| Oxbow Physician Services LLC | |
|
351 Court St Abingdon VA 24210-2921 | |
| (276) 258-1000 | |
| (276) 676-2631 |
| Full Name | Oxbow Physician Services LLC |
|---|---|
| Speciality | Hospitalist |
| Location | 351 Court St, Abingdon, 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 |
|---|---|
| Oxbow Physician Services LLC 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | Oxbow Physician Services LLC 351 Court St Abingdon VA 24210-2921 Ph: (276) 258-1000 |
| NPI Number | 1942183991 |
|---|---|
| Provider Enumeration Date | 07/28/2025 |
| Last Update Date | 07/28/2025 |
| Certification Date | 07/28/2025 |
| Medicare PECOS PAC ID | 1850883513 |
|---|---|
| Medicare Enrollment ID | O20251120003649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942183991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 208M00000X | Hospitalist | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
| 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 | John H Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871562181 PECOS PAC ID: 8921038563 Enrollment ID: I20050815000183 |
| Provider Name | Damian H Sooklal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356338495 PECOS PAC ID: 5193738011 Enrollment ID: I20060719000159 |
| Provider Name | Jenny Marie Pruitt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528249133 PECOS PAC ID: 3173606365 Enrollment ID: I20080211000842 |
| Provider Name | Sharjeel Iqbal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417142159 PECOS PAC ID: 2163595968 Enrollment ID: I20080725000515 |
| Provider Name | Olusegun John |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174796130 PECOS PAC ID: 2062578164 Enrollment ID: I20090715000576 |
| Provider Name | Laila R Lalani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265591564 PECOS PAC ID: 9931295250 Enrollment ID: I20090730000450 |
| Provider Name | John Kweku Ampomah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275685166 PECOS PAC ID: 9537268297 Enrollment ID: I20100210000593 |
| Provider Name | Rohini Nathan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316130586 PECOS PAC ID: 0547394991 Enrollment ID: I20100820000135 |
| Provider Name | Dmitri Gagarin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114109089 PECOS PAC ID: 6608058672 Enrollment ID: I20111010000393 |
| Provider Name | Brian K Stiltner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356638076 PECOS PAC ID: 6507083912 Enrollment ID: I20140808000467 |
| Provider Name | Tolulope Mathias Olasunkanmi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558500447 PECOS PAC ID: 7012054695 Enrollment ID: I20140808001008 |
| Provider Name | Zeleke Desse Kassahun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477536811 PECOS PAC ID: 9830189935 Enrollment ID: I20151119001270 |
| Provider Name | Afton Deann Cope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396275558 PECOS PAC ID: 4789955030 Enrollment ID: I20170803003346 |
| Provider Name | Bertha Elvira Sanchez Valdivieso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356571236 PECOS PAC ID: 0042462947 Enrollment ID: I20171024003696 |
| Provider Name | Jeffrey Michael Manfredonia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487032157 PECOS PAC ID: 7315290202 Enrollment ID: I20181023000943 |
| Provider Name | Kevin Azzam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295140879 PECOS PAC ID: 1355694720 Enrollment ID: I20181101000803 |
| Provider Name | Fikre W Degefu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649402876 PECOS PAC ID: 3072764356 Enrollment ID: I20190529002656 |
| Provider Name | Michael Eugene Sutherland |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639442213 PECOS PAC ID: 7214988450 Enrollment ID: I20190909003642 |
| Provider Name | Bismark Asante |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134582646 PECOS PAC ID: 3476882143 Enrollment ID: I20190924001323 |
| Provider Name | Andrew Preston Widener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851875710 PECOS PAC ID: 0244662336 Enrollment ID: I20191111002090 |
| Provider Name | Emily Grace Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447895420 PECOS PAC ID: 9830525120 Enrollment ID: I20200205000323 |
| Provider Name | Ayan Novruzov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1245681196 PECOS PAC ID: 5294064291 Enrollment ID: I20200721003908 |
| Provider Name | Derek Wayne White |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619497294 PECOS PAC ID: 3375816135 Enrollment ID: I20200818002539 |
| Provider Name | Lena Manning |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1487184974 PECOS PAC ID: 2668745431 Enrollment ID: I20201008002536 |
| Provider Name | Christopher Byrd |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306100789 PECOS PAC ID: 6901115757 Enrollment ID: I20210209001634 |
| Provider Name | Laddie M Crisp |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184114175 PECOS PAC ID: 4789932203 Enrollment ID: I20211022000384 |
| Provider Name | Mohammad Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659891109 PECOS PAC ID: 3476824160 Enrollment ID: I20211124001756 |
| Provider Name | Andrew Jordan Rosenfeld |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740772359 PECOS PAC ID: 9032468160 Enrollment ID: I20220816001950 |
| Provider Name | Dakota John Robertson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972127413 PECOS PAC ID: 7214352749 Enrollment ID: I20230718001591 |
| Provider Name | Fnu Warsha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205445079 PECOS PAC ID: 0345602967 Enrollment ID: I20230815000647 |
| Provider Name | Makram Jurdi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124281894 PECOS PAC ID: 0648444521 Enrollment ID: I20240412000499 |
| Provider Name | Brianna Burchfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205571478 PECOS PAC ID: 1355725433 Enrollment ID: I20251024000259 |
| 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 |
| Provider Name | Chaker Dahan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003803412 PECOS PAC ID: 0840190823 Enrollment ID: I20260211003440 |
| Provider Name | Nhung P. Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316305766 PECOS PAC ID: 7517291602 Enrollment ID: I20260309001416 |
| Provider Name | Aaron M Doran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689201907 PECOS PAC ID: 5395169601 Enrollment ID: I20260624003498 |
Abingdon Family Practice PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 617 Campus Dr, Abingdon, VA 24210 Phone: 276-628-1186 Fax: 276-628-8507 |
Empowerme Medical Group, PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 860 Wolf Creek Trl, Abingdon, VA 24210 Phone: 877-367-9772 |
Med-peds Management LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 191 Johnson St Ne, Abingdon, VA 24210 Phone: 276-623-8105 Fax: 276-623-8109 |
Mountain Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 Abingdon Pl, Abingdon, VA 24211 Phone: 276-623-8133 Fax: 276-623-2471 |
Ballad Health Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16000 Johnston Memorial Dr, Fourth Floor, Abingdon, VA 24211 Phone: 276-258-4050 Fax: 276-258-4056 |
Msmg Infectious Disease Abg Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16000 Johnston Memorial Dr, Suite 313b, Abingdon, VA 24211 Phone: 276-258-3770 Fax: 276-258-3785 |