| Primedoc Of Richmond Pc | |
|
8260 Atlee Rd Mechanicsville VA 23116-1844 | |
| (843) 237-3378 | |
| (843) 237-5073 |
| Full Name | Primedoc Of Richmond Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8260 Atlee Rd, Mechanicsville, Virginia |
| Authorized Official Name and Position | Robert Reynolds (PRESIDENT) |
| Authorized Official Contact | 8432373378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primedoc Of Richmond Pc Po Box 60446 Charlotte NC 28260-0446 Ph: (843) 237-3378 | Primedoc Of Richmond Pc 8260 Atlee Rd Mechanicsville VA 23116-1844 Ph: (843) 237-3378 |
| NPI Number | 1114983632 |
|---|---|
| Provider Enumeration Date | 04/24/2006 |
| Last Update Date | 03/16/2009 |
| Medicare PECOS PAC ID | 6305833823 |
|---|---|
| Medicare Enrollment ID | O20040427001417 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114983632 | NPI | - | NPPES |
| 136990 | Other | VA | BLUE CROSS BLUE SHIELD |
| DA9725 | Other | VA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Calina B Zerate |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730170416 PECOS PAC ID: 7012909559 Enrollment ID: I20040402000317 |
| Provider Name | Amjad Mughal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790862746 PECOS PAC ID: 0244227981 Enrollment ID: I20040426001925 |
| Provider Name | Hyunsun D Ko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952312258 PECOS PAC ID: 6901885615 Enrollment ID: I20040716000200 |
| Provider Name | Waleed Waseem Siddiqi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538124771 PECOS PAC ID: 8729068465 Enrollment ID: I20040722000944 |
| Provider Name | Adam K Gelrud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982676276 PECOS PAC ID: 0840270435 Enrollment ID: I20040723000444 |
| Provider Name | Joseph L Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922070515 PECOS PAC ID: 2163492547 Enrollment ID: I20040731000276 |
| Provider Name | Nsekenene Kolongo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487685301 PECOS PAC ID: 0941277263 Enrollment ID: I20040915000436 |
| Provider Name | Stanley B Czajkowski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902878507 PECOS PAC ID: 3173417631 Enrollment ID: I20041117000058 |
| Provider Name | Hasan M Yousuf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225068968 PECOS PAC ID: 4284686510 Enrollment ID: I20050808001246 |
| Provider Name | William P Ciesla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265526578 PECOS PAC ID: 3476572439 Enrollment ID: I20051118000283 |
| Provider Name | Shaun A Spadafora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497732143 PECOS PAC ID: 4587684808 Enrollment ID: I20051201000636 |
| Provider Name | Sami Haq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760416929 PECOS PAC ID: 2567485352 Enrollment ID: I20060106000683 |
| Provider Name | Thomas Kim |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124088364 PECOS PAC ID: 5193739621 Enrollment ID: I20060203000228 |
| Provider Name | Michael E Murphy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639186992 PECOS PAC ID: 5991702094 Enrollment ID: I20061102000579 |
| Provider Name | William R Johnson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497720320 PECOS PAC ID: 6800898677 Enrollment ID: I20070207000262 |
| Provider Name | Khoi B Do |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992913636 PECOS PAC ID: 9436242922 Enrollment ID: I20070829000265 |
| Provider Name | Imran Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689889511 PECOS PAC ID: 1355434911 Enrollment ID: I20070912000677 |
| Provider Name | Maria Doubrovskaia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760601306 PECOS PAC ID: 9830285592 Enrollment ID: I20071011000412 |
| Provider Name | Sheron T Wyatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245422351 PECOS PAC ID: 0345323283 Enrollment ID: I20080214000576 |
| Provider Name | Kyong Un Chong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023225059 PECOS PAC ID: 6002975224 Enrollment ID: I20081103000592 |
| Provider Name | Erika N Walker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063669364 PECOS PAC ID: 0042360653 Enrollment ID: I20090602000427 |
| Provider Name | Ann Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275750804 PECOS PAC ID: 8325144363 Enrollment ID: I20090615000369 |
| Provider Name | Yared Terefe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811104425 PECOS PAC ID: 3072680594 Enrollment ID: I20090727000631 |
| Provider Name | Rahel T Amare |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982618211 PECOS PAC ID: 8325134653 Enrollment ID: I20091210000137 |
| Provider Name | Carlos J Mencias Vera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215110283 PECOS PAC ID: 4688716657 Enrollment ID: I20100128000939 |
| Provider Name | Lubna Rana |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023133469 PECOS PAC ID: 2466553789 Enrollment ID: I20100726000747 |
