Debra M Sequeira (NPI# 1851373559, PAC ID# 1355249392) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1851373559 |
| PAC ID by PECOS | 1355249392 |
| Professional Enrollment ID | I20051019000412 |
| Full Name | Debra M Sequeira |
| Organization Legal Name | SOUTHERN DOMINION HEALTH SYSTEM, INC. |
| Address |
8920 Otterburn Rd Amelia Court House VA 23002-4854 |
| Phone Number | 8045615150 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648188755 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490112 | CJW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8920 Otterburn Rd, Amelia Court House, VA 23002-4854 | 8045615150 | SOUTHERN DOMINION HEALTH SYSTEM, INC. |
| Organization Legal Name | SOUTHERN DOMINION HEALTH SYSTEM, INC. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda L Russell | Family Medicine | Southern Dominion Health System, Inc. | 13855 Courthouse Rd, Dinwiddie, VA 23841-2254 |
| Margaret K Inge | Family Medicine | Southern Dominion Health System, Inc. | 8920 Otterburn Rd, Amelia Court House, VA 23002-4854 |
| Lisa M York | Family Medicine | Southern Dominion Health System, Inc. | 1508 K V Rd, Victoria, VA 23974-2624 |
| Margaret R Campbell | Pediatric Medicine | Southern Dominion Health System, Inc. | 8920 Otterburn Rd, Amelia Court House, VA 23002-4854 |
| Fitzgerald Marcelin | Internal Medicine | Southern Dominion Health System, Inc. | 13855 Courthouse Rd, Dinwiddie, VA 23841-2254 |
| Shannon L Rakes | Clinical Social Worker | Southern Dominion Health System, Inc. | 1508 K V Rd, Victoria, VA 23974-2624 |
| Hyo Kwon Park | Family Medicine | Southern Dominion Health System, Inc. | 13855 Courthouse Rd, Dinwiddie, VA 23841-2254 |
| John A Holland | Family Medicine | Southern Dominion Health System, Inc. | 1508 K V Rd, Victoria, VA 23974-2624 |
| Street Address |
8920 OTTERBURN RD |
| City | AMELIA COURT HOUSE |
| State | VA |
| Zip | 23002-4854 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret K Inge | Family Medicine | Southern Dominion Health System, Inc. | 8920 Otterburn Rd, Amelia Court House, VA 23002-4854 |
| Margaret R Campbell | Pediatric Medicine | Southern Dominion Health System, Inc. | 8920 Otterburn Rd, Amelia Court House, VA 23002-4854 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benson Howard | Physical Therapy | Amelia Physical Therapy Inc | 10130 Superior Way, Amelia Court House, VA 23002-4744 |
| James Smith Kilbreath Ii | Physical Therapy | Amelia Physical Therapy Inc | 10130 Superior Way, Amelia Court House, VA 23002-4744 |
| Charles T Vandyck | Optometry | Lyndon Graves Enterprise LLC | 8830 Virginia St, Amelia Court House, VA 23002-4826 |
| Tina Ansari | Optometry | Lyndon Graves Enterprise LLC | 8830 Virginia St, Amelia Court House, VA 23002-4826 |
| Jilda Long | Optometry | Lyndon Graves Enterprise LLC | 8830 Virginia St, Amelia Court House, VA 23002-4826 |
| Gregory J Danhoff | Optometry | Lyndon Graves Enterprise LLC | 8830 Virginia St, Amelia Court House, VA 23002-4826 |
| Ren A Thorne | Clinical Social Worker | Crossroads Services Board | 9101 Washington St, Amelia Court House, VA 23002-4897 |
| Norman B Holden Jr. | Psychiatry | Crossroads Services Board | 9101 Washington St, Amelia Court House, VA 23002-4897 |
| Nadeem Ahmed | Psychologist, Clinical | Crossroads Services Board | 9101 Washington St, Amelia Court House, VA 23002-4897 |
| City | AMELIA COURT HOUSE |
| Zip Code | 23002 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | AMELIA COURT HOUSE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Debra M Sequeira.
| 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.