Susan J Waller (NPI# 1124109210, PAC ID# 2062438807) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1124109210 |
| PAC ID by PECOS | 2062438807 |
| Professional Enrollment ID | I20051020000531 |
| Full Name | Susan J Waller |
| Organization Legal Name | MCV ASSOCIATED PHYSICIANS |
| Address |
1300 E Marshall St Richmond VA 23298-5054 |
| Gender | F |
| Credential | MD |
| Graduation Year | 2001 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 4385542117 |
| Number of Group Practice Members | 979 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490032 | MEDICAL COLLEGE OF VIRGINIA HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 1300 E Marshall St, Richmond, VA 23298-5054 | MCV ASSOCIATED PHYSICIANS |
| Organization Legal Name | MCV ASSOCIATED PHYSICIANS |
| Physicians | 1145 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia J Sime | Pulmonary Disease | Mcv Associated Physicians | 9000 Stony Point Pkwy, Richmond, VA 23235-1900 |
| Francesca Capanni Orams | Internal Medicine | Mcv Associated Physicians | 1300 E Marshall St, Richmond, VA 23298-5054 |
| Sung Cheol Kim | Nurse Practitioner | Mcv Associated Physicians | 501 N Nd St, Richmond, VA 23219 |
| Sahzene Yavuz | Endocrinology | Mcv Associated Physicians | 417 N 11th St, Richmond, VA 23219-5002 |
| Sadia Sayeed | Pathology | Mcv Associated Physicians | 1202 E Marshall St, Richmond, VA 23298-5050 |
| Brittany Lynn Craven | Geriatric Medicine | Mcv Associated Physicians | 2116 W Laburnum Ave, Richmond, VA 23227-4359 |
| Jennifer A Accardo | Pediatric Medicine | Mcv Associated Physicians | 3600 W Broad St, Suite 229, Richmond, VA 23230-4919 |
| Alden E Chesney | Pathology | Mcv Associated Physicians | 403 N 13th St, Richmond, VA 23298-5060 |
| Anna Henderson | Nurse Practitioner | Mcv Associated Physicians | 4730 N Southside, Hayes E Willis Health Clinic, Richmond, VA 23224 |
| Ryan S Nord | Otolaryngology | Mcv Associated Physicians | 2035 Waterside Rd, Suite 100, Prince George, VA 23875-1265 |
| Street Address |
1300 E MARSHALL ST |
| City | RICHMOND |
| State | VA |
| Zip | 23298-5054 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francesca Capanni Orams | Internal Medicine | Mcv Associated Physicians | 1300 E Marshall St, Richmond, VA 23298-5054 |
| Rehan Qayyum | Internal Medicine | Mcv Associated Physicians | 1300 E Marshall St, Richmond, VA 23298-5054 |
| Riccardo Autorino | Urology | Mcv Associated Physicians | 1300 E Marshall St, Richmond, VA 23298-5054 |
| Vimal K Mishra | Internal Medicine | Mcv Associated Physicians | 1300 E Marshall St, Richmond, VA 23298-5054 |
| Anna K Nizinski | Nurse Practitioner | Mcv Associated Physicians | 1300 E Marshall St, Richmond, VA 23219-5054 |
| David A Goldberg | Hospitalist | Mcv Associated Physicians | 1300 E Marshall St, Richmond, VA 23298-5054 |
| Catherine J Marcelo | Internal Medicine | Mcv Associated Physicians | 1300 E Marshall St, Richmond, VA 23298-5054 |
| Sarah W Gordon | Hematology/oncology | Mcv Associated Physicians | 1300 E Marshall St, Richmond, VA 23219-5054 |
| Shanti Koirala Pradhan | Internal Medicine | Mcv Associated Physicians | 1300 E Marshall St, Richmond, VA 23298-5054 |
| Margaret S Guy | Internal Medicine | Mcv Associated Physicians | 1300 E Marshall St, Richmond, VA 23298-5054 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Lutterbie | Family Medicine | Mcv Associated Physicians | 401 N 11th St, Resident Clinic, Richmond, VA 23298-0209 |
| Debra Cohen | Nurse Practitioner | Mcv Associated Physicians | 401 N 11th St, Resident Clinic, Richmond, VA 23298-0209 |
| Shannon D Flaherty | Nurse Practitioner | Mcv Associated Physicians | 401 N 11th St, Resident Clinic, Richmond, VA 23298-0209 |
| Bobby D Rackley Jr. | Nurse Practitioner | Mcv Associated Physicians | 401 N 11th St, Resident Clinic, Richmond, VA 23298-0209 |
| Madhu S Gowda | Pediatric Medicine | Mcv Associated Physicians | 401 N 11th St, Richmond, VA 23298-0209 |
| Syed A Shah | Surgical Oncology | Mcv Associated Physicians | 401 N 11th St, Richmond, VA 23298-0438 |
| Linda J Abbey | Internal Medicine | Mcv Associated Physicians | 401 N 11th St, 439 Nelson Clinic Office, Richmond, VA 23298-0438 |
| Douglas F Willson | Critical Care (intensivists) | Mcv Associated Physicians | 401 N 11th St, 439 Nelson Clinic Office, Richmond, VA 23298-0438 |
| Jeannette G Brown | Nurse Practitioner | Mcv Associated Physicians | 401 N 11th St, Richmond, VA 23298-0438 |
| Ashley M Shoultz | Nurse Practitioner | Mcv Associated Physicians | 1213 E Clay St, Richmond, VA 23298-0510 |
| Find all physicians in zip 23298 | |||
| City | RICHMOND |
| Zip Code | 23298 |
| Specialty | PSYCHIATRY |
| City + Specialty | RICHMOND + PSYCHIATRY |
Please comment or provide details below to improve the information on Susan J Waller.
| 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.