DR. SHELLEY CRONIN SHORT (NPI# 1275502429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275502429 |
| Entity Type | Individual |
| Full Name | DR. SHELLEY CRONIN SHORT |
| Credential | MD |
| Practice Address |
3510 Anderson Hwy Ste A Powhatan VA 23139-5846 |
| Practice Telephone | 8045983100 |
| Practice Fax Number | 8045566526 |
| Mailing Telephone | 8045983100 |
| Mailing Fax Number | 8045982965 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2013-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101052979 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | DEA | BS5500524 | 01 |
| VA | BCBS(ANTHEM) | 112758 | 01 |
| VA | 005628105 | 05 | |
| VA | 1275502429 | 05 |
| Street Address |
3510 ANDERSON HWY STE A |
| City | POWHATAN |
| State | VA |
| Zip Code | 23139-5846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538604210 | Nicole Ashley Cole | Nurse Practitioner | 3510 Anderson Hwy Ste A, Powhatan, VA 23139-5846 | 2017-01-04 |
| 1184034035 | Kelley Mcquiddy Hilldrup | Family Medicine | 3510 Anderson Hwy Ste A, Powhatan, VA 23139-5846 | 2014-04-30 |
| 1902931074 | William Christopher Andrus | Physician Assistant | 3510 Anderson Hwy Ste A, Powhatan, VA 23139-5846 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932521432 | Robin M Duncan | Nurse Practitioner | 5809 Anderson Hwy, Powhatan, VA 23139 | 2014-01-17 |
| 1326302563 | Albert Gordon Pavalonis | Surgery | 1735 Calais Trail, Powhatan, VA 23139 | 2012-07-03 |
| 1306107461 | Scitest Laboratories Inc | Clinical Medical Laboratory | 1551 Oakbridge Drive, Suite A, Powhatan, VA 23139 | 2012-06-06 |
| 1528365459 | Stephen Siewers Johnson | Social Worker | 1480 Oakbridge Ct., Powhatan, VA 23139 | 2011-02-11 |
| 1609004571 | Tidewater Physical Therapy, LLC | Occupational Therapist | 3510 Anderson Hwy, Suite 2, Powhatan, VA 23139 | 2009-06-30 |
| 1699912816 | Powhatan Gentle Dentistry | Health Maintenance Organization | 2105 Academy Road, Suite J, Powhatan, VA 23139 | 2009-01-09 |
| 1902932387 | Mary Therese Shepperson | Pharmacist | 1800 South Creek One Suite L, Powhatan, VA 23139 | 2007-02-27 |
| 1841383627 | Ernest Tracy Spaur | Dentist | 3852 Old Buckingham Rd, Powhatan, VA 23139 | 2006-10-02 |
| 1700987419 | Alpha Counseling Asso Pllc | Social Worker | 2142 Plainview Center, Powhatan, VA 23139 | 2006-09-26 |
| 1073565289 | Barbara M. Prillaman | Family Medicine | 3510-a Anderson Hwy., Powhatan, VA 23139 | 2006-05-16 |
| Find all providers in zip 23139 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013538057 | Primecare Consulting and Management LLC | Family Medicine | 2615 Anderson Hwy Ste A, Powhatan, VA 23139-7400 | 2020-04-30 |
| 1861444176 | Jeffrey D Dodd | Family Medicine | 2891 Anderson Hwy, Powhatan, VA 23139-7406 | 2006-05-16 |
| 1073565289 | Barbara M. Prillaman | Family Medicine | 3510-a Anderson Hwy., Powhatan, VA 23139 | 2006-05-16 |
| 1427041656 | David Arend Duncan | Family Medicine | 2615 Anderson Hwy, Suite A, Powhatan, VA 23139-7400 | 2005-08-23 |
| 1811531312 | Jeffrey Dodd Md PC | Family Medicine | 2891 Anderson Hwy, Powhatan, VA 23139-7406 | 2019-10-29 |
| 1396157459 | Rockwell Physicians of Salisbury | Family Medicine | 2891 Anderson Hwy, Powhatan, VA 23139-7406 | 2014-05-23 |
| 1184034035 | Kelley Mcquiddy Hilldrup | Family Medicine | 3510 Anderson Hwy Ste A, Powhatan, VA 23139-5846 | 2014-04-30 |
| 1134481708 | Latisha C Murray | Family Medicine | 3452 Anderson Hwy, Suite D, Powhatan, VA 23139-5845 | 2012-06-11 |
| 1578708889 | Bon Secours-virginia Healthsource | Family Medicine | 3452 Anderson Hwy, Suite D, Powhatan, VA 23139 | 2008-12-16 |
| 1831129840 | Alicia N. Cress | Family Medicine | 3452 Anderson Hwy, Suite D, Powhatan, VA 23139-5845 | 2006-07-04 |
| Find all providers in POWHATAN | ||||
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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.