Ida T Vaclavik (NPI# 1134408644, PAC ID# 7810163847) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1134408644 |
| PAC ID by PECOS | 7810163847 |
| Professional Enrollment ID | I20150810002587 |
| Full Name | Ida T Vaclavik |
| Organization Legal Name | BON SECOURS ST FRANCIS MEDICAL CENTER INC |
| Address |
601 Watkins Centre Pkwy Suite 200 Midlothian VA 23114-0002 |
| Phone Number | 8045943130 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0648215418 |
| Number of Group Practice Members | 66 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490059 | BON SECOURS ST MARYS HOSPITAL |
| 490136 | BON SECOURS ST FRANCIS MEDICAL CENTER |
| 490069 | BON SECOURS MEMORIAL REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8220 Meadowbridge Rd, Suite 309, Mechanicsville, VA 23116-2341 | 8045943130 | BON SECOURS ST FRANCIS MEDICAL CENTER INC |
| 13700 St Francis Blvd, Suite 510, Midlothian, VA 23114-3223 | BON SECOURS ST FRANCIS MEDICAL CENTER INC | |
| 601 Watkins Centre Pkwy, Suite 200, Midlothian, VA 23114-0002 | 8045943130 | BON SECOURS ST FRANCIS MEDICAL CENTER INC |
| 5875 Bremo Rd, Suite G11, Richmond, VA 23226-1934 | 8045943130 | 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 |
601 WATKINS CENTRE PKWY SUITE 200 |
| City | MIDLOTHIAN |
| State | VA |
| Zip | 23114-0002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James V Pellicane | General Surgery | Bon Secours St Francis Medical Center Inc | 601 Watkins Centre Pkwy, Suite 200, Midlothian, VA 23114-0002 |
| Stacey L Epps | Neurology | Bon Secours St Francis Medical Center Inc | 601 Watkins Centre Pkwy, Suite 250, Midlothian, VA 23114-4412 |
| Neil Sreshta | Emergency Medicine | Richmond Emergency Physicians, Inc. | 601 Watkins Centre Pkwy, Midlothian, VA 23114-0002 |
| Gary L Taylor | Emergency Medicine | Richmond Emergency Physicians, Inc. | 601 Watkins Centre Pkwy, Midlothian, VA 23114-0002 |
| Polly L Stephens | General Surgery | Bon Secours St Francis Medical Center Inc | 601 Watkins Centre Pkwy, Suite 200, Midlothian, VA 23114-0002 |
| Courtland Edward Crenshaw | Emergency Medicine | Richmond Emergency Physicians, Inc. | 601 Watkins Centre Pkwy, Midlothian, VA 23114-0002 |
| Zachary M Dillon | Emergency Medicine | Richmond Emergency Physicians, Inc. | 601 Watkins Centre Pkwy, Midlothian, VA 23114-0002 |
| Eric E Floranda | Neurology | Bon Secours St Francis Medical Center Inc | 601 Watkins Centre Pkwy, Suite 250, Midlothian, VA 23114-4412 |
| Charles A Miller | Obstetrics/gynecology | Bon Secours St Francis Medical Center Inc | 601 Watkins Centre Pkwy, Midlothian, VA 23114-4412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanya D Baca | Certified Nurse Midwife (cnm) | Dominion Women's Health, Inc. | 611 Watkins Ctr Pkwy, Suite 220, Midlothian, VA 23114 |
| Rhonda C Sykes | Chiropractic | Chiropractic and Family Wellness PC | 13924 Coalfield Commons Pl, Suite 102, Midlothian, VA 23114-1216 |
| Tarek S Elganainy | Chiropractic | Chiropractic and Family Wellness PC | 13924 Coalfield Commons Pl, Suite 102, Midlothian, VA 23114-1216 |
| Patricia J Burkwall | Internal Medicine | Partner Md PC | 13901 Coalfield Commons Pl, Suite 201, Midlothian, VA 23114-1219 |
| Joy P Rowe | Internal Medicine | Partner Md PC | 13901 Coalfield Commons Pl, Suite 201, Midlothian, VA 23114-1219 |
| Leon O Spiers | Family Medicine | Partner Md PC | 13901 Coalfield Commons Pl, Suite 201, Midlothian, VA 23114-1219 |
| Aslihan Sogutlu | Psychiatry | Virginia South Psychiatric and Family Services | 13901 Coalfield Commons Pl, Suite 102, Midlothian, VA 23114-1219 |
| Jennifer M Ferguson | Internal Medicine | Partner Md PC | 13901 Coalfield Commons Pl, Suite 201, Midlothian, VA 23114-1219 |
| Jeffrey V Schwartz | Family Medicine | Partner Md PC | 13901 Coalfield Commons Pl, Suite 201, Midlothian, VA 23114-1219 |
| James David Mumper | Family Medicine | Partner Md PC | 13901 Coalfield Commons Pl, Suite 201, Midlothian, VA 23114-1219 |
| Find all physicians in zip 23114 | |||
| City | MIDLOTHIAN |
| Zip Code | 23114 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MIDLOTHIAN + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ida T Vaclavik.
| 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.