Nelson Javier Chen Fernandez (NPI# 1417147315, PAC ID# 2062545478) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1417147315 |
PAC ID by PECOS | 2062545478 |
Professional Enrollment ID | I20110421000480 |
Full Name | Nelson Javier Chen Fernandez |
Organization Legal Name | CENTERVILLE FAMILY PRACTICE PC |
Address |
46 A Broad St Rd Manakin Sabot VA 23103-2213 |
Phone Number | 8049375297 |
Gender | M |
Graduation Year | 2014 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 9133443021 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
46 A Broad St Rd, Manakin Sabot, VA 23103-2213 | 8049375297 | CENTERVILLE FAMILY PRACTICE PC |
Organization Legal Name | CENTERVILLE FAMILY PRACTICE PC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Berta Lisbeth Granados Ortega | Family Medicine | Centerville Family Practice PC | 46 A Broad St Rd, Manakin Sabot, VA 23103-2213 |
Street Address |
46 A BROAD ST RD |
City | MANAKIN SABOT |
State | VA |
Zip | 23103-2213 |
Name | Specialty | Organization | Address |
---|---|---|---|
Berta Lisbeth Granados Ortega | Family Medicine | Centerville Family Practice PC | 46 A Broad St Rd, Manakin Sabot, VA 23103-2213 |
Name | Specialty | Organization | Address |
---|---|---|---|
Angela Shelton Brooks | Physical Therapy | Tidewater Physical Therapy LLC | 44 Broad St Rd, Manakin Sabot, VA 23103-2213 |
Melissa Matherly Bowers | Physical Therapy | Tidewater Physical Therapy LLC | 44 Broad St Rd, Manakin Sabot, VA 23103-2213 |
Callie A Carter | Physical Therapy | Tidewater Physical Therapy LLC | 44 Broad St Rd, Manakin Sabot, VA 23103-2213 |
Louis A Mazakas | Physical Therapy | Tidewater Physical Therapy LLC | 44 Broad St Rd, Manakin Sabot, VA 23103-2213 |
Lisa A Griffith | Chiropractic | 115 Broad St Rd, Manakin Sabot, VA 23103-2218 | |
Eric R Carlsen | Chiropractic | Family Chiropractic Center of Richmond LLC | 115 Broad St Rd, Manakin Sabot, VA 23103-2218 |
Kevin Wayne Ruff | Chiropractic | Family Chiropractic Center of Richmond LLC | 115 Broad St Rd, Manakin Sabot, VA 23103-2218 |
Timothy L Alder | Diagnostic Radiology | Vista Radiology, PC | 400 Powhatan Hill Pl, Manakin Sabot, VA 23103-3210 |
City | MANAKIN SABOT |
Zip Code | 23103 |
Specialty | FAMILY MEDICINE |
City + Specialty | MANAKIN SABOT + FAMILY 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.