Kevin C Harrison (NPI# 1073514238, PAC ID# 1355314121) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1073514238 |
PAC ID by PECOS | 1355314121 |
Professional Enrollment ID | I20040819000482 |
Full Name | Kevin C Harrison |
Address |
9460 Amberdale Dr C Richmond VA 23236-1259 |
Gender | M |
Credential | MD |
Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 1997 |
Primary Specialty | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
490136 | BON SECOURS ST FRANCIS MEDICAL CENTER |
490112 | CJW MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
9460 Amberdale Dr, C, Richmond, VA 23236-1259 |
Street Address |
9460 AMBERDALE DR C |
City | RICHMOND |
State | VA |
Zip | 23236-1259 |
Name | Specialty | Organization | Address |
---|---|---|---|
Britney N Chacey | Clinical Social Worker | 9409 Hull St Rd, D1, North Chesterfield, VA 23236-1200 | |
Dreamel Spady | Clinical Social Worker | 9409 Hull St Rd, Suite D1, North Chesterfield, VA 23236-1200 | |
Asena L Madison | Family Medicine | 9549 Amberdale Dr, North Chesterfield, VA 23236-1256 | |
Nina J Cox | Optometry | 9509 A Amberdale Dr, North Chesterfield, VA 23236-1256 | |
Janice Gibson Neale | Obstetrics/gynecology | John Randolph Ob Gyn LLC | 9460 Amberdale Dr D, North Chesterfield, VA 23236-1259 |
Martin F Wein | Psychologist, Clinical | 2602 Wicklow Loop, North Chesterfield, VA 23236-1363 | |
Douglas F Ambrose | Chiropractic | 535 Southlake Blvd, North Chesterfield, VA 23236-3042 | |
Nikole R Jiggetts | Clinical Social Worker | Replay Counseling Center LLC | 550 Southlake Blvd, North Chesterfield, VA 23236-3043 |
Annelise A Petry | Clinical Social Worker | 720 Moorefield Park Dr, Suite 204, North Chesterfield, VA 23236-3657 | |
Lynne B Einhaus | Psychologist, Clinical | 720 Moorefield Park Dr, Suite 204, North Chesterfield, VA 23236-3657 | |
Find all physicians in zip 23236 |
City | RICHMOND |
Zip Code | 23236 |
Specialty | INTERNAL MEDICINE |
City + Specialty | RICHMOND + INTERNAL MEDICINE |
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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.