MATERNAL FETAL MEDICINE OF FREDERICKSBURG, PLLC (NPI# 1407885296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407885296 |
| Entity Type | Organization |
| Organization Name | MATERNAL FETAL MEDICINE OF FREDERICKSBURG, PLLC |
| Practice Address |
1101 Sam Perry Blvd Suite 319 Fredericksburg VA 22401-4467 |
| Practice Telephone | 5407413260 |
| Practice Fax Number | 5407413261 |
| Mailing Telephone | 5407413260 |
| Mailing Fax Number | 5407413261 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM HOLLS III (PHYSICIAN) |
| Authorized Official Telephone | 5407413260 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
0101034798 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1101 SAM PERRY BLVD SUITE 319 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-4467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301806 | Stephanie M Strazinsky | Physician Assistant | 1101 Sam Perry Blvd, Suite 207, Fredericksburg, VA 22401-4467 | 2005-07-21 |
| 1144843095 | Paul James Kinkead | Physician Assistant | 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 | 2020-05-27 |
| 1386282176 | Ashley Michelle Baker | Advanced Practice Midwife | 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 | 2019-12-12 |
| 1831735323 | Charles D Valiani | Pharmacist | 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 | 2019-11-20 |
| 1376094557 | Cheryl Denise Corey | Nurse Practitioner | 1101 Sam Perry Blvd, Suite 207, Fredericksburg, VA 22401-4467 | 2016-10-21 |
| 1306291646 | Paige Lynch | Nurse Practitioner | 1101 Sam Perry Blvd, Suite 219, Fredericksburg, VA 22401-4465 | 2016-04-23 |
| 1033577390 | Sarah Vitaletti | Nurse Practitioner | 1101 Sam Perry Blvd, Suite 211, Fredericksburg, VA 22401-4467 | 2016-02-02 |
| 1497129134 | Lauren Backy | Nurse Practitioner | 1101 Sam Perry Blvd, Suite 401, Fredericksburg, VA 22401-4467 | 2015-11-18 |
| 1679998116 | Jared Kachurak | Physician Assistant | 1101 Sam Perry Blvd, Suite 211, Fredericksburg, VA 22401-4467 | 2014-02-20 |
| 1952742660 | Kimberly Beth Gordon | Physician Assistant | 1101 Sam Perry Blvd, Tompkins Martin Medical Plaza Suite 221, Fredericksburg, VA 22401-4467 | 2013-07-10 |
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| 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 | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104058718 | Pushpinder Dhillon | Obstetrics & Gynecology | 412 Cambridge Street, Fredericksburg, VA 22405-1455 | 2009-08-14 |
| 1851365225 | Maurice Kieth Eggleston Jr. | Obstetrics & Gynecology | 1300 Hospital Dr Ste 200, Fredericksburg, VA 22401-8451 | 2006-02-14 |
| 1285063461 | Maternal Fetal Specialists PC | Obstetrics & Gynecology | 412 Cambridge Street, Fredericksburg, VA 22405-1455 | 2013-11-07 |
| 1154527828 | Maternal Fetal Medicine of Central Virginia LLC | Obstetrics & Gynecology | 1101 Sam Perry Blvd, Suite 319, Fredericksburg, VA 22401-4467 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447760186 | Loudoun Medical Group, P.C. | Obstetrics & Gynecology | 10400 Eaton Pl Ste 430, Fairfax, VA 22030-2208 | 2017-10-09 |
| 1679728273 | Samer Said Cheaib | Obstetrics & Gynecology | 2400 S Glebe Rd Apt 620, Arlington, VA 22206-2550 | 2008-11-24 |
| 1184874778 | Lisa E Simmonds | Obstetrics & Gynecology | 1204 W Main St Fl 3, Charlottesville, VA 22908-1147 | 2008-09-19 |
| 1144233412 | M Cathleen Mccoy | Obstetrics & Gynecology | 1870 Amherst St Ste 3a, Winchester, VA 22601-2841 | 2006-08-15 |
| 1548207491 | Siva Thiagarajah | Obstetrics & Gynecology | 600 Peter Jefferson Pkwy Ste 190, Charlottesville, VA 22911-8835 | 2006-06-01 |
| 1043289531 | Robert E Petres | Obstetrics & Gynecology | 9000 Stony Point Pkwy, Richmond, VA 23235-1900 | 2006-03-16 |
| 1376519082 | Rita Wesley Driggers | Obstetrics & Gynecology | 7908 Greenebrook Ct, Fairfax Station, VA 22039-3171 | 2006-02-23 |
| 1730169186 | Susan K Hendricks | Obstetrics & Gynecology | 590 15th St S, Apt 145, Arlington, VA 22202-2872 | 2006-01-20 |
| 1598749186 | Lisa R Troyer | Obstetrics & Gynecology | 1401 Johnston Willis Dr Ste 5500, North Chesterfield, VA 23235-4730 | 2005-12-06 |
| 1093708281 | Jessica M Demay | Obstetrics & Gynecology | 12129 Graham Meadows Dr, Richmond, VA 23233-6661 | 2005-08-24 |
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| City | FREDERICKSBURG |
| Zip Code | 22401 |
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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.