DR. FRED J MCGLYNN (NPI# 1659323426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659323426 |
| Entity Type | Individual |
| Full Name | DR. FRED J MCGLYNN |
| Credential | MD |
| Practice Address |
1501 Maple Ave Nw Mob Suite 200 Richmond VA 23226-2553 |
| Mailing Address |
Po Box 71690 Richmond VA 23255-1690 |
| Practice Telephone | 8042852300 |
| Practice Fax Number | 8042858420 |
| Mailing Telephone | 8042852300 |
| Mailing Fax Number | 8042858420 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2012-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101032933 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 006494404 | 05 | |
| GEORGIA RR MEDICARE | 200007793 | 01 | |
| VA | ANTHEM | 227696 | 01 |
| Street Address |
1501 MAPLE AVE NW MOB SUITE 200 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23226-2553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306847306 | Amy Morton Rhoads | Anesthesiology | 1501 Maple Ave, Suite 300, Richmond, VA 23226-2553 | 2005-08-02 |
| 1831580646 | The Orthopaedic Institute of Virginia Pllc | Specialist | 1501 Maple Ave, Nw Mob, Suite 200, Richmond, VA 23226-2553 | 2015-02-16 |
| 1922431014 | Megan Taylor Smith | Nurse Practitioner | 1501 Maple Ave, Richmond, VA 23226-2553 | 2013-08-13 |
| 1114277464 | Amy Virginia Brenner | Nurse Practitioner | 1501 Maple Ave, Ste 301, Richmond, VA 23226-2553 | 2012-09-13 |
| 1629379433 | Tuckahoe Orthopaedic Associates, Ltd. | Nurse Practitioner | 1501 Maple Ave, Suite 200, Richmond, VA 23226-2553 | 2010-11-10 |
| 1487954772 | Anne Taylor Schaaf | Nurse Practitioner | 1501 Maple Ave, Suite 200, Richmond, VA 23226-2553 | 2010-11-02 |
| 1780904250 | Gregory H. Hale | Orthopaedic Surgery | 1501 Maple Ave, Nw Mob Suite 200, Richmond, VA 23226-2553 | 2010-06-08 |
| 1568699841 | Colin Alexander Mudrick | Orthopaedic Surgery | 1501 Maple Ave, Suite 200, Nw Mob, Richmond, VA 23226-2553 | 2009-06-15 |
| 1104051960 | Stephanie Lane Gallegos | Physician Assistant | 1501 Maple Ave, Suite 200 Nw Mob, Richmond, VA 23226-2553 | 2009-05-22 |
| 1043464936 | Jessica Broadbent Delk | Nurse Practitioner | 1501 Maple Ave, Suite 200, Richmond, VA 23226-2553 | 2008-11-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033625744 | Eye Surgeons of Richmond, Inc. | Eyewear Supplier (Equipment, not the service) | 5875 Bremo Rd Ste 606, Richmond, VA 23226 | 2017-12-18 |
| 1922517028 | Karen Margaret Karwowski | Physical Therapist | 1901 Charles Street, Crestview Elementary School, Henrico, VA 23226 | 2017-09-21 |
| 1831636463 | Tammy A Lewis | Nurse Practitioner | 5803 Bremo Road, Richmond, VA 23226 | 2017-01-20 |
| 1497116438 | Ashton Williams | Counselor | 2008 Libbie Avenue, Suite 101, Richmond, VA 23226 | 2016-03-18 |
| 1396110078 | Nino Carlo Deleon | Dentist | 5500 Monument Ave Ste G, Richmond, VA 23226 | 2015-12-07 |
| 1083097794 | Amy Michelle Kruger | Podiatrist | 2008 Bremo Rd Ste 100, Richmond, VA 23226 | 2015-06-30 |
| 1841682762 | James Bryce Lothian | Pediatrics | 5875 Bremo Road, Mob South, Suite 303, Pediatric Lung Care, Richmond, VA 23226 | 2015-03-02 |
| 1811334980 | Carmen Wong | Physical Medicine & Rehabilitation | 1901 Libbie Ave, Richmond, VA 23226 | 2013-05-30 |
| 1841533890 | Lauren Etz Freeman | Nurse Practitioner | 7113 Three Chopt Road, Suite 101, Pediatric Associates of Richmond, Inc., Richmond, VA 23226 | 2013-03-28 |
| 1609126044 | Tammy Denise Mills | Nurse Practitioner | 1501 Maple Ave Ste 301, Richmond, VA 23226 | 2012-09-13 |
| Find all providers in zip 23226 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407382948 | Bharti Mehta | Specialist | 9609 Gayton Rd Ste 102, Richmond, VA 23238-4900 | 2017-05-03 |
| 1912454265 | Ivan Tolbert | Specialist | 1702 Dakota Ave, Richmond, VA 23220-6911 | 2016-09-03 |
| 1447608625 | Lorraine Closser | Specialist | 68753 S Main St, Richmond, MI 48062-1209 | 2016-05-29 |
| 1992173561 | Paige Weekes | Specialist | 3200 Manorcrest Rd, Richmond, VA 23234-2335 | 2015-09-12 |
| 1396123519 | Lori Dotson | Specialist | 401 Lewis Dr, Richmond, KY 40475-7723 | 2015-05-07 |
| 1174929178 | Sonya Seng | Specialist | 5500 Monument Ave Ste M, Richmond, VA 23226-1452 | 2014-11-18 |
| 1568881837 | Adaugo Amuta | Specialist | 19515 Stetson Heights Ln, Richmond, TX 77407-5583 | 2014-04-15 |
| 1306277983 | Tabitha Ames | Specialist | 3748 Morningside Dr, Richmond, CA 94803-2128 | 2013-12-06 |
| 1659705945 | Emily Sarah Bracy | Specialist | 1310 Gilchrist Ct, Richmond, VA 23231-5110 | 2013-08-22 |
| 1386076206 | Marcia Elizabeth Logan | Specialist | 25543 Canyon Crossing Dr, Richmond, TX 77406-7278 | 2013-08-01 |
| Find all providers in RICHMOND | ||||
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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.