DR. WILLIAM JURGELSKY (NPI# 1609820430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609820430 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM JURGELSKY |
| Credential | MD |
| Practice Address |
2949 Front St Richlands VA 24641-2010 |
| Mailing Address |
Po Box 464 Burkes Garden VA 24608-0464 |
| Practice Telephone | 2765966153 |
| Mailing Telephone | 2765966153 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2010-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
0101050744 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0054714000 | 05 | |
| VA | 1609820430 | 05 |
| Street Address |
2949 FRONT ST |
| City | RICHLANDS |
| State | VA |
| Zip Code | 24641-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205818937 | Tammy Richardson | Nurse Practitioner | 2949 Front St, Richlands, VA 24641-2010 | 2005-11-17 |
| 1992082267 | Tahir Ahmed Md PC | Clinic/Center | 2949 Front St, Wound Center, Richlands, VA 24641-2010 | 2011-11-14 |
| 1083845606 | Terri Talbott Johnson | Physical Therapist | 2949 Front St, Richlands, VA 24641-2010 | 2009-07-30 |
| 1255578605 | Gregory Scott Rinehardt | Specialist | 2949 Front St, Richlands, VA 24641-2010 | 2009-01-07 |
| 1740426451 | Betty Gail Street | Speech-Language Pathologist | 2949 Front St, Richlands, VA 24641-2010 | 2008-12-30 |
| 1225283070 | Deborah Tisdale Brewster | Speech-Language Pathologist | 2949 Front St, Richlands, VA 24641-2010 | 2008-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819374 | Natasha Ramey | Registered Nurse | 6801 Gov George C Peery Highway, Richlands, VA 24641 | 2020-04-06 |
| 1881133585 | Amanda Combs | Nurse Practitioner | 6719 Governor G.c. Perry Highway Suit 3100, Richlands, VA 24641 | 2017-02-15 |
| 1740635549 | Najlaa Jaleesah | Emergency Medicine | 6801 Gov George C. Peery Hwy, Richlands, VA 24641 | 2016-04-28 |
| 1578817938 | Clinch Valley Vascular Surgical Assoc., Pllc | Surgery | 6719 Gov. G.c. Peery Highway, Suite 2600, Richlands, VA 24641 | 2012-11-06 |
| 1033461777 | Carol Keen | Nurse Practitioner | 6719 Gov Gc Perry Hwy, Richlands, VA 24641 | 2012-10-04 |
| 1487930905 | Sami Abdul Jawad | Internal Medicine | 6801 Governor George C. Peery Hwy, Richlands, VA 24641 | 2011-10-28 |
| 1134403090 | Clinch Valley Vascular Surgery Associates | General Acute Care Hospital | 6719 Gov G. C. Peery Highway, 2600, Richlands, VA 24641 | 2011-10-10 |
| 1699089953 | Suasin Cancer Care, Inc. | Radiology | 6801 Gov.g.c. Peery Hwy, Richlands, VA 24641 | 2010-07-28 |
| 1902122922 | Hao Duy Pham | Surgery | 6719 Governor Gc Peery Hwy Ste 2600, Richlands, VA 24641 | 2010-04-15 |
| 1144477134 | Paul R Goyt | Emergency Medicine | 6801 Governor G C Peery Hwy, Richlands, VA 24641 | 2008-08-21 |
| Find all providers in zip 24641 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545928 | Raven Matthews | Emergency Medicine | 213 18th St Se, Roanoke, VA 24013-1311 | 2020-07-08 |
| 1285257915 | Timothy Horner | Emergency Medicine | 3900 Lee Hwy, Arlington, VA 22207-3724 | 2020-05-28 |
| 1548890304 | Enoch Agyemang | Emergency Medicine | 146 Short Branch Rd, Stafford, VA 22556-4642 | 2020-01-21 |
| 1073800710 | Moses Tucker Laffitte Iv | Emergency Medicine | 800 Gresham Drive, Norfolk, VA 23507 | 2011-07-01 |
| 1629139969 | Eugene Francis Delaune IIi | Emergency Medicine | 7804 Accotink Pl, Alexandria, VA 22308-1226 | 2006-12-12 |
| 1225103567 | Daniel T Threat Jr. | Emergency Medicine | 4619 Gregorys Charter Ct, Richmond, VA 23236-1062 | 2006-11-21 |
| 1801814678 | Scott Alan Wright | Emergency Medicine | 961 E Stuart Dr, Galax, VA 24333-2407 | 2006-07-18 |
| 1124055777 | James L Brewer IIi | Emergency Medicine | One Arh Ln, Low Moor, VA 24457 | 2006-06-27 |
| 1073593885 | Yusuf Hameed Khan | Emergency Medicine | 11484 Washington Paza W, Suite #300, Reston, VA 20190 | 2006-01-18 |
| 1174143580 | Calvin Nguyen | Emergency Medicine | 12099 Government Center Pkwy, Fairfax, VA 22035-5501 | 2020-04-26 |
| Find all providers with the same taxonomy | ||||
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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.