David Champ (NPI# 1013977990, PAC ID# 9133349541) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1013977990 |
| PAC ID by PECOS | 9133349541 |
| Professional Enrollment ID | I20161128000954 |
| Full Name | David Champ |
| Organization Legal Name | LAKE SPRING EMERGENCY GROUP LLC |
| Address |
1900 Electric Rd Salem VA 24153-7474 |
| Phone Number | 5407764000 |
| Gender | M |
| Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
| Graduation Year | 2000 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 6406103498 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490067 | SOUTHSIDE REGIONAL MEDICAL CENTER |
| 490017 | BON SECOURS MARYVIEW MEDICAL CENTER |
| 490011 | BON SECOURS DEPAUL MEDICAL CENTER |
| 490048 | LEWISGALE MEDICAL CENTER |
| 490097 | SOUTHERN VIRGINIA REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1900 Electric Rd, Salem, VA 24153-7474 | 5407764000 | LAKE SPRING EMERGENCY GROUP LLC |
| Organization Legal Name | LAKE SPRING EMERGENCY GROUP LLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Bailey | Nurse Practitioner | Lake Spring Emergency Group LLC | 2706 Ogden Rd, Cave Spring, VA 24018-0600 |
| Kimberley Kay Buff | Nurse Practitioner | Lake Spring Emergency Group LLC | 2706 Ogden Rd, Cave Spring, VA 24018-0600 |
| Jeffrey W Horton | Emergency Medicine | Lake Spring Emergency Group LLC | 2706 Ogden Rd, Cave Spring, VA 24018-0600 |
| Eliza A Jacob | Emergency Medicine | Lake Spring Emergency Group LLC | 2706 Ogden Rd, Cave Spring, VA 24018-0600 |
| Thomas B Bolton | Emergency Medicine | Lake Spring Emergency Group LLC | 2706 Ogden Rd, Cave Spring, VA 24018-0600 |
| Eric D Kramer | Emergency Medicine | Lake Spring Emergency Group LLC | 2706 Ogden Rd, Cave Spring, VA 24018-0600 |
| Ethan R Freeborn | Emergency Medicine | Lake Spring Emergency Group LLC | 2706 Ogden Rd, Cave Spring, VA 24018-0600 |
| Nicole M Socha-coleman | Nurse Practitioner | Lake Spring Emergency Group LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Chad W Mosby | Emergency Medicine | Lake Spring Emergency Group LLC | 2706 Ogden Rd, Cave Spring, VA 24018-0600 |
| Jeremy J Webb | Emergency Medicine | Lake Spring Emergency Group LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Street Address |
1900 ELECTRIC RD |
| City | SALEM |
| State | VA |
| Zip | 24153-7474 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall L Woodford | Pathology | Associated Pathologists LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Elizabeth R Marshall | Certified Registered Nurse Anesthetist (crna) | Valley Anesthesia PC | 1900 Electric Rd, Salem, VA 24153-7494 |
| Stephen O Slattery | Anesthesiology | Valley Anesthesia PC | 1900 Electric Rd, Salem, VA 24153-7494 |
| Maria D Johnson | Certified Registered Nurse Anesthetist (crna) | Valley Anesthesia PC | 1900 Electric Rd, Salem, VA 24153-7494 |
| Adam G Guyer | Diagnostic Radiology | Radiology Associates of Roanoke, P. C. | 1900 Electric Rd, Salem, VA 24153-7474 |
| Jennifer L Haney | Internal Medicine | Lake Spring Physician Services, LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Benjamin Todd Freasier | Internal Medicine | Lake Spring Physician Services, LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Michael T Kelly | Physical Medicine and Rehabilitation | 1900 Electric Rd, Salem, VA 24153-7474 | |
| Harry K Daugherty Jr. | Pathology | Associated Pathologists LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Beth A Hite | Nurse Practitioner | Lake Spring Physician Services, LLC | 1900 Electric Rd, Salem, VA 24153-7474 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deana A Young | Family Medicine | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Amy Foutz | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Taylor Noelle Griffith | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Lauren R Sylvain | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Ijeoma N Okogbue | Cardiovascular Disease (cardiology) | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Puja R Ganjwala | Nurse Practitioner | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Jon Thomas Royall | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Laura Rapp | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Christian A Brickner | Physical Therapy | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Nicole D Kemp | Nurse Practitioner | Carilion Healthcare Corporation | 1935 W Main St, Salem, VA 24153-3109 |
| Find all physicians in zip 24153 | |||
| City | SALEM |
| Zip Code | 24153 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | SALEM + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on David Champ.
| 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.