DR. JAYARATHNE KOTTAGE (NPI# 1043236284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043236284 |
| Entity Type | Individual |
| Full Name | DR. JAYARATHNE KOTTAGE |
| Credential | MD |
| Practice Address |
300 Park Hill Dr Fredericksburg VA 22401-3387 |
| Practice Telephone | 5403687405 |
| Practice Fax Number | 5403687599 |
| Mailing Telephone | 5403687300 |
| Mailing Fax Number | 5403687599 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2016-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101254569 | VA | Other Service Providers |
| N | 208100000X | Physical Medicine & Rehabilitation | 2004021469 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 209339001 | 05 |
| Street Address |
300 PARK HILL DR |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-3387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003807538 | Cornell Shelton | Physical Medicine & Rehabilitation | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2005-11-03 |
| 1538781232 | Stephanie Diane Miller | Occupational Therapist | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2020-05-15 |
| 1992327704 | Andrea Michelle Wysocki | Occupational Therapist | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2020-05-14 |
| 1194219022 | Emma Tamana | Nurse Practitioner | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2018-06-14 |
| 1467949214 | K.w. Graham, Md LLC | Physical Medicine & Rehabilitation | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2018-04-17 |
| 1548617616 | Metropolitan Health Care Providers, Inc. | Family Medicine | 300 Park Hill Dr, Healthsouth Rehabilitation, Fredericksburg, VA 22401 | 2016-05-18 |
| 1891187217 | Monica Fitzgerald | Physical Therapist | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2015-02-22 |
| 1780097808 | Akua Asabea Asare | Pharmacist | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2014-06-05 |
| 1104188317 | Jie Howe | Nurse Practitioner | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2012-06-13 |
| 1730460874 | Jing Britton | Nurse Practitioner | 300 Park Hill Dr, Fredericksburg, VA 22401-3387 | 2011-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427416270 | Comfort and Wellness Centers of Virginia, LLC | Specialist | 111 Olde Greenwich Dr Ste 102, Fredericksburg, VA 22408-4007 | 2016-02-08 |
| 1356626071 | Dante Tyler | Specialist | 10007 Jefferson Davis, Fredericksburg, VA 22407 | 2011-10-13 |
| 1215258074 | Regina Fay Rapelyea | Specialist | 138 Basalt Dr, Fredericksburg, VA 22406-7228 | 2010-06-16 |
| 1023343712 | William Hartland Iv | Specialist | 11147 Thornberry Ct, Fredericksburg, VA 22407-7685 | 2009-10-13 |
| 1043396682 | Geoffrey D Sloan | Specialist | 38 Chatham Heights Rd, Fredericksburg, VA 22405-2566 | 2006-10-27 |
| 1699881680 | Mohammed Alattar | Specialist | 521 Park Hill Drive, Fredericksburg, VA 22401 | 2006-08-22 |
| 1184691164 | Florence Rogers | Specialist | 359 Royal Oaks Loop, Fredericksburg, TX 78624 | 2006-03-08 |
| 1609868009 | Melville Garland Wright IIi | Specialist | 621 Jefferson Davis Hwy, Fredericksburg, VA 22401-4437 | 2005-08-22 |
| 1306842463 | Donald R Joiner | Specialist | 205 W Windcrest St, Ste 220, Fredericksburg, TX 78624-4478 | 2005-06-23 |
| 1144225756 | Jay S Stauffer | Specialist | 1009 S Milam St, Ste 4, Fredericksburg, TX 78624-4578 | 2005-06-20 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on DR. JAYARATHNE KOTTAGE.
| 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.