Sandy N Bacallao (NPI# 1154860484, PAC ID# 0244516169) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1154860484 |
| PAC ID by PECOS | 0244516169 |
| Professional Enrollment ID | I20170407001035 |
| Full Name | Sandy N Bacallao |
| Organization Legal Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Address |
120 Kings Way Suite 2700 Williamsburg VA 23185-2554 |
| Phone Number | 7572210110 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5092608448 |
| Number of Group Practice Members | 581 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490052 | RIVERSIDE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 12200 Warwick Blvd, Suite 310, Newport News, VA 23601-2344 | 7575349988 | RIVERSIDE PHYSICIAN SERVICES INC |
| 120 Kings Way, Suite 2700, Williamsburg, VA 23185-2554 | 7572210110 | RIVERSIDE PHYSICIAN SERVICES INC |
| Organization Legal Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Physicians | 606 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Alene Keith | Nurse Practitioner | Riverside Physician Services Inc | 209 Village Ave, Suite P, Tabb, VA 23693-5639 |
| Aarika L Turner | Nurse Practitioner | Riverside Physician Services Inc | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 |
| Priscilla A Bullen | Nurse Practitioner | Riverside Physician Services Inc | 12 Bruton Ave, Newport News, VA 23601-1602 |
| Hemchand Ramberan | Gastroenterology | Riverside Physician Services Inc | 101 Philip Roth St, Suite 5 A, Newport News, VA 23606-1393 |
| Scott Kaufman | Cardiac Electrophysiology | Riverside Physician Services Inc | 7544 Hospital Dr, Suite 202a, Gloucester, VA 23061-4178 |
| Jorge Rodolfo Rivera-irias | Critical Care (intensivists) | Riverside Physician Services Inc | 20486 Market St, Onancock, VA 23417-4309 |
| Raven B Custalow | Nurse Practitioner | Riverside Physician Services Inc | 17452 Richmond Rd, Callao, VA 22435-2420 |
| Dawn Marie Brown | General Surgery | Riverside Physician Services Inc | 109 Philip Roth St, Newport News, VA 23606-1393 |
| Prakash Mohan Kafle | Infectious Disease | Riverside Physician Services Inc | 12420 Warwick Blvd, 4c Riverside Infectious Disease Specialists, Newport News, VA 23606-3001 |
| Molly Massey | Nurse Practitioner | Riverside Physician Services Inc | 4917 Richmond Tappahannock Hwy 1, Aylett, VA 23009-3416 |
| Street Address |
120 KINGS WAY SUITE 2700 |
| City | WILLIAMSBURG |
| State | VA |
| Zip | 23185-2554 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard D Bagnall | Family Medicine | Riverside Physician Services Inc | 120 Kings Way, Suite 1400, Williamsburg, VA 23185-2508 |
| Kevin Mahoney | Obstetrics/gynecology | Riverside Physician Services Inc | 120 Kings Way, Suite 3400, Williamsburg, VA 23185-2511 |
| Lindsey Youngblood | Nurse Practitioner | Riverside Physician Services Inc | 120 Kings Way, Suite 1400, Williamsburg, VA 23185-2508 |
| Jillian T Hall | Physician Assistant | Riverside Physician Services Inc | 120 Kings Way, Williamsburg, VA 23185-2511 |
| Kimberly Eve Fleming | Nurse Practitioner | Riverside Physician Services Inc | 120 Kings Way, Suite 2200, Williamsburg, VA 23185-2507 |
| Leana S Long | Ophthalmology | Riverside Physician Services Inc | 120 Kings Way, Suite 1300, Williamsburg, VA 23185-2508 |
| Joann B Mello | Nurse Practitioner | Peninsula Cancer Institute, LLC | 120 Kings Way, Suite 3100, Williamsburg, VA 23185-2506 |
| Stacy King Slat | Obstetrics/gynecology | Riverside Physician Services Inc | 120 Kings Way, Suite 3400, Williamsburg, VA 23185-2511 |
| William W Maclaughlin | Hematology/oncology | Peninsula Cancer Institute, LLC | 120 Kings Way, Suite 3100, Williamsburg, VA 23185-2506 |
| Laura E Ripley | Physician Assistant | Riverside Physician Services Inc | 120 Kings Way, Williamsburg, VA 23185-2511 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Y Krakauer | Psychologist, Clinical | 1769 Jamestown Rd, Suite 110, Williamsburg, VA 23185-2310 | |
| Barbara A Carr | Psychologist, Clinical | 1769 Jamestown Rd, Suite 114, Williamsburg, VA 23185-2310 | |
| Antoinette Diamante | Clinical Social Worker | 1769 Jamestown Rd, Suite 106, Williamsburg, VA 23185-2386 | |
| Amanda C Paull | Optometry | 4541 Village Park Dr E, Williamsburg, VA 23185-2407 | |
| Brandon Babin | Chiropractic | 4511 John Tyler Hwy, Suite B, Williamsburg, VA 23185-2415 | |
| Timothy P Farrell | Diagnostic Radiology | Peninsula Radiological Associates Ltd | 120 Kings Way, Wililamsburg, VA 23185-2505 |
| Robyn Ann Vargo | Orthopedic Surgery | Riverside Physician Services Inc | 120 Kings Way, Suite 2800, Williamsburg, VA 23185-2506 |
| Kelly Armbruster | Nurse Practitioner | Peninsula Cancer Institute, LLC | 120 Kings Way, Suite 3100, Williamsburg, VA 23185-2506 |
| John Russell Barley Iv | Sports Medicine | Riverside Physician Services Inc | 120 Kings Way, Suite 2800, Williamsburg, VA 23185-2506 |
| Craig Franzman | Hematology/oncology | Peninsula Cancer Institute, LLC | 120 Kings Way, Suite 3100, Williamsburg, VA 23185-2506 |
| Find all physicians in zip 23185 | |||
| City | WILLIAMSBURG |
| Zip Code | 23185 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WILLIAMSBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sandy N Bacallao.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.