| Selma Medical Assoc Inc | |
|
104 Selma Dr Winchester VA 22601-3834 | |
| (540) 678-2800 | |
| (540) 678-2849 |
| Full Name | Selma Medical Assoc Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 104 Selma Dr, Winchester, Virginia |
| Authorized Official Name and Position | Michael Borton (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5406782817 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Selma Medical Assoc Inc 104 Selma Dr Winchester VA 22601-3834 Ph: (540) 678-2800 | Selma Medical Assoc Inc 104 Selma Dr Winchester VA 22601-3834 Ph: (540) 678-2800 |
| NPI Number | 1144325721 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 07/07/2023 |
| Medicare PECOS PAC ID | 5092618611 |
|---|---|
| Medicare Enrollment ID | O20040130000637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144325721 | NPI | - | NPPES |
| Provider Name | Emad Maher Botros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528063070 PECOS PAC ID: 4880588623 Enrollment ID: I20040211001120 |
| Provider Name | Lisa C Rader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740245786 PECOS PAC ID: 2567425168 Enrollment ID: I20041104001051 |
| Provider Name | Samer F Hawari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245451178 PECOS PAC ID: 8123112935 Enrollment ID: I20070924000312 |
| Provider Name | Sharon P Peake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710977111 PECOS PAC ID: 0042389496 Enrollment ID: I20090619000429 |
| Provider Name | David C Flack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730384298 PECOS PAC ID: 0547313306 Enrollment ID: I20090728000190 |
| Provider Name | Philip J Odonnell |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871596924 PECOS PAC ID: 5799688214 Enrollment ID: I20100303001057 |
| Provider Name | Thomas Avery Gibbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427058023 PECOS PAC ID: 8224176029 Enrollment ID: I20100317000821 |
| Provider Name | Mark Galbraith |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1255336723 PECOS PAC ID: 0345143863 Enrollment ID: I20100318000207 |
| Provider Name | Norman E Snelgrove |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326027699 PECOS PAC ID: 2668375189 Enrollment ID: I20100319000373 |
| Provider Name | Jacqueline Judd Flack |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679764542 PECOS PAC ID: 7113041096 Enrollment ID: I20100830000354 |
| Provider Name | Wendy D Burner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932451622 PECOS PAC ID: 1153566971 Enrollment ID: I20130327000572 |
| Provider Name | Anna K Eirich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487974200 PECOS PAC ID: 4082858923 Enrollment ID: I20130917000020 |
| Provider Name | Tamela Catlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902199920 PECOS PAC ID: 6002130911 Enrollment ID: I20150126000945 |
| Provider Name | Janet Keim Luppino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447658356 PECOS PAC ID: 7911221627 Enrollment ID: I20150128000635 |
| Provider Name | Sam Waltos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154702868 PECOS PAC ID: 7012208044 Enrollment ID: I20190416002003 |
| Provider Name | Bradley J Birth |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790133999 PECOS PAC ID: 2668765553 Enrollment ID: I20190812000897 |
| Provider Name | Allison Hinson Wasser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699264523 PECOS PAC ID: 1658771100 Enrollment ID: I20210621001905 |
| Provider Name | Angela Amann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730890336 PECOS PAC ID: 8022487172 Enrollment ID: I20221212001549 |
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