MS. STEPHANIE MODENA GILLAN (NPI# 1588143051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588143051 |
| Entity Type | Individual |
| Full Name | MS. STEPHANIE MODENA GILLAN |
| Credential | NP |
| Practice Address |
1450 Sachem Pl Charlottesville VA 22901-2554 |
| Mailing Address |
1001 Druid Ave Charlottesville VA 22902-6322 |
| Practice Telephone | 4349739744 |
| Mailing Telephone | 5406616068 |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0024176336 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1450 SACHEM PL |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22901-2554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871598995 | Raymond Paul Marotta | Family Medicine | 1450 Sachem Pl, Unit 201, Charlottesville, VA 22901-2554 | 2005-06-15 |
| 1437757093 | Katherine Peterson | Nurse Practitioner | 1450 Sachem Pl, Charlottesville, VA 22901-2554 | 2020-10-15 |
| 1457809436 | Karen Kubinec | Nurse Practitioner | 1450 Sachem Pl, Suite 201, Charlottesville, VA 22901-2554 | 2016-09-19 |
| 1669830295 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 1450 Sachem Pl, Charlottesville, VA 22901-2554 | 2016-02-10 |
| 1114383759 | Jaclyn R Puga | Physician Assistant | 1450 Sachem Pl, Suite 201, Charlottesville, VA 22901-2554 | 2016-01-12 |
| 1508275751 | Felicia Maria Aliano | Counselor | 1450 Sachem Pl, Suite 101, Charlottesville, VA 22901-2554 | 2014-08-12 |
| 1992900484 | Gail Lee Kongable | Nurse Practitioner | 1450 Sachem Pl, Charlottesville, VA 22901-2554 | 2007-06-15 |
| 1609095462 | Suzanne S Matriccino | Optometrist | 1450 Sachem Pl, Charlottesville, VA 22901-2554 | 2007-04-24 |
| 1396842399 | Peter Joseph Schmidt | Counselor | 1450 Sachem Pl, Suite 101, Charlottesville, VA 22901-2554 | 2006-09-20 |
| 1437263837 | Elizabeth Rector Adams | Counselor | 1450 Sachem Pl, Suite 101, Charlottesville, VA 22901-2554 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641501 | John Mccord | Speech-Language Pathologist | English Meadows, 1220 Crozet Ave, Crozet, VA 22901 | 2020-05-20 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
| 1558855346 | Dana Scott | Counselor | 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 | 2018-06-15 |
| 1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
| 1033620380 | Cheryl K Cottrell | Counselor | 875 East Rio Court, Charlottesville, VA 22901 | 2017-10-13 |
| 1114389640 | Heather Lorin Broach | Physical Therapist | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 | 2016-03-23 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1083988778 | Melissa Stanley | Nurse Practitioner | 1356 River Rd, Charlottesville, VA 22901 | 2012-02-28 |
| 1982977633 | Jea Catherine Brickwedde | Specialist | 716 Rio Rd W, Fa, Charlottesville, VA 22901 | 2012-02-10 |
| Find all providers in zip 22901 | ||||
| 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 |
|---|---|---|---|---|
| 1184199598 | Lietzle Ann Ford | Family Medicine | 2224 Greenbrier Dr, Charlottesville, VA 22901-2919 | 2018-10-11 |
| 1013411842 | Wellfamily Medicine | Family Medicine | 1885 Seminole Trl Ste 105, Charlottesville, VA 22901-1160 | 2018-03-19 |
| 1285152181 | Medexpress Urgent Care, PC - Virginia | Family Medicine | 1563 Broad Crossing Rd, Charlottesville, VA 22911-7480 | 2017-08-31 |
| 1760910202 | Robert Dudley Abbott | Family Medicine | 925 E Jefferson St, Charlottesville, VA 22902-5572 | 2017-05-29 |
| 1467809335 | Kelly Camryn Henkler | Family Medicine | 1800 Timberwood Blvd Ste A, Charlottesville, VA 22911-7544 | 2016-05-19 |
| 1508252982 | Alexandra M Bender | Family Medicine | 3263 Proffit Rd Ste 201, Charlottesville, VA 22911 | 2015-04-13 |
| 1609074319 | Ian Wilson Bushell | Family Medicine | 1000 Research Park Blvd, Suite 200, Charlottesville, VA 22911-5842 | 2007-07-03 |
| 1356557516 | Kaitlyn Anne Beisecker-levin | Family Medicine | 1450 Sachem Pl Unit 201, Charlottesville, VA 22901-2554 | 2007-05-15 |
| 1013060359 | Rivers Edge Family Medicine | Family Medicine | 330 Winding River Lane, Charlottesville, VA 22911-3551 | 2007-01-19 |
| 1730242371 | First Med Inc | Family Medicine | 125 Riverbend Dr Ste 3, Charlottesville, VA 22911-8695 | 2006-12-18 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
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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.