JOHN T BIDDULPH (NPI# 1407905318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407905318 |
| Entity Type | Individual |
| Full Name | JOHN T BIDDULPH |
| Credential | M.D. |
| Practice Address |
1201 Sam Perry Blvd Suite 201 Fredericksburg VA 22401-4490 |
| Mailing Address |
Po Box 1400 Fredericksburg VA 22402-1400 |
| Practice Telephone | 5403701600 |
| Mailing Telephone | 5403701600 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | ME75845 | FL | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 0101042704 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM PROVIDER ID | 140440 | 01 |
| VA | AETNA PROVIDER ID | 5748700 | 01 |
| VA | FIRST HEALTH PROVIDER ID | 1201805 | 01 |
| VA | 6400345 | 05 |
| Street Address |
1201 SAM PERRY BLVD SUITE 201 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-4490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215471941 | Brittany Jillian Cary | Nurse Practitioner | 1201 Sam Perry Blvd, Fredericksburg, VA 22401-4490 | 2016-12-14 |
| 1811325764 | Mishell Ellis | Nurse Practitioner | 1201 Sam Perry Blvd, Fredericksburg, VA 22401-4490 | 2013-10-30 |
| 1821259557 | Melissa Ann Chambers | Clinic/Center | 1201 Sam Perry Blvd, Suite 101, Fredericksburg, VA 22401-4490 | 2008-06-25 |
| 1457552143 | Lynn Anne Delash | Occupational Therapist | 1201 Sam Perry Blvd, Suite 240, Fredericksburg, VA 22401-4490 | 2007-05-30 |
| 1992906010 | Karen Anne Franklin | Physical Therapist | 1201 Sam Perry Blvd, Fredericksburg, VA 22401-4490 | 2007-05-29 |
| 1801097738 | Susan Patricia Rohde | Speech-Language Pathologist | 1201 Sam Perry Blvd, Ste 240, Fredericksburg, VA 22401-4490 | 2007-05-29 |
| 1013128461 | Susan Reiko Hoshi | Physical Therapist | 1201 Sam Perry Blvd, Fredericksburg, VA 22401-4490 | 2007-05-25 |
| 1285845198 | Stephanie Noelle Campbell | Speech-Language Pathologist | 1201 Sam Perry Blvd, Suite 240, Fredericksburg, VA 22401-4490 | 2007-05-24 |
| 1932319712 | Shauna Renee Dickinson | Speech-Language Pathologist | 1201 Sam Perry Blvd, Fredericksburg, VA 22401-4490 | 2007-05-23 |
| 1003026444 | Carol Gaudio | Occupational Therapy Assistant | 1201 Sam Perry Blvd, Fredericksburg, VA 22401-4490 | 2007-05-23 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811124910 | Clint Royal Beicker | Orthopaedic Surgery | 204 W Windcrest St, Fredericksburg, TX 78624-4408 | 2009-06-16 |
| 1205846482 | Peter Charles Romanick Sr. | Orthopaedic Surgery | 204 West Windcrest, Fredericksburg, TX 78624-4408 | 2006-08-09 |
| 1699707075 | Jan-eric Esway | Orthopaedic Surgery | 4701 Spotsylvania Pkwy Ste 203, Fredericksburg, VA 22407-9435 | 2006-07-07 |
| 1295766376 | Orthopedic Specialty Clinic Ltd | Orthopaedic Surgery | 2800 Wellford St Ste 100, Fredericksburg, VA 22401-3176 | 2006-07-06 |
| 1003805359 | Philip S. Harry | Orthopaedic Surgery | 501 Park Hill Dr, Fredericksburg, VA 22401-3377 | 2005-10-19 |
| 1386633907 | Andre Eglevsky | Orthopaedic Surgery | 2201 Charles St, Fredericksburg, VA 22401-3378 | 2005-10-17 |
| 1407477409 | Rappahannock Orthopedics | Orthopaedic Surgery | 501 Park Hill Dr, Fredericksburg, VA 22401-3377 | 2020-04-30 |
| 1477045151 | Paul Phillips IIi, M.d., P.a. | Orthopaedic Surgery | 1305 N Milam St, Fredericksburg, TX 78624 | 2018-05-30 |
| 1700246089 | Jan-eric Esway, Md Pllc | Orthopaedic Surgery | 4701 Spotsylvania Pkwy Ste 203, Fredericksburg, VA 22407-9435 | 2016-03-01 |
| 1548632748 | Agility Orthopaedics and Sports | Orthopaedic Surgery | 1305 N Milam St, Fredericksburg, TX 78624-2752 | 2015-10-27 |
| Find all providers in FREDERICKSBURG | ||||
| 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.