Jelisa A Timmons (NPI# 1760894992, PAC ID# 5395017255) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1760894992 |
| PAC ID by PECOS | 5395017255 |
| Professional Enrollment ID | I20170828001893 |
| Full Name | Jelisa A Timmons |
| Organization Legal Name | BON SECOURS ST FRANCIS MEDICAL CENTER INC |
| Address |
13540 Hull St Rd Midlothian VA 23112-2107 |
| Phone Number | 8047396142 |
| Gender | F |
| Medical School | UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648215418 |
| Number of Group Practice Members | 66 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490136 | BON SECOURS ST FRANCIS MEDICAL CENTER |
| 490059 | BON SECOURS ST MARYS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13540 Hull St Rd, Midlothian, VA 23112-2107 | 8047396142 | BON SECOURS ST FRANCIS MEDICAL CENTER INC |
| Organization Legal Name | BON SECOURS ST FRANCIS MEDICAL CENTER INC |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Simpliciano | Internal Medicine | Bon Secours St Francis Medical Center Inc | 611 Watkins Centre Pkwy, Suite 250, Midlothian, VA 23114-4404 |
| Matthew Paine | Family Medicine | Bon Secours St Francis Medical Center Inc | 13540 Hull St Rd, Midlothian, VA 23112-2107 |
| Rafia Samdani | Family Medicine | Bon Secours St Francis Medical Center Inc | 2500 Pocoshock Pl, North Chesterfield, VA 23235-6345 |
| Brigite M Stark | Nurse Practitioner | Bon Secours St Francis Medical Center Inc | 200 Charter Colony Pkwy, Midlothian, VA 23114-4584 |
| Umadevi Muthyala | Endocrinology | Bon Secours St Francis Medical Center Inc | 11601 Iron Bridge Rd, Suite 209, Chester, VA 23831-1468 |
| Lisa T Krieg | Nurse Practitioner | Bon Secours St Francis Medical Center Inc | 8000 Brook Rd, Richmond, VA 23227-1306 |
| Rekha Nugaram | Endocrinology | Bon Secours St Francis Medical Center Inc | 3660 Boulevard, Suite G, Colonial Heights, VA 23834-1345 |
| James V Pellicane | General Surgery | Bon Secours St Francis Medical Center Inc | 601 Watkins Centre Pkwy, Suite 200, Midlothian, VA 23114-0002 |
| Steven Spence | Family Medicine | Bon Secours St Francis Medical Center Inc | 213 N Main St, Blackstone, VA 23824-1425 |
| Terry Taylor | Nurse Practitioner | Bon Secours St Francis Medical Center Inc | 11601 Iron Bridge Rd, Suite 117, Chester, VA 23831-1467 |
| Street Address |
13540 HULL ST RD |
| City | MIDLOTHIAN |
| State | VA |
| Zip | 23112-2107 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Paine | Family Medicine | Bon Secours St Francis Medical Center Inc | 13540 Hull St Rd, Midlothian, VA 23112-2107 |
| Augustine W Lewis | Family Medicine | Bon Secours St Francis Medical Center Inc | 13540 Hull St Rd, Midlothian, VA 23112-2107 |
| Rama Albaz | Family Medicine | Bon Secours St Francis Medical Center Inc | 13540 Hull St Rd, Midlothian, VA 23112-2107 |
| Daphne Lynn Bryan | Family Medicine | Bon Secours St Francis Medical Center Inc | 13540 Hull St Rd, Midlothian, VA 23112-2107 |
| Victor H Agbeibor | Family Medicine | Bon Secours St Francis Medical Center Inc | 13540 Hull St Rd, Midlothian, VA 23112-2107 |
| Jeffrey Roberts | Family Medicine | Bon Secours St Francis Medical Center Inc | 13540 Hull St Rd, Midlothian, VA 23112-2107 |
| Marcee C Vest | Family Medicine | Bon Secours St Francis Medical Center Inc | 13540 Hull St Rd, Midlothian, VA 23112-2107 |
| Elizabeth Allison Powers | Family Medicine | Bon Secours St Francis Medical Center Inc | 13540 Hull St Rd, Midlothian, VA 23112-2107 |
| Ekaterina Bratysheva | Family Medicine | Bon Secours St Francis Medical Center Inc | 13540 Hull St Rd, Midlothian, VA 23112-2107 |
| Glenna P Hendricks | Family Medicine | Bon Secours St Francis Medical Center Inc | 13540 Hull St Rd, Midlothian, VA 23112-2107 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyllis J Jones | Clinical Social Worker | 4920 Millridge E Pkwy, Suite 206, Midlothian, VA 23112 | |
| Amelia N Bazzi | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 13800 Hull St Rd, Midlothian, VA 23112-2002 |
| Cindy Mcgarry | Optometry | Swift Creek Eye Center PC | 13841 Hull St Rd, Midlothian, VA 23112-2056 |
| Rebecca M Kiraly Qualls | Optometry | Swift Creek Eye Center PC | 13841 Hull St Rd, Midlothian, VA 23112-2056 |
| Samuel A Martin | Optometry | Swift Creek Eye Center PC | 13841 Hull St Rd, Midlothian, VA 23112-2056 |
| Robie Robinson | Optometry | 6721 Lake Harbour Dr, Midlothian, VA 23112-2083 | |
| Claude R Hinson Jr. | Family Medicine | Primary Health Group Inc | 13861 Hull St Rd, Midlothian, VA 23112-2091 |
| Jennifer K Stirgwolt | Family Medicine | Primary Health Group Inc | 13861 Hull St Rd, Midlothian, VA 23112-2091 |
| Dandan Li | Family Medicine | Primary Health Group Inc | 13861 Hull St Rd, Midlothian, VA 23112-2091 |
| Bogale Jima | Family Medicine | Primary Health Group Inc | 13861 Hull St Rd, Midlothian, VA 23112-2091 |
| Find all physicians in zip 23112 | |||
| City | MIDLOTHIAN |
| Zip Code | 23112 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MIDLOTHIAN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jelisa A Timmons.
| 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.