Laura Provenzano (NPI# 1396080800, PAC ID# 9335383454) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1396080800 |
| PAC ID by PECOS | 9335383454 |
| Professional Enrollment ID | I20170518000196 |
| Full Name | Laura Provenzano |
| Organization Legal Name | MEDGEN URGENT CARE VIRGINIA LLC |
| Address |
3117 Duke St Alexandria VA 22314-4518 |
| Phone Number | 7037518800 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6608196746 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3117 Duke St, Alexandria, VA 22314-4518 | 7037518800 | MEDGEN URGENT CARE VIRGINIA LLC |
| Organization Legal Name | MEDGEN URGENT CARE VIRGINIA LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ndeye Lissa Kone | Physician Assistant | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| Sarah Nista | Physician Assistant | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| James Lee Leggett | Physician Assistant | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| Asma Jamil | Physician Assistant | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| Susan A Piotti | Physician Assistant | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| Cheryl Altschuler | Pediatric Medicine | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| Soraya Yunus | Physician Assistant | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| Jennifer Baker | Physician Assistant | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| Jackelyn R Farrell | Physician Assistant | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| Nicole B Reichhart | Physician Assistant | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| Street Address |
3117 DUKE ST |
| City | ALEXANDRIA |
| State | VA |
| Zip | 22314-4518 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ndeye Lissa Kone | Physician Assistant | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| Sarah Nista | Physician Assistant | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| James Lee Leggett | Physician Assistant | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| Asma Jamil | Physician Assistant | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| Susan A Piotti | Physician Assistant | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| Cheryl Altschuler | Pediatric Medicine | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| Soraya Yunus | Physician Assistant | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| Jennifer Baker | Physician Assistant | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| Jackelyn R Farrell | Physician Assistant | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| Nicole B Reichhart | Physician Assistant | Medgen Urgent Care Virginia LLC | 3117 Duke St, Alexandria, VA 22314-4518 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Decker | Psychologist, Clinical | 1423 Powhatan St, Suite 7, Alexandria, VA 22314-1389 | |
| Joseph S Henderson | Chiropractic | 1423 Powhatan St, Suite 7, Alexandria, VA 22314-1389 | |
| Ryan S Shugarman | Psychiatry | 901 N Washington St, Suite 601, Alexandria, VA 22314-1535 | |
| Dawn M Meekins | Physical Therapy | Progressive Physical Therapy LLC | 901 N Pitt St, Suite 150, Alexandria, VA 22314-1564 |
| Ashley M Rader | Physical Therapy | Progressive Physical Therapy LLC | 901 N Pitt St, Suite 150, Alexandria, VA 22314-1564 |
| Logan Sebastian | Physical Therapy | Jackson Clinics Limited Partnership | 209 Madison St, Ll2, Alexandria, VA 22314-1764 |
| Sonal Sheth | Physical Therapy | Jackson Clinics Limited Partnership | 209 Madison St, Ll2, Alexandria, VA 22314-1764 |
| Kristin L Dickman | Physical Therapy | Jackson Clinics Limited Partnership | 209 Madison St, Ll2, Alexandria, VA 22314-1764 |
| Uzma Amer Mian | Internal Medicine | City of Alexandria | 720 N Saint Asaph St, Alexandria, VA 22314-1912 |
| Navneet Sidhu | Psychiatry | City of Alexandria | 720 N Saint Asaph St, Alexandria, VA 22314-1912 |
| Find all physicians in zip 22314 | |||
| City | ALEXANDRIA |
| Zip Code | 22314 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ALEXANDRIA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Laura Provenzano.
| 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.