |
| Provider Name | John F Mills |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1790738425 PECOS PAC ID: 3476628272 Enrollment ID: I20080813000459 |
| Provider Name | Sherri Jackson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235346495 PECOS PAC ID: 5991864761 Enrollment ID: I20081107000558 |
| Provider Name | Christianne P Mclean |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407064173 PECOS PAC ID: 6507926110 Enrollment ID: I20081126000368 |
| Provider Name | Sheila Mae Garris Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477520195 PECOS PAC ID: 4880768605 Enrollment ID: I20090120000248 |
| Provider Name | Robyn M Reale |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790750628 PECOS PAC ID: 7719888379 Enrollment ID: I20090210000552 |
| Provider Name | Richard L Gergoudis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962441881 PECOS PAC ID: 0345314167 Enrollment ID: I20090218000542 |
| Provider Name | Elizabeth Rhamy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1831398171 PECOS PAC ID: 9436185832 Enrollment ID: I20090224000704 |
| Provider Name | Richard S Tate |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851373013 PECOS PAC ID: 3072686369 Enrollment ID: I20090709000694 |
| Provider Name | David B Stein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366409302 PECOS PAC ID: 7618040908 Enrollment ID: I20090709000742 |
| Provider Name | Sigmund Placid Seiler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225087299 PECOS PAC ID: 2365515657 Enrollment ID: I20090710000169 |
| Provider Name | Raymond W Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669439634 PECOS PAC ID: 6901979293 Enrollment ID: I20090717000341 |
| Provider Name | Warren Koontz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023090289 PECOS PAC ID: 6800969197 Enrollment ID: I20090724000086 |
| Provider Name | Alpa Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508881392 PECOS PAC ID: 9830192905 Enrollment ID: I20090805000004 |
| Provider Name | Saima Zaidi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790992212 PECOS PAC ID: 1658417415 Enrollment ID: I20091008000055 |
| Provider Name | Margaret C Westin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114960184 PECOS PAC ID: 9638242928 Enrollment ID: I20091026000332 |
| Provider Name | James D Foster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275590218 PECOS PAC ID: 4082787379 Enrollment ID: I20091027000623 |
| Provider Name | Robert Mason Daniels |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922069889 PECOS PAC ID: 6608940424 Enrollment ID: I20091028000172 |
| Provider Name | James R Dageforde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437115458 PECOS PAC ID: 6709959091 Enrollment ID: I20091124000286 |
| Provider Name | David J Taminger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801883301 PECOS PAC ID: 6305942467 Enrollment ID: I20091209000391 |
| Provider Name | Brenda E Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255564621 PECOS PAC ID: 8022158260 Enrollment ID: I20091218000090 |
| Provider Name | Robert J Dausch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528046851 PECOS PAC ID: 6507956000 Enrollment ID: I20100204000214 |
| Provider Name | Eric J Haacke Golden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013904515 PECOS PAC ID: 6406952563 Enrollment ID: I20100325000504 |
| Provider Name | Lawrence D Berndt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477678530 PECOS PAC ID: 5890822936 Enrollment ID: I20100422000236 |
| Provider Name | Diane L Johnson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306839550 PECOS PAC ID: 3173655446 Enrollment ID: I20100722000155 |
| Provider Name | Melanie P Boggs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740241603 PECOS PAC ID: 5991829046 Enrollment ID: I20100826000856 |
| Provider Name | William R Jeter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295774131 PECOS PAC ID: 2860516630 Enrollment ID: I20100831000474 |
| Provider Name | Jill Goldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083761480 PECOS PAC ID: 0345429841 Enrollment ID: I20110131000458 |
| Provider Name | Jennifer Carr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427061605 PECOS PAC ID: 7618152091 Enrollment ID: I20110428000505 |
| Provider Name | Berta Lisbeth Granados Ortega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760672661 PECOS PAC ID: 3274666714 Enrollment ID: I20110706000167 |
| Provider Name | Jason Welch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952317893 PECOS PAC ID: 6204833197 Enrollment ID: I20111018000112 |
| Provider Name | Lauren Marie Richardson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235416181 PECOS PAC ID: 6507033255 Enrollment ID: I20120119000937 |
| Provider Name | Amy L Hull |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972553527 PECOS PAC ID: 2961410378 Enrollment ID: I20120927000715 |
| Provider Name | Lawrence W Gooss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508092487 PECOS PAC ID: 7719131424 Enrollment ID: I20130205000457 |
| Provider Name | Jennifer Elizabeth Plumley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255673042 PECOS PAC ID: 8527292325 Enrollment ID: I20131010000834 |
| Provider Name | Nikta Safavi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265799779 PECOS PAC ID: 8820246986 Enrollment ID: I20140930002423 |
| Provider Name | Anuradha Gonuguntla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811176704 PECOS PAC ID: 6406971175 Enrollment ID: I20150127001161 |
| Provider Name | Jacquelin N Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891196325 PECOS PAC ID: 1052635646 Enrollment ID: I20150202000062 |
| Provider Name | Tammy J Mantzouris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669644001 PECOS PAC ID: 3971742917 Enrollment ID: I20151208000181 |
| Provider Name | Jere' Kitchen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144365909 PECOS PAC ID: 8527367697 Enrollment ID: I20160425001902 |
| Provider Name | Margaret Esposito |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063826618 PECOS PAC ID: 0042533788 Enrollment ID: I20160527000629 |
| Provider Name | Thomas Beau Cawley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568866010 PECOS PAC ID: 6305136672 Enrollment ID: I20160531000305 |
