Weijuan M Li (NPI# 1366881518, PAC ID# 0749519676) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1366881518 |
| PAC ID by PECOS | 0749519676 |
| Professional Enrollment ID | I20190903000170 |
| Full Name | Weijuan M Li |
| Organization Legal Name | CENTRA MEDICAL GROUP LLC |
| Address |
1039 Mayberry Crossing Dr Suite C Moneta VA 24121-6414 |
| Phone Number | 5402977840 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Group Practice PAC ID | 4789606088 |
| Number of Group Practice Members | 583 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490021 | CENTRA |
| 490088 | CENTRA BEDFORD MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 291 Mcbride Ln, Gretna, VA 24557-2773 | 4346561274 | CENTRA MEDICAL GROUP LLC |
| 1039 Mayberry Crossing Dr, Suite C, Moneta, VA 24121-6414 | 5402977840 | CENTRA MEDICAL GROUP LLC |
| Organization Legal Name | CENTRA MEDICAL GROUP LLC |
| Physicians | 561 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sebastian J Ksionski | Family Medicine | Centra Medical Group LLC | 935 S Main St, Farmville, VA 23901-2211 |
| Marie Andrea Lopez | Physician Assistant | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Tahmina H Brady | Family Medicine | Centra Medical Group LLC | 16890 Forest Rd, Forest, VA 24551-4059 |
| Sharon P Hawout | Certified Nurse Midwife (cnm) | Centra Medical Group LLC | 291 Mcbride Ln, Gretna, VA 24557-2773 |
| Jacqueline Perdue | Physician Assistant | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Jordan J Synkowski | Neurosurgery | Centra Medical Group LLC | 2138 Langhorne Rd, Lynchburg, VA 24501-1400 |
| Oluloniyin E Peters | Physical Medicine and Rehabilitation | Centra Medical Group LLC | 1330 Oak Ln, Lynchburg, VA 24503-2513 |
| John B Blalock Jr. | General Surgery | Centra Medical Group LLC | 1906 Thomson Dr, Lynchburg, VA 24501-1009 |
| Hope A Alexander | Nurse Practitioner | Centra Medical Group LLC | 412 Namozine St, Burkeville, VA 23922-3184 |
| April Y Giles | Nurse Practitioner | Centra Medical Group LLC | 404 Airport Dr A, Danville, VA 24540-5196 |
| Street Address |
1039 MAYBERRY CROSSING DR SUITE C |
| City | MONETA |
| State | VA |
| Zip | 24121-6414 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Smalley | Orthopedic Surgery | Lewis Gale Physicians LLC | 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683 |
| Allison Ryan Mitchell | Physician Assistant | Lewis Gale Physicians LLC | 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683 |
| Matthew B Bowles | Physician Assistant | Lewis Gale Physicians LLC | 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683 |
| Tiffany A Powell | Family Medicine | Smith Mountain Lake Family Practice, PC | 70 Westwind Rd, Moneta, VA 24121-3726 |
| Steven T Lewis | Family Medicine | Smith Mountain Lake Family Practice, PC | 70 Westwind Rd, Moneta, VA 24121-3726 |
| Susan E Funk | Internal Medicine | Smith Mountain Lake Family Practice, PC | 70 Westwind Rd, Moneta, VA 24121-3726 |
| Bradford T Herlehy | Chiropractic | 70 Scruggs Rd, Suite 106, Moneta, VA 24121-5199 | |
| Jacqueline Perdue | Physician Assistant | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Patricia Z Lloyd | Physician Assistant | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Jennifer E Phillips | Nurse Practitioner | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Find all physicians in zip 24121 | |||
| City | MONETA |
| Zip Code | 24121 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | MONETA + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Weijuan M Li.
| 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.