| Fredericksburg Emergency Medical Alliance, Inc. | |
|
1001 Sam Perry Blvd Fredericksburg VA 22401 | |
| (540) 741-1167 | |
| Not Available |
| Full Name | Fredericksburg Emergency Medical Alliance, Inc. |
|---|---|
| Speciality | Emergency Medicine |
| Location | 1001 Sam Perry Blvd, Fredericksburg, Virginia |
| Authorized Official Name and Position | Andrew A Garvie (PHYSICIAN/GROUP ADMINISTRATOR) |
| Authorized Official Contact | 6164640074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fredericksburg Emergency Medical Alliance, Inc. Po Box 888 Fredericksburg VA 22404 Ph: (866) 898-7138 | Fredericksburg Emergency Medical Alliance, Inc. 1001 Sam Perry Blvd Fredericksburg VA 22401 Ph: (540) 741-1167 |
| NPI Number | 1396779153 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 05/07/2008 |
| Medicare PECOS PAC ID | 2163412636 |
|---|---|
| Medicare Enrollment ID | O20040517000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396779153 | NPI | - | NPPES |
| 194478 | Other | VA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | Timothy D Weber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205874054 PECOS PAC ID: 8820088305 Enrollment ID: I20040517000257 |
| Provider Name | Joseph Thompson Crane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760420236 PECOS PAC ID: 2264339498 Enrollment ID: I20040517000321 |
| Provider Name | Rickard K Dalberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750329421 PECOS PAC ID: 8527965755 Enrollment ID: I20040517000356 |
| Provider Name | Andrew A Garvie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770521239 PECOS PAC ID: 2163329301 Enrollment ID: I20040517000435 |
| Provider Name | David M Garth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538100532 PECOS PAC ID: 8527965763 Enrollment ID: I20040517000463 |
| Provider Name | Christopher T Huesgen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447291448 PECOS PAC ID: 6608773841 Enrollment ID: I20040517000507 |
| Provider Name | Douglas R Johnson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629019625 PECOS PAC ID: 4789581927 Enrollment ID: I20040517000561 |
| Provider Name | Charles Garland Penick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992746994 PECOS PAC ID: 6406753649 Enrollment ID: I20040517000630 |
| Provider Name | Coleen A Rickabaugh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265470934 PECOS PAC ID: 1951208198 Enrollment ID: I20040517000654 |
| Provider Name | Shinichi Sato |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356375117 PECOS PAC ID: 4587561725 Enrollment ID: I20040517000762 |
| Provider Name | Robert E Fines |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912931775 PECOS PAC ID: 3870572944 Enrollment ID: I20040714000650 |
| Provider Name | Brian Scott Wexler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629019187 PECOS PAC ID: 6406837855 Enrollment ID: I20040714000819 |
| Provider Name | Anthony L Anker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861430332 PECOS PAC ID: 3678558566 Enrollment ID: I20040902001192 |
| Provider Name | Ursula Koeze |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023088960 PECOS PAC ID: 2062466436 Enrollment ID: I20050429000889 |
| Provider Name | Amy L Barabasz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285672956 PECOS PAC ID: 6608770169 Enrollment ID: I20050429000957 |
| Provider Name | Edward G Walsh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992853238 PECOS PAC ID: 3870694276 Enrollment ID: I20070730000566 |
| Provider Name | Adam H Sims |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144280223 PECOS PAC ID: 6901977099 Enrollment ID: I20080617000593 |
| Provider Name | Michael D Amesquita |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053571844 PECOS PAC ID: 0749353498 Enrollment ID: I20080714000680 |
| Provider Name | Jill R Eckenberger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790945434 PECOS PAC ID: 1658444237 Enrollment ID: I20080715000370 |
| Provider Name | Brian C Hoff |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619164357 PECOS PAC ID: 4688754823 Enrollment ID: I20080725000352 |
| Provider Name | Scott R Ottolini |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598939704 PECOS PAC ID: 7012069677 Enrollment ID: I20090714000198 |
| Provider Name | Tania White |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942414321 PECOS PAC ID: 6406901354 Enrollment ID: I20090828000549 |
| Provider Name | Susan M Lessner Boesler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003874587 PECOS PAC ID: 9133131501 Enrollment ID: I20090911000247 |
| Provider Name | Eric Tosh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902072416 PECOS PAC ID: 9739204546 Enrollment ID: I20100916001336 |
| Provider Name | Charles I Beaudette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164657953 PECOS PAC ID: 0345405973 Enrollment ID: I20140918002109 |
| Provider Name | Amanda Aldridge-schamp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982012589 PECOS PAC ID: 8325268782 Enrollment ID: I20141007000591 |
| Provider Name | Frederick K Goodwin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164536355 PECOS PAC ID: 0547245375 Enrollment ID: I20150114000148 |
| Provider Name | Annemarie Lynn Utz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154370336 PECOS PAC ID: 3971519836 Enrollment ID: I20150708002836 |
| Provider Name | Douglas Sturm |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922395367 PECOS PAC ID: 5395981948 Enrollment ID: I20150920000002 |
| Provider Name | Pearl Horng |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992124234 PECOS PAC ID: 8527285709 Enrollment ID: I20170821001354 |
| Provider Name | Stephen Balleh |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1174933766 PECOS PAC ID: 9537480140 Enrollment ID: I20170821001667 |
| Provider Name | Benjamin Watkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700249232 PECOS PAC ID: 6406141670 Enrollment ID: I20190822001047 |
| Provider Name | Nareg Sam Churukian |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629456678 PECOS PAC ID: 3779896519 Enrollment ID: I20190910001685 |
| Provider Name | Ashely Alker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083034987 PECOS PAC ID: 4082944566 Enrollment ID: I20190925003992 |
| Provider Name | Samia A Cheema |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710304233 PECOS PAC ID: 9032421870 Enrollment ID: I20190926002099 |
| Provider Name | Benjamin John Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447485172 PECOS PAC ID: 8224277439 Enrollment ID: I20191120002251 |
| Provider Name | Peter Bolaji |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952891723 PECOS PAC ID: 7315294832 Enrollment ID: I20210604000136 |
| Provider Name | Amy C Berrigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548636848 PECOS PAC ID: 2466757372 Enrollment ID: I20211014001215 |
| Provider Name | Ryan Corbett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871054072 PECOS PAC ID: 4082083381 Enrollment ID: I20221208001175 |
| Provider Name | Royale Morray Nichols |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912535840 PECOS PAC ID: 9537529284 Enrollment ID: I20230713001881 |
| Provider Name | Justin Yaworsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477181717 PECOS PAC ID: 2365869989 Enrollment ID: I20230802001435 |
| Provider Name | Tennessee Park |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619504388 PECOS PAC ID: 4981029832 Enrollment ID: I20230912000309 |
| Provider Name | Winston Wu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487236022 PECOS PAC ID: 0143621201 Enrollment ID: I20240520001505 |
| Provider Name | Jasmeen Kaur |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467038067 PECOS PAC ID: 6103366034 Enrollment ID: I20240906000992 |
| Provider Name | Jacob Kriedermann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144614603 PECOS PAC ID: 1951617588 Enrollment ID: I20240909000812 |
| Provider Name | Christine Bowman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982274353 PECOS PAC ID: 5496111825 Enrollment ID: I20240919004204 |
| Provider Name | Randall Lee |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659734853 PECOS PAC ID: 1153752068 Enrollment ID: I20241130000067 |
| Provider Name | Kyle Herbert |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699235853 PECOS PAC ID: 1850628694 Enrollment ID: I20250122000020 |
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 |