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Health Care Providers in Woodlawn, Virginia

Organization, NamePractice AddressPractice Phone  TaxonomyNPI
Bobbitt, Timothy D OD2851 Carrollton Pike  A2    Woodlawn  VA 24381-3637276-238-9977152W00000X1912031857
MEDICARE UPIN VA : U78498
Clarke, Dr. Kathy L MD5261 Carrollton Pike  Suite B    Woodlawn  VA 24381-3030276-238-8876207Q00000X1972502938
MEDICAID VA : 1972502938 || OTHER GROUP ORGANIZATION PTAN : C10361 || OTHER GROUP PTAN : DN2980 || MEDICARE UPIN : G93441 || OTHER VA LC : 0101102706 || OTHER TAX ID : 261083931 || OTHER VA DEA : FC1573600
Cobler, Michael A LPC3545 Carrollton Pike      Woodlawn  VA 24381-3651276-728-9184101YM0800X1467416065
OTHER VA ANTHEM : 385274
Culler, Mr. Michael Dean PA5261 Carrollton Pike  Suite B    Woodlawn  VA 24381-3030276-238-8876363AM0700X1053424598
OTHER VA GROUP PTAN : DN2980 || OTHER TAX ID : 261083931 || OTHER NC MEDICARE : 2760137 || MEDICAID NC : 1053424598 || OTHER NC BCBS NC : 153YK || MEDICAID VA : 1053424598 || OTHER VA PTAN : P01130746
Curtis, Mrs. Lisa Elmore MS, APRN, BC5261 Carrollton Pike  Suite B    Woodlawn  VA 24381-3030276-238-8876363LF0000X1649239021
OTHER GROUP ORGANIZATION PTAN : C10361 || OTHER TAX ID : 261083931 || OTHER VA PTAN : VV9714A || OTHER GROUP PTAN : DN2980 || MEDICAID VA : 1649239021
Dameron, Lisa FNP5261 Carrollton Pike  Suite B    Woodlawn  VA 24381-3030276-238-8876163W00000X1952648123
OTHER TAX ID : 261083931 || OTHER GROUP PTAN : DN2980 || MEDICAID VA : 1952648123 || OTHER VA PTAN : VV8951A
Fant, Dr. Vanessa Jean Sturgill MD5261 Carrollton Pike  Suite B    Woodlawn  VA 24381-3030276-238-8876207Q00000X1225013428
MEDICAID VA : 010001099 || MEDICARE PIN : 002092C87 || MEDICARE ID : 002093C63 || MEDICARE PIN : 002091C86 || MEDICARE UPIN : H89228 || MEDICAID VA : 10001129 || MEDICAID VA : 010001137
Forry, Mrs. Beverly D PA-C5261 Carrollton Pike Ste B      Woodlawn  VA 24381-3034276-238-8876363A00000X1568732741
OTHER VA VA LICENSE : 0110003783
Fox, Mr. Mark William MSN FNP-C5261 Carrollton Pike  Suite C    Woodlawn  VA 24381276-238-0911363LF0000X1316271620
Garland, Jeffrey Scott 5261 Carrollton Pike  Suite B    Woodlawn  VA 24381-3030276-238-8876207R00000X1306878756
MEDICARE UPIN : H86782 || MEDICAID WI : 34388400 || MEDICAID VA : 1306878756 || OTHER TAX ID : 261083931 || MEDICAID MN : 070997200 || OTHER GROUP PTAN : DN2980 || OTHER PTAN : P00977738 || OTHER GROUP PTAN : C10361 || MEDICARE ID MN : 110009144
Goad, Dr. Bradley J DO5261 Carrollton Pike  Suite B    Woodlawn  VA 24381-3030276-238-8876207R00000X1285617241
MEDICAID VA : 1285617241 || MEDICARE UPIN : H69219 || MEDICARE PIN VA : 00X5756M01 || MEDICARE PIN NC : 2401635
Hayek, Craig S MD5261 Carrollton Pike  Suite B    Woodlawn  VA 24381-3030276-238-8876207Q00000X1720053358
OTHER GROUP ORGANIZATION PTAN : C10361 || MEDICARE PIN VA : VV3653A - C03895 || OTHER VA TAX ID : 261083931 || OTHER VA MID ATLANTIC SOLUTIONS : 541595397 || MEDICARE UPIN VA : G89063 || OTHER GROUP PTAN : DN2980
Hensley, Mrs. Cassidy FNP-BC5261 Carrollton Pike  Suite B    Woodlawn  VA 24381-3030276-238-8876363LF0000X1124443957
MEDICAID VA : 1124443957 || OTHER TAX ID : 261083931 || OTHER VA PTAN : VVD228B667 || OTHER GROUP PTAN : DN2980 || OTHER GROUP ORGANIZATION PTAN : C10361
Holderfield, Mrs. Kelly FNP5261 Carrollton Pike  Suite C    Woodlawn  VA 24381-3034276-238-0911363LF0000X1538527817
OTHER VA AUTHORIZATION TO PRESCRIBE : 0017142656 || OTHER VA FNP LICENSE : 0024173248
Hull, Virginia PA5261 Carrollton Pike  Suite B    Woodlawn  VA 24381-3030276-238-8876363A00000X1013347392
MEDICAID VA : 1013347392 || OTHER GROUP ORGANIZATION PTAN : C10361 || OTHER VA PTAN : P01260765 || OTHER GROUP PTAN : DN2980 || OTHER TAX ID : 261083931