| Provider Name | Mary E Flemmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346605888 PECOS PAC ID: 9436440997 Enrollment ID: I20160614001760 |
| Provider Name | Rama Albaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497192298 PECOS PAC ID: 7012205024 Enrollment ID: I20161006001636 |
| Provider Name | Andrew P Shiflett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689127540 PECOS PAC ID: 2264710086 Enrollment ID: I20161031000603 |
| Provider Name | Claire W Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952746406 PECOS PAC ID: 1456576560 Enrollment ID: I20161031001870 |
| Provider Name | Helen L Tanner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427502806 PECOS PAC ID: 7416217500 Enrollment ID: I20180209002467 |
| Provider Name | Sudhansu Kothary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669864856 PECOS PAC ID: 8325353428 Enrollment ID: I20180628001195 |
| Provider Name | Charles E Wilkinson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386024875 PECOS PAC ID: 6608182985 Enrollment ID: I20180927002972 |
| Provider Name | Zainab Jalal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427430834 PECOS PAC ID: 4981917044 Enrollment ID: I20181002000003 |
| Provider Name | Paige R Rackliffe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841277977 PECOS PAC ID: 9335190164 Enrollment ID: I20190225001314 |
| Provider Name | Rodrigo S Santillan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477024602 PECOS PAC ID: 7911234190 Enrollment ID: I20190809002847 |
| Provider Name | Bradley J Rolfe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689023624 PECOS PAC ID: 2062706211 Enrollment ID: I20191022001881 |
| Provider Name | Marie Neilsen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194986299 PECOS PAC ID: 1052580602 Enrollment ID: I20191126002143 |
| Provider Name | Helen Ramirez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306317318 PECOS PAC ID: 1658709282 Enrollment ID: I20200313002153 |
| Provider Name | Brenda W Payne |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1396377727 PECOS PAC ID: 0840627527 Enrollment ID: I20200521001531 |
| Provider Name | Hannah Michelle Winston |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1386266625 PECOS PAC ID: 4284059759 Enrollment ID: I20200730002300 |
| Provider Name | Kevin Flanigan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003987587 PECOS PAC ID: 9931143567 Enrollment ID: I20210329000281 |
| Provider Name | Anna Wilder |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013514892 PECOS PAC ID: 6800205816 Enrollment ID: I20210504000831 |
| Provider Name | Henry Clay Surber |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093104945 PECOS PAC ID: 9436479227 Enrollment ID: I20210824000916 |
| Provider Name | Shalom S Akauola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790289411 PECOS PAC ID: 0749538163 Enrollment ID: I20210913002470 |
| Provider Name | Shawn Michael Reid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255906608 PECOS PAC ID: 6901202035 Enrollment ID: I20210915000067 |
| Provider Name | Lauren C Lyles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689179145 PECOS PAC ID: 8426304114 Enrollment ID: I20210929000496 |
| Provider Name | Lindsay Raulston Klein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962963215 PECOS PAC ID: 6204228505 Enrollment ID: I20220120000932 |
| Provider Name | Laureb Brunner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013583970 PECOS PAC ID: 2860888112 Enrollment ID: I20220413001752 |
| Provider Name | Camille Elizabeth Drozdowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750095709 PECOS PAC ID: 2062870934 Enrollment ID: I20230626000551 |
| Provider Name | Christopher T Dao |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366103764 PECOS PAC ID: 3779941687 Enrollment ID: I20230626001982 |
| Provider Name | Noralee Seeley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366127904 PECOS PAC ID: 2668828187 Enrollment ID: I20231019002001 |
| Provider Name | Kedron Walsh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1508589599 PECOS PAC ID: 7012383318 Enrollment ID: I20240222002020 |
| Provider Name | Raffi Keradman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871175232 PECOS PAC ID: 7719387828 Enrollment ID: I20240606000193 |
| Provider Name | Reonna Ne'cole Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497338693 PECOS PAC ID: 4981006111 Enrollment ID: I20240923002817 |
| Provider Name | Ashleigh Renee Coles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295313815 PECOS PAC ID: 7719419399 Enrollment ID: I20241021003405 |
| Provider Name | Preethi Reddy Hilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134611551 PECOS PAC ID: 4880128115 Enrollment ID: I20241109000199 |
| Provider Name | Ian Campbell Tolmie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023682101 PECOS PAC ID: 4789083825 Enrollment ID: I20250317002350 |
| Provider Name | Jordan Culley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124831649 PECOS PAC ID: 5698290278 Enrollment ID: I20250416000725 |
| Provider Name | Matthew Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942940515 PECOS PAC ID: 3476050287 Enrollment ID: I20251008001711 |
| Provider Name | Anne Augusta Barnes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497496103 PECOS PAC ID: 9537544366 Enrollment ID: I20251021004809 |
| Provider Name | Emma Damon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467012443 PECOS PAC ID: 2264767003 Enrollment ID: I20251218004424 |
Laburnum Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4620 S Laburnum Ave, Richmond, VA 23231 Phone: 804-226-2444 Fax: 804-222-0458 |
Dr Rozana Itskovich Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7660 E Parham Road, Suite 204, Richmond, VA 23294 Phone: 804-364-8802 Fax: 804-364-1288 |
John E Gehman MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7323 Boulder View Ln, Richmond, VA 23225 Phone: 804-744-5050 Fax: 804-744-8811 |
Bon Secours Infectious Disease Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5855 Bremo Rd, Suite 102, Richmond, VA 23226 Phone: 804-673-2814 Fax: 804-673-2873 |
Mary Brantley Holmes Msn Whnp-bc LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8955 Wishart Rd, Richmond, VA 23229 Phone: 804-928-5596 |
Keltrix Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8401 Mayland Dr Ste V, Richmond, VA 23294 Phone: 406-309-6462 |