David M Wodicka (NPI# 1982687125, PAC ID# 3577645696) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1982687125 |
| PAC ID by PECOS | 3577645696 |
| Professional Enrollment ID | I20080129000319 |
| Full Name | David M Wodicka |
| Organization Legal Name | CENTRAL VIRGINIA FAMILY PHYSICIANS, INC |
| Address |
2019 Tate Springs Rd Lynchburg VA 24501-1131 |
| Phone Number | 4348467708 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 1759356694 |
| Number of Group Practice Members | 50 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490021 | CENTRA HEALTH, INC |
| Address | Phone | Organization |
|---|---|---|
| 2019 Tate Springs Rd, Lynchburg, VA 24501-1131 | 4348467708 | CENTRAL VIRGINIA FAMILY PHYSICIANS, INC |
| 8700 Sudley Rd, Manassas, VA 20110-4418 | 5713668845 | PRIVIA MEDICAL GROUP,LLC |
| 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 | 5713668845 | PRIVIA MEDICAL GROUP,LLC |
| Organization Legal Name | CENTRAL VIRGINIA FAMILY PHYSICIANS, INC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathleen P Bogacz | Internal Medicine | Central Virginia Family Physicians, Inc | 14005 Wards Rd, Lynchburg, VA 24501-7127 |
| Olubukola Ojuola | Pediatric Medicine | Central Virginia Family Physicians, Inc | 2321 Wards Rd, Lynchburg, VA 24502-2101 |
| Louis B Graham | Family Practice | Central Virginia Family Physicians, Inc | 2019 Tate Springs Rd, Lynchburg, VA 24501-1131 |
| Kimberly S Devolld | Pediatric Medicine | Central Virginia Family Physicians, Inc | 2019 Tate Springs Rd, Lynchburg, VA 24501-1131 |
| Wendy E Nichols | Nurse Practitioner | Central Virginia Family Physicians, Inc | 2019 Tate Springs Rd, Lynchburg, VA 24501-1131 |
| Michael G Hueber | Family Practice | Central Virginia Family Physicians, Inc | 2019 Tate Springs Rd, Lynchburg, VA 24501-1131 |
| Street Address |
2019 TATE SPRINGS RD |
| City | LYNCHBURG |
| State | VA |
| Zip | 24501-1131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louis B Graham | Family Practice | Central Virginia Family Physicians, Inc | 2019 Tate Springs Rd, Lynchburg, VA 24501-1131 |
| Kimberly S Devolld | Pediatric Medicine | Central Virginia Family Physicians, Inc | 2019 Tate Springs Rd, Lynchburg, VA 24501-1131 |
| Wendy E Nichols | Nurse Practitioner | Central Virginia Family Physicians, Inc | 2019 Tate Springs Rd, Lynchburg, VA 24501-1131 |
| Michael G Hueber | Family Practice | Central Virginia Family Physicians, Inc | 2019 Tate Springs Rd, Lynchburg, VA 24501-1131 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Kw Hevener | Physical Therapy | Tidewater Physical Therapy LLC | 2400 Lakeside Dr, Suite 602f, Lynchburg, VA 24501 |
| Marie Andrea Lopez | Physician Assistant | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Russell W Campbell | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Rachel H Behrmann | Physician Assistant | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| William F Weber Iv | General Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Robert Joseph Albrecht | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Christopher K Vincent | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| David Cassada | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Lawrence F Poletti | General Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Peter J Ploch | General Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Find all physicians in zip 24501 | |||
| City | LYNCHBURG |
| Zip Code | 24501 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | LYNCHBURG + FAMILY PRACTICE |
Please comment or provide details below to improve the information on David M Wodicka.
| 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.