| Spotsylvania Multi-specialty Group, Llc | |
|
4604 Spotsylvania Parkway Suite 200 Fredericksburg VA 22408-7762 | |
| (540) 473-6600 | |
| Not Available |
| Full Name | Spotsylvania Multi-specialty Group, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4604 Spotsylvania Parkway, Fredericksburg, Virginia |
| Authorized Official Name and Position | Louis Joseph (VP) |
| Authorized Official Contact | 6153737630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spotsylvania Multi-specialty Group, Llc 2000 Health Park Dr Brentwood TN 37027-4692 Ph: (615) 373-7600 | Spotsylvania Multi-specialty Group, Llc 4604 Spotsylvania Parkway Suite 200 Fredericksburg VA 22408-7762 Ph: (540) 473-6600 |
| NPI Number | 1588980015 |
|---|---|
| Provider Enumeration Date | 04/08/2010 |
| Last Update Date | 01/02/2023 |
| Medicare PECOS PAC ID | 1153455514 |
|---|---|
| Medicare Enrollment ID | O20100820000298 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588980015 | NPI | - | NPPES |
| Provider Name | Veena N Vangani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508838731 PECOS PAC ID: 3375618721 Enrollment ID: I20080819000637 |
| Provider Name | Noma A Rehman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1366651093 PECOS PAC ID: 7012077787 Enrollment ID: I20081125000704 |
| Provider Name | Gloria E Galdamez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659565356 PECOS PAC ID: 7416094297 Enrollment ID: I20091027000851 |
| Provider Name | Henry S Wicker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548233703 PECOS PAC ID: 4880887975 Enrollment ID: I20101021000580 |
| Provider Name | Daniel P Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811166366 PECOS PAC ID: 6800922279 Enrollment ID: I20110412000741 |
| Provider Name | Heidi M Taft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679886659 PECOS PAC ID: 2860655818 Enrollment ID: I20120531000534 |
| Provider Name | Dara N King |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780850552 PECOS PAC ID: 5193899615 Enrollment ID: I20160823001918 |
| Provider Name | Jami L Castellucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700488087 PECOS PAC ID: 3072927136 Enrollment ID: I20210201001252 |
| Provider Name | Eric Lawrence Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1073584470 PECOS PAC ID: 5991850042 Enrollment ID: I20230829001787 |
| Provider Name | Luan Cong Tran |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619967650 PECOS PAC ID: 3072706407 Enrollment ID: I20231121003720 |
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