Dennis Lee Thomas (NPI# 1730186883, PAC ID# 4981685161) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1730186883 |
| PAC ID by PECOS | 4981685161 |
| Professional Enrollment ID | I20110107000401 |
| Full Name | Dennis Lee Thomas |
| Organization Legal Name | CHICKAHOMINY FAMILY PRACTICE INC |
| Address |
9010 Pocahontas Trl Providence Forge VA 23140-3400 |
| Phone Number | 8049321020 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1979 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7719977560 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490066 | SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER |
| 490094 | BON SECOURS RICHMOND COMMUNITY HOSPITAL |
| 490069 | BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER |
| 490118 | HENRICO DOCTORS' HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 | 8049321020 | CHICKAHOMINY FAMILY PRACTICE INC |
| 1850 Pocahontas Trail, Quinton, VA 23141 | 8049324388 | CHICKAHOMINY FAMILY PRACTICE INC |
| Organization Legal Name | CHICKAHOMINY FAMILY PRACTICE INC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Kavanaugh Sparrow Jr. | Family Medicine | Chickahominy Family Practice Inc | 2660 New Market Rd, Richmond, VA 23231-7408 |
| Anup Jagdish Gokli | Family Medicine | Chickahominy Family Practice Inc | 1850 Pocahontas Trail, Quinton, VA 23141 |
| Joseph J Moore | Family Medicine | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Mona Kaur | Nurse Practitioner | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Carol A Lund | Physician Assistant | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| John Peter Kowalski | Family Medicine | Chickahominy Family Practice Inc | 2660 New Market Rd, Richmond, VA 23231-7408 |
| Margaret Mountcastle | Nurse Practitioner | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Mary E Vann | Nurse Practitioner | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Cara Dillon Hoover | Nurse Practitioner | Chickahominy Family Practice Inc | 2660 New Market Rd, Richmond, VA 23231-7408 |
| Mankanchan Sachdev Majhail | Nurse Practitioner | Chickahominy Family Practice Inc | 2660 New Market Rd, Richmond, VA 23231-7408 |
| Street Address |
9010 POCAHONTAS TRL |
| City | PROVIDENCE FORGE |
| State | VA |
| Zip | 23140-3400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph J Moore | Family Medicine | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Mona Kaur | Nurse Practitioner | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Carol A Lund | Physician Assistant | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Margaret Mountcastle | Nurse Practitioner | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Mary E Vann | Nurse Practitioner | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Margaret Cox | Nurse Practitioner | Chickahominy Family Practice Inc | 9010 Pocahontas Trl, Providence Forge, VA 23140-3400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janice V Atwell | Clinical Social Worker | Henrico County | 9403 Pocohontas Trail, Providence Forge, VA 23140 |
| Douglas A Brown | Psychiatry | Henrico County | 9403 Pocohontas Trail, Providence Forge, VA 23140 |
| Deborah Renee Crutchfield | Nurse Practitioner | Henrico County | 9403 Pocohontas Trail, Providence Forge, VA 23140 |
| City | PROVIDENCE FORGE |
| Zip Code | 23140 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PROVIDENCE FORGE + 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.