Amanda K Page (NPI# 1972840940, PAC ID# 5193961597) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1972840940 |
| PAC ID by PECOS | 5193961597 |
| Professional Enrollment ID | I20130409000216 |
| Full Name | Amanda K Page |
| Organization Legal Name | LEWIS GALE PHYSICIANS LLC |
| Address |
4550 Lee Hwy Suite A Dublin VA 24084-3802 |
| Phone Number | 5404403170 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6507886231 |
| Number of Group Practice Members | 176 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490116 | LEWISGALE HOSPITAL PULASKI |
| Address | Phone | Organization |
|---|---|---|
| 4550 Lee Hwy, Suite A, Dublin, VA 24084-3802 | 5404403170 | LEWIS GALE PHYSICIANS LLC |
| 4550 Lee Hwy, Suite B, Dublin, VA 24084-3820 | 5406744560 | LEWIS GALE PHYSICIANS LLC |
| 1802 Braeburn Dr, Salem, VA 24153-7357 | 5407723400 | LEWIS GALE PHYSICIANS LLC |
| Organization Legal Name | LEWIS GALE PHYSICIANS LLC |
| Physicians | 178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita I Register | Obstetrics/gynecology | Lewis Gale Physicians LLC | 826 Davis St, Blacksburg, VA 24060-7010 |
| Brent M May | Physician Assistant | Lewis Gale Physicians LLC | 1902 Braeburn Dr, Salem, VA 24153-7304 |
| Vishalakshi K Sundaram | Family Medicine | Lewis Gale Physicians LLC | 4910 Valley View Nwblvd, Roanoke, VA 24012-2040 |
| Patrick William Kenney | Nurse Practitioner | Lewis Gale Physicians LLC | 1940 Braeburn Cir A, Salem, VA 24153-7388 |
| Cemil M Purut | Thoracic Surgery | Lewis Gale Physicians LLC | 1802 Braeburn Dr, Salem, VA 24153-7357 |
| Jessica Fultz | Nurse Practitioner | Lewis Gale Physicians LLC | 801 Davis St, Blacksburg, VA 24060-7008 |
| Jeremy Smalley | Orthopedic Surgery | Lewis Gale Physicians LLC | 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683 |
| Teri Pa-c Mccormick-goodha | Physician Assistant | Lewis Gale Physicians LLC | 4550 Lee Hwy, Suite B, Dublin, VA 24084-3820 |
| Kathryn C Hoyt | Physician Assistant | Lewis Gale Physicians LLC | 101 Knotbreak Rd, Salem, VA 24153-5404 |
| Casey R Bowles | Physician Assistant | Lewis Gale Physicians LLC | 4615 Huntridge Rd, Roanoke, VA 24012-8510 |
| Street Address |
4550 LEE HWY SUITE A |
| City | DUBLIN |
| State | VA |
| Zip | 24084-3802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teri Pa-c Mccormick-goodha | Physician Assistant | Lewis Gale Physicians LLC | 4550 Lee Hwy, Suite B, Dublin, VA 24084-3820 |
| Carolyn L St Clair | Physician Assistant | Lewis Gale Physicians LLC | 4550 Lee Hwy, Suite A, Dublin, VA 24084-3802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda T Ely | Certified Clinical Nurse Specialist (cns) | 125 Broad St, Dublin, VA 24084-3201 | |
| Claire W Dalrymple | Clinical Social Worker | 125 Broad St, Dublin, VA 24084-3201 | |
| Jennifer Lynn Simpson | Nurse Practitioner | Carilion Healthcare Corporation | 118 Broad St, Dublin, VA 24084-3211 |
| William Skewes | Internal Medicine | 112 Broad St, Dublin, VA 24084-3211 | |
| April L Andrews | Nurse Practitioner | Carilion Healthcare Corporation | 118 Broad St, Dublin, VA 24084-3211 |
| George Pearis Damewood Iv | Family Medicine | Carilion Healthcare Corporation | 118 Broad St, Dublin, VA 24084-3211 |
| Christine M Ullman | Family Medicine | Carilion Healthcare Corporation | 118 Broad St, Dublin, VA 24084-3211 |
| Ted R Johnson | Podiatry | Soutwest Podiatry, P.C. | 5270 Alexander Rd, Dublin, VA 24084-3650 |
| Kylan Smith | Physical Therapy | University Physical Therapy Limited Partnership | 5255 Alexander Rd, Dublin, VA 24084-3657 |
| Cassidy L Hensley | Nurse Practitioner | Alliance Xpress Care LLC | 5275 Alexander Rd, Suite A, Dublin, VA 24084-3657 |
| Find all physicians in zip 24084 | |||
| City | DUBLIN |
| Zip Code | 24084 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | DUBLIN + PHYSICIAN ASSISTANT |
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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.