Marie Michelle Porthouse (NPI# 1962430298, PAC ID# 1850374059) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1962430298 |
| PAC ID by PECOS | 1850374059 |
| Professional Enrollment ID | I20040609000921 |
| Full Name | Marie Michelle Porthouse |
| Organization Legal Name | MEDIDOCTORS LLC |
| Address |
1001 Sam Perry Blvd Fredericksburg VA 22401-4453 |
| Phone Number | 5407414390 |
| Gender | F |
| Credential | NP |
| Graduation Year | 1980 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5991605826 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490022 | MARY WASHINGTON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 5407414390 | MEDIDOCTORS LLC |
| Organization Legal Name | MEDIDOCTORS LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa Grow | Nurse Practitioner | Medidoctors LLC | 4710 Spotsylvania Pkwy, Suite 206b, Fredericksburg, VA 22407-9433 |
| Anson Le Pham | Internal Medicine | Medidoctors LLC | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| William R Anderson | Internal Medicine | Medidoctors LLC | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Peter S Pyatak | Obstetrics/gynecology | Medidoctors LLC | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Courtney Alesandro | Nurse Practitioner | Medidoctors LLC | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Patricia L Moore | Nurse Practitioner | Medidoctors LLC | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Mary S Shuman | Obstetrics/gynecology | Medidoctors LLC | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Stephanie L Lester Simmonds | Obstetrics/gynecology | Medidoctors LLC | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Cynthia A Wilkes | Obstetrics/gynecology | Medidoctors LLC | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Rachel D Mccarter | Obstetrics/gynecology | Medidoctors LLC | 101 Hospital Ctr Blvd, Stafford, VA 22554-6200 |
| Street Address |
1001 SAM PERRY BLVD |
| City | FREDERICKSBURG |
| State | VA |
| Zip | 22401-4453 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephani C Lowery | Nurse Practitioner | Mary Washington Healthcare Physicians | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Jennifer Bridy | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Virginia, PC | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Sally Ann Tracy Mcintosh | Hospitalist | Mary Washington Medical Group Hospitalist Services, LLC | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Narinder N Sethi | Diagnostic Radiology | Radiologic Associates of Fredericksburg Ltd | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Dudley A Dupuy Jr. | Pathology | Pathology Associates of Fredericksburg Ptr | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Anh D Vu | Cardiovascular Disease (cardiology) | Mary Washington Hospital Inc | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Ursula Koeze | Emergency Medicine | Fredericksburg Emergency Medical Alliance, Inc. | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Marilyn Jean Fisher | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology of Virginia, PC | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Frank L Koenig Iii | General Surgery | Radiologic Associates of Fredericksburg Ltd | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Anson Le Pham | Internal Medicine | Medidoctors LLC | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt R Larson | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Steven J Ma | Family Medicine | 605 Jefferson Davis Hwy, Suite 201, Fredericksburg, VA 22401 | |
| Anders C Brandt | Physical Therapy | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Joseph P Gowaty | Physician Assistant | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Timothy Neary | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Raymond K Chung | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Scott M Krushinski | Physician Assistant | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Raymond S Kirchmier Jr. | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Allison N Baldwin | Physician Assistant | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Joanne M Kaiman | Physical Therapy | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Find all physicians in zip 22401 | |||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FREDERICKSBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Marie Michelle Porthouse.
| 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.