FREDERICKSBURG ONCOLOGY, INC. (NPI# 1588681233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588681233 |
| Entity Type | Organization |
| Organization Name | FREDERICKSBURG ONCOLOGY, INC. |
| Practice Address |
111 Park Hill Dr Suite B Fredericksburg VA 22401-3357 |
| Practice Telephone | 5403680500 |
| Practice Fax Number | 5403680618 |
| Mailing Telephone | 5403680500 |
| Mailing Fax Number | 5403680618 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FREDERICK C. TUCKER JR. (PHYSICIAN) |
| Authorized Official Telephone | 5403680500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0101056857 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
111 PARK HILL DR SUITE B |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-3357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750718284 | Bio-medical Applications of Virginia Inc. | Clinic/Center | 111 Park Hill Dr, Fredericksburg, VA 22401-3357 | 2013-09-30 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437253788 | Leroy J Essig | Internal Medicine | 240 Executive Center Parkway, Fredericksburg, VA 22401-3107 | 2006-09-08 |
| 1356371157 | Sudeep Joseph Menachery | Internal Medicine | 4501 Empire Court, Fredericksburg, VA 22408 | 2006-07-04 |
| 1275025546 | Keri Amanda Bradshaw | Internal Medicine | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2018-06-03 |
| 1538667498 | Leslie Cooper | Internal Medicine | 4501 Empire Ct, Fredericksburg, VA 22408-1949 | 2018-01-25 |
| 1881121614 | Virginia Oncology Care,pc | Internal Medicine | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2017-05-11 |
| 1205386729 | Jamie Mcdowell | Internal Medicine | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2016-10-07 |
| 1194164418 | Archana Jadhav | Internal Medicine | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2013-06-19 |
| 1902048051 | Bonny Lauren Moore | Internal Medicine | 4501 Empire Ct, Fredericksburg, VA 22408-1949 | 2009-04-02 |
| 1114015989 | Nicholas A. Cook | Internal Medicine | 406 Chatham Square Office Park, Fredericksburg, VA 22405-2585 | 2006-10-10 |
| 1710095302 | Cancer Care Network of South Texas Pa | Internal Medicine | 204 W Schubert St, Fredericksburg, TX 78624-3847 | 2006-08-25 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on FREDERICKSBURG ONCOLOGY, INC..
| 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.