Devmith Chinthaka Gajadeera (NPI# 1760832372, PAC ID# 1557657681) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1760832372 |
| PAC ID by PECOS | 1557657681 |
| Professional Enrollment ID | I20191126000069 |
| Full Name | Devmith Chinthaka Gajadeera |
| Organization Legal Name | DOMINION HEALTH MEDICAL ASSOC |
| Address |
15210 L P Bailey Memorial Hwy Nathalie VA 24577-3304 |
| Phone Number | 4343493113 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1254311558 |
| Number of Group Practice Members | 45 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490013 | SENTARA HALIFAX REGIONAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 15210 L P Bailey Memorial Hwy, Nathalie, VA 24577-3304 | 4343493113 | DOMINION HEALTH MEDICAL ASSOC |
| 101 Aubreys Loop, South Boston, VA 24592-5054 | 4345173879 | DOMINION HEALTH MEDICAL ASSOC |
| Organization Legal Name | DOMINION HEALTH MEDICAL ASSOC |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean M Minier | Nurse Practitioner | Dominion Health Medical Assoc | 15210 L P Bailey Memorial Hwy, Nathalie, VA 24577-3304 |
| Keysha D Ahmad-winborne | Nurse Practitioner | Dominion Health Medical Assoc | 946 N Main St, Chase City, VA 23924-1139 |
| Whitney H Wilborn | Nurse Practitioner | Dominion Health Medical Assoc | 101 Aubreys Loop, South Boston, VA 24592-5054 |
| Gwendolyn L Riddick | Obstetrics/gynecology | Dominion Health Medical Assoc | 115 College St, Clarksville, VA 23927-9125 |
| Michelle B Gibson | Nurse Practitioner | Dominion Health Medical Assoc | 2232 Wilborn Ave, South Boston, VA 24592-1662 |
| Michael K Kyles | Orthopedic Surgery | Dominion Health Medical Assoc | 422 Hamilton Blvd, South Boston, VA 24592-5200 |
| Lovetta Pugh | General Surgery | Dominion Health Medical Assoc | 2212 Wilborn Ave, South Boston, VA 24592-1630 |
| Michelle M Grant | Certified Registered Nurse Anesthetist (crna) | Dominion Health Medical Assoc | 2204 Wilborn Ave, South Boston, VA 24592-1645 |
| Sameer S Alrefai | General Surgery | Dominion Health Medical Assoc | 2204 Wilborn Ave, South Boston, VA 24592-1645 |
| Fernando Gomez-rivera | Otolaryngology | Dominion Health Medical Assoc | 2232 Wilborn Ave, South Boston, VA 24592-1662 |
| Street Address |
15210 L P BAILEY MEMORIAL HWY |
| City | NATHALIE |
| State | VA |
| Zip | 24577-3304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jean M Minier | Nurse Practitioner | Dominion Health Medical Assoc | 15210 L P Bailey Memorial Hwy, Nathalie, VA 24577-3304 |
| Angelin B Comer | Nurse Practitioner | Dominion Health Medical Assoc | 15210 L P Bailey Memorial Hwy, Nathalie, VA 24577-3304 |
| Briana V Campbell | Nurse Practitioner | Dominion Health Medical Assoc | 15210 L P Bailey Memorial Hwy, Nathalie, VA 24577-3304 |
| Paul S Buckman | Family Medicine | Dominion Health Medical Assoc | 15210 L P Bailey Memorial Hwy, Nathalie, VA 24577-3304 |
| Ronald D Pryor | Nurse Practitioner | Dominion Health Medical Assoc | 15210 L P Bailey Memorial Hwy, Nathalie, VA 24577-3304 |
| Kaitlyn L Long | Nurse Practitioner | Dominion Health Medical Assoc | 15210 L P Bailey Memorial Hwy, Nathalie, VA 24577-3304 |
| Michelle S V Napper | Nurse Practitioner | Dominion Health Medical Assoc | 15210 L P Bailey Memorial Hwy, Nathalie, VA 24577-3304 |
| Leovigil D Pambid | Internal Medicine | Dominion Health Medical Assoc | 15210 L P Bailey Memorial Hwy, Nathalie, VA 24577-3304 |
| Janet Durham | Nurse Practitioner | Dominion Health Medical Assoc | 15210 L P Bailey Memorial Hwy, Nathalie, VA 24577-3304 |
| Virgilus Ozoude | Family Medicine | Dominion Health Medical Assoc | 15210 L P Bailey Memorial Hwy, Nathalie, VA 24577-3304 |
| Find all physicians in the same address | |||
| City | NATHALIE |
| Zip Code | 24577 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NATHALIE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Devmith Chinthaka Gajadeera.
| 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.