Danielle S Avula (NPI# 1629339064, PAC ID# 6103073853) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1629339064 |
PAC ID by PECOS | 6103073853 |
Professional Enrollment ID | I20160115001494 |
Full Name | Danielle S Avula |
Organization Legal Name | BON SECOURS - MEMORIAL REGIONAL MEDICAL CENTER, INC. |
Address |
1041 Sharon Rd Suite 205 King William VA 23086-3344 |
Phone Number | 8047693096 |
Gender | F |
Graduation Year | 2012 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 6507775293 |
Number of Group Practice Members | 91 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
490069 | BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER |
490059 | BON SECOURS ST MARYS HOSPITAL |
490084 | RIVERSIDE TAPPAHANNOCK HOSPITAL |
Address | Phone | Organization |
---|---|---|
1041 Sharon Rd, Suite 205, King William, VA 23086-3344 | 8047693096 | BON SECOURS - MEMORIAL REGIONAL MEDICAL CENTER, INC. |
4620 S Laburnum Ave, Richmond, VA 23231-2424 | 8042262444 | BON SECOURS - MEMORIAL REGIONAL MEDICAL CENTER, INC. |
4630 S Laburnum Ave, Richmond, VA 23231-2424 | 8042227744 | BON SECOURS - MEMORIAL REGIONAL MEDICAL CENTER, INC. |
Organization Legal Name | BON SECOURS - MEMORIAL REGIONAL MEDICAL CENTER, INC. |
Physicians | 11 |
Name | Specialty | Organization | Address |
---|---|---|---|
Andrew K Worthington | Neurology | Bon Secours - Memorial Regional Medical Center, Inc. | 8262 Atlee Rd, Mechanicsville, VA 23116-1816 |
Michael S Grillon | General Surgery | Bon Secours - Memorial Regional Medical Center, Inc. | 8266 Atlee Rd, Mechanicsville, VA 23116-1804 |
Samuel Mcpherson Janney Ii | Internal Medicine | Bon Secours - Memorial Regional Medical Center, Inc. | 7041 Lee Park Rd, Mechanicsville, VA 23111-3682 |
Amanda W Hodges | Nurse Practitioner | Bon Secours - Memorial Regional Medical Center, Inc. | 8220 Meadowbridge Rd, Suite 203, Mechanicsville, VA 23116-2339 |
Adele I Karp | Clinical Social Worker | Bon Secours - Memorial Regional Medical Center, Inc. | 8220 Meadowbridge Rd, Suite 203, Mechanicsville, VA 23116-2339 |
Cheryl Wood | Nurse Practitioner | Bon Secours - Memorial Regional Medical Center, Inc. | 8262 Atlee Rd, Mechanicsville, VA 23116-1816 |
Roger William Cappello | Internal Medicine | Bon Secours - Memorial Regional Medical Center, Inc. | 7041 Lee Park Rd, Mechanicsville, VA 23111-3682 |
Rashida N Gray | Psychiatry | Bon Secours - Memorial Regional Medical Center, Inc. | 8220 Meadowbridge Rd, Suite 203, Mechanicsville, VA 23116-2339 |
Chantel M Rusz | Nurse Practitioner | Bon Secours - Memorial Regional Medical Center, Inc. | 8220 Meadowbridge Rd, Suite 203, Mechanicsville, VA 23116-2339 |
Ashley D White | Clinical Social Worker | Bon Secours - Memorial Regional Medical Center, Inc. | 6372 Mechanicsville Tpke, Suite 103, Mechanicsville, VA 23111-4710 |
Street Address |
1041 SHARON RD SUITE 205 |
City | KING WILLIAM |
State | VA |
Zip | 23086-3344 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lindsay R Culver | Nurse Practitioner | Bon Secours Memorial Regional Medical Center Inc | 1041 Sharon Rd, Suite 205, King William, VA 23086-3344 |
Andreya Risser | Family Medicine | Bon Secours Memorial Regional Medical Center Inc | 1041 Sharon Rd, Suite 205, King William, VA 23086-3344 |
Robert M Rose | Family Medicine | Bon Secours Memorial Regional Medical Center Inc | 1041 Sharon Rd, Suite 205, King William, VA 23086-3344 |
City | KING WILLIAM |
Zip Code | 23086 |
Specialty | FAMILY PRACTICE |
City + Specialty | KING WILLIAM + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Danielle S Avula.
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.