DR. GERALD W. DEWITT (NPI# 1003861360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003861360 |
| Entity Type | Individual |
| Full Name | DR. GERALD W. DEWITT |
| Credential | M.D. |
| Practice Address |
4038 Thomas Nelson Hwy Arrington VA 22922 |
| Practice Telephone | 4342634000 |
| Practice Fax Number | 4342634160 |
| Mailing Telephone | 4342634000 |
| Mailing Fax Number | 4342634160 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2014-05-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 0101019845 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MID ATLANTIC HEALTH SOLUT | 54-1778786 | 01 | |
| CHAMPUS/TRICARE | 54-1778786-032 | 01 | |
| UNITED HEALTHCARE | 12-00465 | 01 | |
| FIRST HEALTH/MAIL HANDLER | 54-1778786 | 01 | |
| VA PREMIERE HELTH PLAN | 010123879 | 01 | |
| AETNA HMO | 2177792 | 01 | |
| MAMSI/MDIPA | 8128043 | 01 | |
| CIGNA | 1485127009 | 01 | |
| SOUTHERN HEALTH | 249647 | 01 | |
| AETNA TRADITIONAL | 4305649 | 01 | |
| CCN | 54-1778786 | 01 | |
| PHCS | 54-1778786 | 01 | |
| ANTHEM | 154019 | 01 | |
| VA | 010123879 | 05 | |
| SENTARA/OPTIMA | 53854 | 01 | |
| VA HEALTH NETWORK | 54-1778786 | 01 |
| Street Address |
4038 THOMAS NELSON HWY |
| City | ARRINGTON |
| State | VA |
| Zip Code | 22922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073595666 | Rebecca B Young | Family Medicine | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2005-11-18 |
| 1013566223 | Melissa Bond | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2019-09-10 |
| 1114574100 | Kelley Marie Mayberry | Dentist | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2019-08-23 |
| 1104489111 | Michelle Rae Blair | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2019-04-16 |
| 1386121531 | Danielle Petrosky Free | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-07-20 |
| 1942795307 | Richard Dixon Sykes | Dentist | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-06-28 |
| 1538666912 | Kathryn Leslee Phillips | Dietitian, Registered | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-04-11 |
| 1770091787 | Marianne Teresa Russell | Family Medicine | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2018-01-12 |
| 1023565132 | Benjamin Elliott Nissley | Nurse Practitioner | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2016-09-07 |
| 1730559329 | Blue Ridge Medical Center | Pharmacy | 4038 Thomas Nelson Hwy, Arrington, VA 22922-2302 | 2015-09-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679580922 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 4038 Thomas Nelson Highway, Arrington, VA 22922 | 2006-08-01 |
| 1144389818 | Julie S Setliff | Pharmacist | 4038 Thomas Nelson Highway, Arrington, VA 22922 | 2006-12-08 |
| 1215915814 | Benjamin Timothy Brown | Family Medicine | 4038 Thomas Nelson Hwy., Blue Ridge Health Center, Inc., Arrington, VA 22922-2302 | 2006-01-04 |
| 1346755162 | April Aldridge | Speech-Language Pathologist | 5198 Thomas Nelson Hwy, Arrington, VA 22922-2637 | 2017-12-04 |
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183303 | Charles Eshel Stith IIi | Pediatrics | 317 Middle Oaks Dr, Chesapeake, VA 23322-7502 | 2020-11-01 |
| 1962002717 | Caylee Cook | Pediatrics | 9900 Independence Park Dr Ste 100, Richmond, VA 23233-1473 | 2020-10-30 |
| 1659978039 | Jessica N Johnson | Pediatrics | 4078 Country Club Rd, Brodnax, VA 23920-3404 | 2020-10-08 |
| 1053921627 | Acorn Pediatrics, Inc | Pediatrics | 2610-b Gaskins Road, Henrico, VA 23238 | 2020-08-07 |
| 1134738602 | Lolita Lopez | Pediatrics | 43547 Freeport Pl, Sterling, VA 20166-2160 | 2020-07-30 |
| 1184252330 | Arlene Marie Lorica | Pediatrics | 7902 Tysons One Pl Unit 2613, Mc Lean, VA 22102-5239 | 2020-03-31 |
| 1508493883 | Katie Marie Davis | Pediatrics | 5807 Fox Briar Way, Midlothian, VA 23112-6364 | 2020-03-25 |
| 1649817636 | Susan Jane Argyle | Pediatrics | 7501 Little River Tpke Ste 202, Annandale, VA 22003-2923 | 2019-12-09 |
| 1003477621 | Deborah Williams Ward | Pediatrics | 1810 Plain View Rd, Henrico, VA 23238-4152 | 2019-06-25 |
| 1467012120 | Keith Henry | Pediatrics | 23458 Cool Water Dr, Ruther Glen, VA 22546-3325 | 2019-06-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.