Jitaru, Amaris Irina MD5261 Carrollton Pike      Woodlawn  VA 24381-3034276-238-8876207Q00000X1275830796
OTHER MI ST LIC : 4301097847 || OTHER VA VA LICENSE : 0101255606
Krenkel, Carolyn Louise NP5261 Carrollton Pike  Suite B    Woodlawn  VA 24381-3030276-238-8876363L00000X1295700698
MEDICARE PIN TX : 8L14303 || MEDICARE PIN TX : 8L6920 || OTHER TAX ID : 261083931 || MEDICAID VA : 1295700698 || OTHER PTAN : Q52983 || OTHER GROUP ORGANIZATION PTAN : C10361 || MEDICARE PIN TX : 8L14304 || OTHER GROUP PTAN : DN2980 || MEDICARE UPIN : Q52983
Larue, Laura E RN FNP-BC DNP22 Training Center Rd      Woodlawn  VA 24381-3518276-728-5334363LF0000X1619925203
MEDICARE UPIN : S23664 || MEDICAID VA : 010253934
Lineberry, Dr. Bradley Joseph DPT2851 Carrollton Pike Ste A3      Woodlawn  VA 24381-3664276-266-3149225100000X1659469922
MEDICAID WV : 3810005039 || MEDICARE ID WV CMS : LI2027341 || OTHER WV CARELINK : 425678 || OTHER WV MT. ST. BC/BS : 001834986
Marshall, Nancy Ann FNP5261 Carrollton Pike  Suite B    Woodlawn  VA 24381-3030276-238-8876363LF0000X1033461579
OTHER VA PTAN : P01141245 || MEDICAID VA : 1033461579 || OTHER TAX ID : 261083931 || OTHER VA GROUP PTAN : DN2980
Mcqueen, Kelly G DO5261 Carrollton Pike Ste B      Woodlawn  VA 24381-3030276-238-8876207Q00000X1306807979
OTHER GROUP ORGANIZATIONAL PTAN : C10361 || OTHER GROUP PTAN : DN2980 || MEDICAID TN : 1509015 || MEDICARE PIN TN : 103I126291 || OTHER VA TAX ID : 261083931
Roy, Mrs. Holly Hullett PA-C5261 Carrollton Pike  Suite B    Woodlawn  VA 24381-3030276-238-8876363A00000X1972874394
OTHER GROUP ORGANIZATION PTAN : C10361 || OTHER TAX ID : 261083931 || OTHER VA PTAN : P01320687 || MEDICAID VA : 1972874394 || OTHER GROUP PTAN : DN2980
Sheets, Tina Lane LPC641 Carrollwood Dr      Woodlawn  VA 24381-3539276-728-2070101YP2500X1538403910
Teaters, Dr. Charles Houston O.D.2851 Carrollton Pike  Suite A-1    Woodlawn  VA 24381-3668276-236-0400152W00000X1053416040
MEDICAID VA : PENDING || MEDICARE UPIN VA : U79343 || MEDICARE ID VA : PENDING
Thompson, Mr. Lee Adam PA-C5261 Carrollton Pike  Suite B    Woodlawn  VA 24381-3030276-238-8876363A00000X1104800978
MEDICAID VA : 8926140 || MEDICARE PIN : 970000376 || MEDICARE PIN : 003015C63 || MEDICARE PIN : 000407C87 || MEDICARE UPIN : S86766 || MEDICARE PIN VA : 003015C63 || MEDICARE ID : 970000376 || MEDICAID VA : 8926158
Vaughn, Farrah FNP5261 Carrollton Pike  Suite C    Woodlawn  VA 24381-3034276-238-0911363LF0000X1881146694
OTHER VA LICENSED NURSE PRACTITIONER : 0024174094 || OTHER VA AUTHORIZATION TO PRESCRIBE : 0017143338
Ward, William MD5261 Carrollton Pike  Suite B    Woodlawn  VA 24381-3030276-238-8876207Q00000X1740252998
OTHER GROUP PTAN : DN2980 || OTHER TAX ID : 261083931 || OTHER GROUP ORGANIZATION PTAN : C10361 || MEDICARE UPIN VA : B09449
West, Charles W 2851 Carrollton Pike      Woodlawn  VA 24381-3637276-238-1000156FX1800X1760504575
Willis, Deborah M.D.5261 Carrollton Pike Ste B      Woodlawn  VA 24381-3030276-238-8876207R00000X1508833286
OTHER GROUP ORGANIZATION PTAN : C10361 || OTHER GROUP PTAN : DN2980 || MEDICAID MS : 01955299 || MEDICARE ID MS : 110001930 || OTHER TAX ID : 26-1083931 || MEDICARE UPIN MS : C28545
Wood, Jamie FNP5261 Carrollton Pike  Suite B    Woodlawn  VA 24381-3030276-238-8876363LF0000X1184063315
OTHER GROUP ORGANIZATION PTAN : C10361 || MEDICAID VA : 1184063315 || OTHER VA AANPCP : F0513258 || OTHER GROUP PTAN : DN2980 || OTHER VA PTAN : P01210662 || OTHER VA PTAN : VVA711A || OTHER TAX ID : 261083931
Worrell, Dr. Dan Carlton M.D.22 Training Center Rd      Woodlawn  VA 24381-3518276-728-5334207Q00000X1215925961
MEDICARE UPIN VA : C 87289 || MEDICAID VA : 010250161 || MEDICARE PIN VA : 00W801F01


HEALTH CARE JOBS VA - Page 1

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