Victoria Lee Vastine (NPI# 1174587141, PAC ID# 6305887746) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
| Nation Provider ID (NPI) | 1174587141 |
| PAC ID by PECOS | 6305887746 |
| Professional Enrollment ID | I20050517000183 |
| Full Name | Victoria Lee Vastine |
| Organization Legal Name | MARTHA JEFFERSON MEDICAL GROUP LLC |
| Address |
595 Martha Jefferson Dr Suite 280 Charlottesville VA 22911-4669 |
| Phone Number | 4346548920 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 5991889081 |
| Number of Group Practice Members | 163 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490077 | SENTARA MARTHA JEFFERSON HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 595 Martha Jefferson Dr, Suite 280, Charlottesville, VA 22911-4669 | 4346548920 | MARTHA JEFFERSON MEDICAL GROUP LLC |
| Organization Legal Name | MARTHA JEFFERSON MEDICAL GROUP LLC |
| Physicians | 167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara Lynn Jacobs | Nurse Practitioner | Martha Jefferson Medical Group LLC | 15 Pratts Run, Suite 104, Waynesboro, VA 22980-6606 |
| Aric Jordan Moran | Hospitalist | Martha Jefferson Medical Group LLC | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Jennifer Graham Stancil | Nurse Practitioner | Martha Jefferson Medical Group LLC | 65 Brickyard Dr, Dillwyn, VA 23936-3361 |
| Shannon Mcdonnell Miller | Nurse Practitioner | Martha Jefferson Medical Group LLC | 29 Jefferson Ct, Zion Crossroads, VA 22942-9602 |
| Mary Whittemore | Family Medicine | Martha Jefferson Medical Group LLC | 416 Albemarle Sq, Charlottesville, VA 22901-7400 |
| Barrie Carveth | Nurse Practitioner | Martha Jefferson Medical Group LLC | 315 10th St Ne, Charlottesville, VA 22902-5316 |
| Michael Q Potter | Hand Surgery | Martha Jefferson Medical Group LLC | 595 Martha Jefferson Dr, Suite 180, Charlottesville, VA 22911-4669 |
| Stephen A Hoover | Hand Surgery | Martha Jefferson Medical Group LLC | 3263 Proffit Rd, Suite 203, Charlottesville, VA 22911-5639 |
| Blake R Garmon | Internal Medicine | Martha Jefferson Medical Group LLC | 435 Merchant Walk Sq, Suite 400, Charlottesville, VA 22902-6516 |
| Joseph Devon Lowdon | Internal Medicine | Martha Jefferson Medical Group LLC | 1011 E Jefferson St, Suite 202, Charlottesville, VA 22902-5354 |
| Street Address |
595 MARTHA JEFFERSON DR SUITE 280 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip | 22911-4669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Q Potter | Hand Surgery | Martha Jefferson Medical Group LLC | 595 Martha Jefferson Dr, Suite 180, Charlottesville, VA 22911-4669 |
| Stephen Burke Gunther | Orthopedic Surgery | Martha Jefferson Medical Group LLC | 595 Martha Jefferson Dr, Suite 180, Charlottesville, VA 22911-4669 |
| Brian Michael Showalter | Plastic and Reconstructive Surgery | Martha Jefferson Medical Group LLC | 595 Martha Jefferson Dr, Suite 280, Charlottesville, VA 22911-4669 |
| Lewis V Owens | Vascular Surgery | Martha Jefferson Medical Group LLC | 595 Martha Jefferson Dr, Suite 270, Charlottesville, VA 22911-4669 |
| Rebecca Schock | Physical Therapy | Physical Therapy At Acac | 595 Martha Jefferson Dr, Suite 120, Charlottesville, VA 22911-4669 |
| Megan A Swanson | Orthopedic Surgery | Martha Jefferson Medical Group LLC | 595 Martha Jefferson Dr, Suite 180, Charlottesville, VA 22911-4669 |
| Crystal M Dickson | Orthopedic Surgery | Martha Jefferson Medical Group LLC | 595 Martha Jefferson Dr, Suite 180, Charlottesville, VA 22911-4669 |
| John Ligush Jr. | Vascular Surgery | Martha Jefferson Medical Group LLC | 595 Martha Jefferson Dr, Suite 180, Charlottesville, VA 22911-4669 |
| Elizabeth W Chance | Plastic and Reconstructive Surgery | Martha Jefferson Medical Group LLC | 595 Martha Jefferson Dr, Charlottesville, VA 22911-4669 |
| Linda M Sommers | General Surgery | Virginia Breast Care, Plc | 595 Martha Jefferson Dr, Suite 320, Charlottesville, VA 22911-4669 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martha E Mccoy | Clinical Social Worker | 315 Winding River Lane, Suite 201, Charlottesville, VA 22911 | |
| Michelle Heppner | Chiropractic | 3450 Seminole Trl, Suite 105, Charlottesville, VA 22911-2210 | |
| Terry P Muller | Psychologist, Clinical | 154 Hansen Rd, Suite 202 D, Charlottesville, VA 22911-3552 | |
| Richard B Messinger | Interventional Pain Management | Charlottesville Interventional Pain Management LLC | 2050 Abbey Rd, Suite A, Charlottesville, VA 22911-3553 |
| Robert J Baglio | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 2050 Abbey Rd, Suite C, Charlottesville, VA 22911-3553 |
| Rasheed A Siddiqui | Interventional Pain Management | Charlottesville Interventional Pain Management LLC | 2050 Abbey Rd, Suite A, Charlottesville, VA 22911-3553 |
| Samuel H Schustek | Podiatry | Foot and Ankle Specialists of The Mid Atlantic LLC | 2050 Abbey Rd, Suite C, Charlottesville, VA 22911-3553 |
| Stephen J Blanchard | Certified Registered Nurse Anesthetist | Dreamworks Anesthesia, Inc | 2050 Abbey Rd, Charlottesville, VA 22911-3553 |
| Christina Marie Bove | Cardiovascular Disease (cardiology) | 300 Hickman Rd, Suite 202, Charlottesville, VA 22911-3554 | |
| Bonnie L Lungren | Clinical Social Worker | Bonnie Lungren LLC | 315 Winding River Ln, Charlottesville, VA 22911-3568 |
| Find all physicians in zip 22911 | |||
| City | CHARLOTTESVILLE |
| Zip Code | 22911 |
| Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
| City + Specialty | CHARLOTTESVILLE + PLASTIC AND RECONSTRUCTIVE SURGERY |
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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.