Derek C Gardner
WYTHE COUNTY PHYSICIAN PRACTICES LLC


Address: 600 W Ridge Rd, Wytheville, VA 24382-1044
Phone: 2762280200

Derek C Gardner (NPI# 1538145024, PAC ID# 3274692629) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.

Physician Overview

Nation Provider ID (NPI) 1538145024
PAC ID by PECOS 3274692629
Professional Enrollment ID I20081030000419
Full Name Derek C Gardner
Organization Legal Name WYTHE COUNTY PHYSICIAN PRACTICES LLC
Address 600 W Ridge Rd
Wytheville
VA 24382-1044
Phone Number 2762280200
Gender M
Medical School HOWARD UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1979
Primary Specialty UROLOGY
Group Practice PAC ID 7517972789
Number of Group Practice Members 17
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490111 WYTHE COUNTY COMMUNITY HOSPITAL

Other Locations

Address Phone Organization
600 W Ridge Rd, Wytheville, VA 24382-1044 2762280200 WYTHE COUNTY PHYSICIAN PRACTICES LLC

Organization Information

Organization Legal Name WYTHE COUNTY PHYSICIAN PRACTICES LLC
Physicians 11

Physicians with the same organization

Name Specialty Organization Address
Parrisa Bauker Rupe Physician Assistant Wythe County Physician Practices LLC 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139
Annabelle Lee Pannell Nurse Practitioner Wythe County Physician Practices LLC 245 Holston Rd, Suite B, Wytheville, VA 24382-4486
Erin Elizabeth Justice Nurse Practitioner Wythe County Physician Practices LLC 600 W Ridge Rd, Wytheville, VA 24382-1044
Christopher G Palmer Orthopedic Surgery Wythe County Physician Practices LLC 600 W Ridge Rd, Wytheville, VA 24382-1044
Joseph Terry Obstetrics/gynecology Wythe County Physician Practices LLC 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139
Paul J Roberto Urology Wythe County Physician Practices LLC 600 W Ridge Rd, Wytheville, VA 24382-1044
Catherine D Harrington Nurse Practitioner Wythe County Physician Practices LLC 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139
Scotty G Dove Family Medicine Wythe County Physician Practices LLC 791 Fort Chiswell Rd, Suite A, Max Meadows, VA 24360-4139
Norman Paul Morin Ii Orthopedic Surgery Wythe County Physician Practices LLC 600 W Ridge Rd, Wytheville, VA 24382-1044
Gwendolyn F Sechrest Nurse Practitioner Wythe County Physician Practices LLC 600 W Ridge Rd, Wytheville, VA 24382-1044

Office Location

Street Address 600 W RIDGE RD
City WYTHEVILLE
State VA
Zip 24382-1044

Physicians in the same location

Name Specialty Organization Address
Mark Stowe Emergency Medicine Emergency Coverage Corp 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099
Audrey Louise Grant Emergency Medicine Emergency Coverage Corp 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099
Douglas A Jentilet Emergency Medicine Emergency Coverage Corp 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099
Erin Elizabeth Justice Nurse Practitioner Wythe County Physician Practices LLC 600 W Ridge Rd, Wytheville, VA 24382-1044
Christopher G Palmer Orthopedic Surgery Wythe County Physician Practices LLC 600 W Ridge Rd, Wytheville, VA 24382-1044
Chase King Family Medicine Emergency Coverage Corp 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099
Richard D Brenner Anesthesiology Medstream Anesthesia Pllc 600 W Ridge Rd, Wytheville, VA 24382-1044
Lesley Wilcoxson Emergency Medicine Emergency Coverage Corp 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099
Joseph Lee Joyce Emergency Medicine Emergency Coverage Corp 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099
John James Dallara Emergency Medicine Emergency Coverage Corp 600 W Ridge Rd, Wythe County Comm Hosp, Wytheville, VA 24382-1099
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Tommi S Malavolti Chiropractic Blue Ridge Chiropractic Clinic P.C. 1135 W Lee Hwy, Wytheville, VA 24382
Noah A Malavolti Chiropractic Blue Ridge Chiropractic Clinic P.C. 1135 W Lee Hwy, Wytheville, VA 24382
Paul J Roberto Urology Wythe County Physician Practices LLC 600 W Ridge Rd, Wytheville, VA 24382-1044
James C Hataway Certified Registered Nurse Anesthetist (crna) Medstream Anesthesia Pllc 600 W Ridge Rd, Wytheville, VA 24382-1044
Karl A Ritch Diagnostic Radiology Radiology Consultants of Wytheville 600 W Ridge Rd, Wytheville, VA 24382-1044
Norman Paul Morin Ii Orthopedic Surgery Wythe County Physician Practices LLC 600 W Ridge Rd, Wytheville, VA 24382-1044
Gwendolyn F Sechrest Nurse Practitioner Wythe County Physician Practices LLC 600 W Ridge Rd, Wytheville, VA 24382-1044
Douglas C Bankhead Anesthesiology Sheridan Anesthesia Services of Virginia, Inc 600 W Ridge Rd, Wytheville, VA 24382-1044
Ashley Ball Nurse Practitioner Healogics Specialty Physicians of Virginia LLC 590 W Ridge Rd, Suite M, Wytheville, VA 24382-1067
Charles Anthony Villoch Cardiovascular Disease (cardiology) Wellmont Cardiology Services 590 W Ridge Rd, Suite D, Wytheville, VA 24382-1067
Find all physicians in zip 24382

Competitor

Search similar physicians

City WYTHEVILLE
Zip Code 24382
Specialty UROLOGY
City + Specialty WYTHEVILLE + UROLOGY

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Dataset Information

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.

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