| Provider Name | Kari Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003965021 PECOS PAC ID: 4587637632 Enrollment ID: I20101014000746 |
| Provider Name | Usha Kiran Yenigalla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457518268 PECOS PAC ID: 7315129251 Enrollment ID: I20110314000499 |
| Provider Name | Parishram B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992940977 PECOS PAC ID: 6002093671 Enrollment ID: I20110608000000 |
| Provider Name | Warit Jithpratuck |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942462924 PECOS PAC ID: 0840468146 Enrollment ID: I20110712000276 |
| Provider Name | Mushtaq Anis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417112855 PECOS PAC ID: 3971773029 Enrollment ID: I20110826000470 |
| Provider Name | Vidya Nagamangala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720241128 PECOS PAC ID: 7719157577 Enrollment ID: I20110902000568 |
| Provider Name | Srivani Angadala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952559460 PECOS PAC ID: 9436321130 Enrollment ID: I20110930000076 |
| Provider Name | Narayan Bhetwal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841418506 PECOS PAC ID: 9032205042 Enrollment ID: I20111206000522 |
| Provider Name | Patricia L Schmitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578668398 PECOS PAC ID: 9739134966 Enrollment ID: I20120206000029 |
| Provider Name | Jayne Hee Lee |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740444751 PECOS PAC ID: 5698842094 Enrollment ID: I20120626000403 |
| Provider Name | Jon-erik Houser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659513075 PECOS PAC ID: 0042467334 Enrollment ID: I20120821000687 |
| Provider Name | Chanda Yaqub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740596469 PECOS PAC ID: 3577759208 Enrollment ID: I20130409000300 |
| Provider Name | Sam C Rodd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134138548 PECOS PAC ID: 0446485320 Enrollment ID: I20131030001886 |
| Provider Name | Sampada Roy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780844498 PECOS PAC ID: 7618103920 Enrollment ID: I20131114001900 |
| Provider Name | Wondwossen Y Dererie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760793897 PECOS PAC ID: 4981831328 Enrollment ID: I20131211000356 |
| Provider Name | Nir Horev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366860967 PECOS PAC ID: 0345469458 Enrollment ID: I20140922001393 |
| Provider Name | Nelson Enor Airewele |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740546944 PECOS PAC ID: 8022331479 Enrollment ID: I20141216001818 |
| Provider Name | Tewodros B Teferra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700170552 PECOS PAC ID: 2668693060 Enrollment ID: I20141222002482 |
| Provider Name | Vijai Bhola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073742409 PECOS PAC ID: 4789908526 Enrollment ID: I20150127000029 |
| Provider Name | Navdeep Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508098104 PECOS PAC ID: 3375770464 Enrollment ID: I20151210002257 |
| Provider Name | Christopher Oti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124066535 PECOS PAC ID: 4082679915 Enrollment ID: I20160927003017 |
| Provider Name | Kanika Varma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801237904 PECOS PAC ID: 8628377306 Enrollment ID: I20161007001331 |
| Provider Name | Uyen V Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124360995 PECOS PAC ID: 4789972530 Enrollment ID: I20161011000188 |
| Provider Name | Esteban Antonio Marquez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851352819 PECOS PAC ID: 7315943131 Enrollment ID: I20161026000690 |
The Bon Secours Program For Diabetes Health - Memorial Regional Medica Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8220 Meadowbridge Rd Ste 203, Mechanicsville, VA 23116 Phone: 804-764-7885 Fax: 804-559-6185 | |
Peter L. Goodman, M. D.,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8220 Meadowbridge Rd, Suite 301, Mechanicsville, VA 23116 Phone: 804-559-0423 Fax: 804-559-1260 | |
Bon Secours Primary Care Associates - Mechanicsville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7041 Lee Park Rd, Mechanicsville, VA 23111 Phone: 804-746-3505 Fax: 804-730-8038 | |
Atlantic Knee Restoration & Regenerative Medicine - Richmond Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7481 Right Flank Rd Ste 100, Mechanicsville, VA 23116 Phone: 256-302-2228 | |
Orthovirginia, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8200 Meadowbridge Road, Suite 100, Mechanicsville, VA 23116 Phone: 804-730-2121 Fax: 804-730-0563 | |
Richmond Diabetes And Endocrinology - Bon Secours Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8266 Atlee Rd Ste 332, Mechanicsville, VA 23116 Phone: 804-764-7686 Fax: 804-764-7689 |