MARY WASHINGTON HEALTHCARE PHYSICIANS (NPI# 1154883924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154883924 |
| Entity Type | Organization |
| Organization Name | MARY WASHINGTON HEALTHCARE PHYSICIANS |
| Practice Address |
3310 Fall Hill Ave Fredericksburg VA 22401-3000 |
| Mailing Address |
2300 Fall Hill Ave Ste 509 Fredericksburg VA 22401-3343 |
| Practice Telephone | 5403734602 |
| Practice Fax Number | 5403100100 |
| Mailing Telephone | 5407412277 |
| Mailing Fax Number | 5407411029 |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |
| Authorized Official Name | MR. SEAN T. BARDEN (EVP & CFO) |
| Authorized Official Telephone | 5407411494 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Mary Washington Orthopedics in affiliation with FOA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437713484 | Mary Washington Healthcare Physicians | Durable Medical Equipment & Medical Supplies | 4710 Spotsylvania Pkwy Ste 201, Fredericksburg, VA 22407-9433 | 2019-04-25 |
| 1063974830 | Mary Washington Healthcare Physicians | Durable Medical Equipment & Medical Supplies | 4710 Spotsylvania Pkwy Ste 101, Fredericksburg, VA 22407-9433 | 2019-04-02 |
| 1972167922 | Mary Washington Healthcare Physicians | Durable Medical Equipment & Medical Supplies | 2549 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2019-04-25 |
| 1770045544 | Mary Washington Healthcare Physicians | Durable Medical Equipment & Medical Supplies | 90 Greenspring Dr, Stafford, VA 22554-1752 | 2019-04-02 |
| 1518242361 | Mary Washington Healthcare Physicians | Neurological Surgery | 1101 Sam Perry Blvd, Suite 314, Fredericksburg, VA 22401-4467 | 2011-10-12 |
| 1295999852 | Mary Washington Healthcare Physicians | Family Medicine | 2300 Fall Hill Ave, Suite 512, Fredericksburg, VA 22401-3342 | 2008-07-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Mary Washington Healthcare Physicians | 2300 Fall Hill Ave Ste 509, Fredericksburg, Virginia 22401-3343 |
| Street Address |
3310 FALL HILL AVE |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-3000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063407161 | Meredith Gray Chappell | Physician Assistant | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2005-09-14 |
| 1619521861 | Kim Waters | Physician Assistant | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2019-07-26 |
| 1023661758 | Morgan Wood | Physical Therapy Assistant | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2019-07-22 |
| 1982180394 | Sarah B Shaw | Physical Therapy Assistant | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2018-07-18 |
| 1902392350 | Amy Morgan Vardeman | Physician Assistant | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2018-07-09 |
| 1649782491 | Shay Vestal | Physical Therapist | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2017-11-02 |
| 1962929067 | Brett Timothy Carroll | Physical Therapy Assistant | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2017-08-29 |
| 1023560489 | Julie Saraceno | Physical Therapy Assistant | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2016-11-01 |
| 1427402049 | Sharon Walker | Physical Therapy Assistant | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2016-04-20 |
| 1477912590 | Sara Myers | Physical Therapy Assistant | 3310 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2016-02-17 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437713484 | Mary Washington Healthcare Physicians | Durable Medical Equipment & Medical Supplies | 4710 Spotsylvania Pkwy Ste 201, Fredericksburg, VA 22407-9433 | 2019-04-25 |
| 1063974830 | Mary Washington Healthcare Physicians | Durable Medical Equipment & Medical Supplies | 4710 Spotsylvania Pkwy Ste 101, Fredericksburg, VA 22407-9433 | 2019-04-02 |
| 1194200683 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 501 Westwood Office Park, Fredericksburg, VA 22401-5111 | 2018-10-01 |
| 1376039065 | Virginia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 6010 Plank Rd, Fredericksburg, VA 22407 | 2018-07-05 |
| 1609370246 | The Pediatric Connection, Inc. | Durable Medical Equipment & Medical Supplies | 11047 Pierson Drive, Suite N, Fredericksburg, VA 22408-2062 | 2018-03-20 |
| 1154823615 | Publix North Carolina Lp | Durable Medical Equipment & Medical Supplies | 9601 Jefferson Davis Hwy, Fredericksburg, VA 22407-9407 | 2018-03-01 |
| 1578062782 | Live Life Therapy Inc | Durable Medical Equipment & Medical Supplies | 10311 Lees Crossing Ln, Fredericksburg, VA 22408-0290 | 2018-02-03 |
| 1790230381 | Comfort Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 1273 Central Park Blvd, Fredericksburg, VA 22401-4912 | 2016-08-24 |
| 1144678400 | Steven Bowling | Durable Medical Equipment & Medical Supplies | 68 Rainwater Ln, Fredericksburg, VA 22406-4740 | 2016-05-27 |
| 1417355066 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4543 Empire Ct, Fredericksburg, VA 22408 | 2014-12-15 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on MARY WASHINGTON HEALTHCARE PHYSICIANS.
| 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.