LYNN M. FEDORUK (NPI# 1659384709) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659384709 |
| Entity Type | Individual |
| Full Name | LYNN M. FEDORUK |
| Credential | M.D. |
| Practice Address |
Uva Hospital W Hospital Drive, 4th Floor Charlottesville VA 22908-0001 |
| Mailing Address |
500 Ray C Hunt Dr Charlottesville VA 22903-2981 |
| Practice Telephone | 4342436828 |
| Practice Fax Number | 4349823885 |
| Mailing Telephone | 4349806140 |
| Mailing Fax Number | 4349724266 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2086S0129X |
Surgery Specialization: Vascular Surgery |
0101240210 | VA | Allopathic & Osteopathic Physicians |
| X | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 0101240210 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
UVA HOSPITAL W HOSPITAL DRIVE, 4TH FLOOR |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22908-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679590608 | Aarti Ailawadi | Internal Medicine | Uva Hospital W, Hospital Drive, 4th Floor, Charlottesville, VA 22908-0001 | 2006-07-16 |
| 1700910957 | Lisa W. Foster | Physician Assistant | Uva Hospital W, Hospital Drive, Charlottesville, VA 22908-0001 | 2007-03-16 |
| 1063546869 | Bradley M. Rodgers | Surgery | Uva Hospital W, Hospital Drive, Charlottesville, VA 22908-0001 | 2007-03-15 |
| 1992839534 | Jeffrey T. Barth | Clinical Neuropsychologist | Uva Hospital W, Hospital Drive, 3rd Floor, Charlottesville, VA 22908-0001 | 2007-03-15 |
| 1760511711 | Rasheed Balogun | Internal Medicine | Uva Hospital W, Hospital Drive, Charlottesville, VA 22908-0001 | 2007-03-05 |
| 1003943226 | Warren K. Bolton | Internal Medicine | Uva Hospital W, Hospital Drive, Charlottesville, VA 22908-0001 | 2007-02-27 |
| 1851428080 | George F. Wooten | Psychiatry & Neurology | Uva Hospital W, Hospital Drive, Charlottesville, VA 22908-0001 | 2007-02-27 |
| 1881739290 | Bankole A. Johnson | Psychiatry & Neurology | Uva Hospital W, Hospital Drive, 3rd Floor, Charlottesville, VA 22908-0001 | 2007-02-21 |
| 1073658498 | Paul M. Suratt | Internal Medicine | Uva Hospital W, Hospital Drive, Charlottesville, VA 22908-0001 | 2007-02-21 |
| 1669517157 | Alan D. Jenkins | Urology | Uva Hospital W, Hospital Drive, Charlottesville, VA 22908-0001 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568020410 | Alexis Evans | Physician Assistant | 1215 Lee St Nnicu, Charlottesville, VA 22908 | 2019-06-04 |
| 1649702317 | Ryan Aschenbrener | Student in an Organized Health Care Education/Training Program | 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 | 2017-03-31 |
| 1215399241 | Katherine Gresham Belote | Student in an Organized Health Care Education/Training Program | 1221 Lee Street Uva Health System, Charlottesville, VA 22908 | 2016-03-29 |
| 1851776215 | Catherine Meller | Student in an Organized Health Care Education/Training Program | 1215 Lee St., Box 800713, Charlottesville, VA 22908 | 2015-07-28 |
| 1295112597 | Breanna Campbell | Internal Medicine | 1220 Lee St Ste 2401, Charlottesville, VA 22908 | 2015-05-06 |
| 1013255637 | Melinda Bowles-childress | Nurse Practitioner | 1 Hospital Dr Fl 1, Charlottesville, VA 22908 | 2013-01-17 |
| 1053521757 | Univeristy of Virginia Health System | General Acute Care Hospital | University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 | 2007-05-23 |
| 1730241282 | Imre Noth | Internal Medicine | 1221 Lee St Fl 2, Charlottesville, VA 22908 | 2006-12-14 |
| 1023185394 | Tamer Ghanem | Otolaryngology | Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 | 2006-11-29 |
| 1366401242 | Lisa M Christianson | Obstetrics & Gynecology | Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 | 2006-03-21 |
| Find all providers in zip 22908 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518171297 | Margaret C Tracci | Surgery | 2955 Ivy Rd Ste 109, Charlottesville, VA 22903-9353 | 2007-05-10 |
| 1063532869 | Charlottesville Radiology | Surgery | 1490 Pantops Mountain Pl Ste 100, Charlottesville, VA 22911-4601 | 2007-03-29 |
| 1740359389 | Harry A. Wellons | Surgery | Lee St, Charlottesville, VA 22908-0001 | 2006-11-07 |
| 1164591772 | John A. Kern | Surgery | 1215 Lee St, Charlottesville, VA 22908-0001 | 2006-11-07 |
| 1841279825 | William D Clouse | Surgery | 1215 Lee St, Charlottesville, VA 22908-3117 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670930 | Usa Vein Clinics of Chantilly LLC | Surgery | 3914 Centreville Rd Ste 125, Chantilly, VA 20151-3289 | 2019-07-11 |
| 1285115998 | Sentara Medical Group | Surgery | 397 Little Neck Rd Ste 110, Virginia Beach, VA 23452-5774 | 2018-08-22 |
| 1629586417 | Sentara Medical Group | Surgery | 1051 Loftis Blvd Ste 210, Newport News, VA 23606-3069 | 2018-01-16 |
| 1942724620 | Sentara Medical Group | Surgery | 500 Sentara Cir Ste 100, Williamsburg, VA 23188-5727 | 2017-08-03 |
| 1972980761 | Carlos Jose Torres-medina | Surgery | 500 J Clyde Morris Blvd # 603, Newport News, VA 23601-1929 | 2015-04-30 |
| 1306280128 | Justin Marc Milligan | Surgery | 397 Little Neck Rd Ste 120, Virginia Beach, VA 23452-5774 | 2013-04-23 |
| 1578817938 | Clinch Valley Vascular Surgical Assoc., Pllc | Surgery | 6719 Gov. G.c. Peery Highway, Suite 2600, Richlands, VA 24641 | 2012-11-06 |
| 1346503463 | Mid Atlantic Vascular Holding, LLC | Surgery | 1415 Eastridge Rd, Richmond, VA 23229-5501 | 2012-06-22 |
| 1265791297 | Vascular Surgery Group | Surgery | 850 Chistensen Court, Great Falls, VA 22066 | 2012-05-11 |
| 1902122922 | Hao Duy Pham | Surgery | 6719 Governor Gc Peery Hwy Ste 2600, Richlands, VA 24641 | 2010-04-15 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22908 |
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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.