FAUQUIER HOSPITAL AUXILIARY (NPI# 1194378737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194378737 |
| Entity Type | Organization |
| Organization Name | FAUQUIER HOSPITAL AUXILIARY |
| Practice Address |
500 Hospital Dr The Care Boutique Warrenton VA 20186 |
| Practice Telephone | 5403164437 |
| Mailing Telephone | 5403164437 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| Authorized Official Name | DIANE MARIE VON GOELLNER-SUPPA (MANAGER) |
| Authorized Official Telephone | 5403164437 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224900000X | Mastectomy Fitter | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
500 HOSPITAL DR THE CARE BOUTIQUE |
| City | WARRENTON |
| State | VA |
| Zip Code | 20186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768400 | Jeffrey R Abrams | Hospitalist | 500 Hospital Dr, Warrenton, VA 20186-3027 | 2005-05-24 |
| 1669953519 | Amanda Dulevitz | Occupational Therapist | 500 Hospital Dr, Warrenton, VA 20186-3027 | 2018-08-28 |
| 1861987968 | Julie Maria Mcmahon | Physician Assistant | 500 Hospital Dr, Warrenton, VA 20186-3027 | 2018-06-30 |
| 1689187700 | Wasama Idlibi | Physician Assistant | 500 Hospital Dr, Warrenton, VA 20186-3027 | 2017-11-10 |
| 1548773898 | Maryann Savage | Nurse Practitioner | 500 Hospital Dr, Warrenton, VA 20186-3027 | 2017-11-08 |
| 1225558109 | Adfinitas Health At Fauquier, LLC | Hospitalist | 500 Hospital Dr, Warrenton, VA 20186-3027 | 2017-06-22 |
| 1528591674 | Tushaun Egbue | Nurse Practitioner | 500 Hospital Dr, Warrenton, VA 20186-3027 | 2017-04-05 |
| 1528513868 | Fauquier Critical Care Associates | Internal Medicine | 500 Hospital Dr, Warrenton, VA 20186-3027 | 2016-08-16 |
| 1912334517 | Fauquier Medical Center LLC | General Acute Care Hospital | 500 Hospital Dr, Warrenton, VA 20186-3027 | 2013-09-27 |
| 1093055477 | Christina Rinderle | Registered Nurse | 500 Hospital Dr, Warrenton, VA 20186-3027 | 2013-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639708704 | Melissa A. Griffith Crooks | Social Worker | In Luck Counseling, LLC, 92 Main Street, Warrenton, VA 20186 | 2020-04-02 |
| 1255757506 | Wecare Pharmacy LLC | Pharmacy | 516 Fletcher Dr, Warrenton, VA 20186 | 2014-03-11 |
| 1497031975 | Blue Ridge Orthopaedic Associates, PC | Physician Assistant | 52 W. Shirley Ave., Warrenton, VA 20186 | 2011-10-27 |
| 1215213939 | Bassim Mousa | Pharmacist | 276 Lee Hwy, Warrenton, VA 20186 | 2011-10-26 |
| 1770868721 | Denise Leanne Glasser | Pharmacist | 276 West Lee Highway, Warrenton, VA 20186 | 2011-10-20 |
| 1003117607 | Elizabeth A Lowell | Pharmacist | 189 Old Lee Hwy, Warrenton, VA 20186 | 2010-11-12 |
| 1396045688 | Suong Thu Nguyen | Pharmacist | 189 Lee Hwy, Warrenton, VA 20186 | 2010-11-02 |
| 1174830921 | Natalia Lueck | Counselor | 28 Ashby St Suite G101, Warrenton, VA 20186 | 2010-08-31 |
| 1568604742 | Harris Teeter, LLC | Pharmacy | 530 Fletcher Dr., Warrenton, VA 20186 | 2009-04-02 |
| 1396998480 | Act Family Program | Community/Behavioral Health | 39 Garrett Street, Suite 109, Warrenton, VA 20186 | 2008-11-03 |
| Find all providers in zip 20186 | ||||
| Taxonomy Code | 224900000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Mastectomy Fitter |
| An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134752892 | Michelle Bland | Mastectomy Fitter | 11533 Busy Street, Mailbox #307, N. Chesterfield, VA 23236 | 2020-02-20 |
| 1326338955 | Mikyung Mikeal | Mastectomy Fitter | 2170 Harpoon Dr, Stafford, VA 22554-2330 | 2011-04-16 |
| 1417052358 | Creative Images | Mastectomy Fitter | 4016 Raintree Rd, Suite 120a, Chesapeake, VA 23321 | 2006-09-14 |
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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.