Shyama D Wickramaaratchi (NPI# 1316387939, PAC ID# 5294023073) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1316387939 |
| PAC ID by PECOS | 5294023073 |
| Professional Enrollment ID | I20171017000956 |
| Full Name | Shyama D Wickramaaratchi |
| Organization Legal Name | MONTGOMERY SURGERY ASSOCIATES LLC |
| Address |
830 Davis St Blacksburg VA 24060-7010 |
| Phone Number | 5404437400 |
| Gender | F |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2009 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 6204871312 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490110 | LEWISGALE HOSPITAL MONTGOMERY |
| Address | Phone | Organization |
|---|---|---|
| 830 Davis St, Blacksburg, VA 24060-7010 | 5404437400 | MONTGOMERY SURGERY ASSOCIATES LLC |
| 830 Davis St, Suite 1, Blacksburg, VA 24060-7010 | 5404437400 | MONTGOMERY SURGERY ASSOCIATES LLC |
| Organization Legal Name | MONTGOMERY SURGERY ASSOCIATES LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer A Sinclair | Gastroenterology | Montgomery Surgery Associates LLC | 817 Davis St, Blacksburg, VA 24060-7004 |
| Jolene B Henshaw | General Surgery | Montgomery Surgery Associates LLC | 809 Davis St, Blacksburg, VA 24060-7013 |
| Jason Fowlkes | General Surgery | Montgomery Surgery Associates LLC | 801 Davis St, Suite 1, Blacksburg, VA 24060-7022 |
| David Stoeckle | General Surgery | Montgomery Surgery Associates LLC | 809 Davis St, Blacksburg, VA 24060-7013 |
| Kelly H Finnegan | Physician Assistant | Montgomery Surgery Associates LLC | 817 Davis St, Blacksburg, VA 24060-7004 |
| Christopher M Hicks | Urology | Montgomery Surgery Associates LLC | 801 Davis St, Blacksburg, VA 24060-7022 |
| Street Address |
830 DAVIS ST |
| City | BLACKSBURG |
| State | VA |
| Zip | 24060-7010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Regina Talbert | Qualified Audiologist | The Hearing Clinic | 830 Davis St, Suite 2, Blacksburg, VA 24060-7010 |
| Michael K Bowman | Otolaryngology | Lewis Gale Physicians LLC | 830 Davis St, Suite 1, Blacksburg, VA 24060-7010 |
| Benjamin P Hull | Otolaryngology | Lewis Gale Physicians LLC | 830 Davis St, Suite 1, Blacksburg, VA 24060-7010 |
| Jennifer Leigh Nelson | Otolaryngology | Lewis Gale Physicians LLC | 830 Davis St, Suite 1, Blacksburg, VA 24060-7010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwendolyn W Spangler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Kristopher Joel Hansen | Hematology/oncology | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Michele Lee Keesling | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Charlene M Jordan | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Amy Ratcliffe Butler | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Heather L Bayless | Nurse Practitioner | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2600 Research Dr A, Blacksburg, VA 24060 |
| Mazen I Madhoun | Family Medicine | 3400 Southpoint Dr, Blacksburg, VA 24060-1261 | |
| Glenda Beekmann Ball | Nurse Practitioner | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Avery M Matthews | Psychiatry | Family Medicine of Blacksburg, LLC | 1645 N Main St, Blacksburg, VA 24060-2554 |
| Lynn M Bever | Psychologist, Clinical | 1501 Lark Ln, Blacksburg, VA 24060-2658 | |
| Find all physicians in zip 24060 | |||
| City | BLACKSBURG |
| Zip Code | 24060 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | BLACKSBURG + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Shyama D Wickramaaratchi.
| 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.