Stacy L Street (NPI# 1275566234, PAC ID# 2860442027) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1275566234 |
| PAC ID by PECOS | 2860442027 |
| Professional Enrollment ID | I20190830002180 |
| Full Name | Stacy L Street |
| Organization Legal Name | HEALOGICS SPECIALTY PHYSICIANS OF VIRGINIA LLC |
| Address |
400 Sentara Cir Williamsburg VA 23188-5716 |
| Phone Number | 7573454550 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1995 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 1052637733 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490093 | SENTARA CAREPLEX HOSPITAL |
| 250058 | SOUTH CENTRAL REG MED CTR |
| Address | Phone | Organization |
|---|---|---|
| 400 Sentara Cir, Williamsburg, VA 23188-5716 | 7573454550 | HEALOGICS SPECIALTY PHYSICIANS OF VIRGINIA LLC |
| Organization Legal Name | HEALOGICS SPECIALTY PHYSICIANS OF VIRGINIA LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Ball | Nurse Practitioner | Healogics Specialty Physicians of Virginia LLC | 590 W Ridge Rd, Suite M, Wytheville, VA 24382-1067 |
| Nancy A Marshall | Nurse Practitioner | Healogics Specialty Physicians of Virginia LLC | 14010 Smoketown Rd, Suite 103, Woodbridge, VA 22192-4722 |
| Anne L White | Nurse Practitioner | Healogics Specialty Physicians of Virginia LLC | 14010 Smoketown Rd, Suite 103, Woodbridge, VA 22192-4722 |
| Gregory Flack Montgomery | Vascular Surgery | Healogics Specialty Physicians of Virginia LLC | 2010 Health Campus Dr, Rockingham, VA 22801-8679 |
| Michael Torres | Family Medicine | Healogics Specialty Physicians of Virginia LLC | 14010 Smoketown Rd, Suite 103, Woodbridge, VA 22192-4722 |
| Peter D Buckman | Thoracic Surgery | Healogics Specialty Physicians of Virginia LLC | 14010 Smoketown Rd, Suite 103, Woodbridge, VA 22192-4722 |
| William Mcconahey Iii | Emergency Medicine | Healogics Specialty Physicians of Virginia LLC | 14010 Smoketown Rd, Suite 103, Woodbridge, VA 22192-4722 |
| Karen Conroy Oaks | Nurse Practitioner | Healogics Specialty Physicians of Virginia LLC | 142 S Main St, Danville, VA 24541-2922 |
| Sanford Kent Marcuson | Internal Medicine | Healogics Specialty Physicians of Virginia LLC | 400 Sentara Cir, Williamsburg, VA 23188-5716 |
| Eleanor A Erwin | Emergency Medicine | Healogics Specialty Physicians of Virginia LLC | 400 Sentara Cir, Williamsburg, VA 23188-5716 |
| Street Address |
400 SENTARA CIR |
| City | WILLIAMSBURG |
| State | VA |
| Zip | 23188-5716 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward S Pak | Critical Care (intensivists) | Sentara Medical Group | 400 Sentara Cir, Suite 320a, Williamsburg, VA 23188-5716 |
| Robert Dunne | Physician Assistant | Tidewater Physicians Multispecialty Group, PC | 400 Sentara Cir, Suite 400, Williamsburg, VA 23188-5716 |
| Ravi Srivastava | Cardiovascular Disease (cardiology) | Sentara Medical Group | 400 Sentara Cir, 320 Sentara Cardiology Specialists, Williamsburg, VA 23188-5716 |
| Kerry C Prewitt | Interventional Cardiology | Sentara Medical Group | 400 Sentara Cir, Suite 320a, Williamsburg, VA 23188-5716 |
| Arpana P Mahalingashetty | Pulmonary Disease | Sentara Medical Group | 400 Sentara Cir, Suite 320a, Williamsburg, VA 23188-5716 |
| Michael James Kelley | Internal Medicine | Sentara Medical Group | 400 Sentara Cir, 450 Medical Center Family Physicians, Wiliamsburg, VA 23188-5723 |
| Jennifer U Miles-thomas | Urology | Urology of Virginia Pllc | 400 Sentara Cir, Suite 310, Williamsburg, VA 23188-5716 |
| Thomas Preston Kennedy | Pulmonary Disease | Sentara Medical Group | 400 Sentara Cir, Suite 320a, Williamsburg, VA 23188-5716 |
| Amol Raizada | Interventional Cardiology | Sentara Medical Group | 400 Sentara Cir, 320 Sentara Cardiology Specialists, Williamsburg, VA 23188-5716 |
| Yasmin M Nuru | Nurse Practitioner | Sentara Medical Group | 400 Sentara Cir, 450 Medical Center Family Physicians, Wiliamsburg, VA 23188-5723 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tina M D'amico | Clinical Social Worker | 151 Kristiansand Dr, 104a, Williamsburg, VA 23188-1013 | |
| Earl W Flora | Psychologist, Clinical | 3305 Poplar Creek Ln, Williamsburg, VA 23188-1058 | |
| Artie Wilding | Chiropractic | 129 Devon Rd, Williamsburg, VA 23188-1541 | |
| Krista M Pine | Psychiatry | Diamond Health Group Inc | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 |
| Matthew Joseph Jaeger | Family Medicine | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 | |
| Hasmukh A Vyas | Psychiatry | Diamond Health Group Inc | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 |
| Norriece Liana Gibson | Geriatric Psychiatry | Diamond Health Group Inc | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 |
| Margaret A Loew-cooney | Clinical Social Worker | Diamond Health Group Inc | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 |
| David R Barley | Optometry | 731 E Rochambeau Dr, Williamsburg, VA 23188-2187 | |
| Dennis Gesualdi | Chiropractic | 3204 Ironbound Rd, Suite A, Williamsburg, VA 23188-2410 | |
| Find all physicians in zip 23188 | |||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
| Specialty | GENERAL SURGERY |
| City + Specialty | WILLIAMSBURG + GENERAL SURGERY |
Please comment or provide details below to improve the information on Stacy L Street.
| 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.