Bruce Booth (NPI# 1164427993, PAC ID# 9638130982) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
Nation Provider ID (NPI) | 1164427993 |
PAC ID by PECOS | 9638130982 |
Professional Enrollment ID | I20050412000748 |
Full Name | Bruce Booth |
Organization Legal Name | VIRGINIA ONCOLOGY ASSOCIATES |
Address |
500 Sentera Circle Suite 203 Williamsburg VA 23188-5727 |
Phone Number | 7572292236 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
Graduation Year | 1971 |
Primary Specialty | HEMATOLOGY/ONCOLOGY |
Group Practice PAC ID | 2769395797 |
Number of Group Practice Members | 72 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
490066 | SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1051 Loftis Blvd, Suite 100, Newport News, VA 23606-2981 | 7578739400 | VIRGINIA ONCOLOGY ASSOCIATES |
500 Sentera Circle, Suite 203, Williamsburg, VA 23188-5727 | 7572292236 | VIRGINIA ONCOLOGY ASSOCIATES |
Organization Legal Name | VIRGINIA ONCOLOGY ASSOCIATES |
Physicians | 79 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kimberly A Draper | Nurse Practitioner | Virginia Oncology Associates | 1051 Loftis Blvd, Suite 100, Newport News, VA 23606-2981 |
Paul R Conkling | Hematology/oncology | Virginia Oncology Associates | 5900 Lake Wright Dr, Norfolk, VA 23502-1871 |
John R Howard Jr. | Hematology/oncology | Virginia Oncology Associates | 1503 N Rd St B, Elizabeth City, NC 27909-3243 |
Lisa A Everitt | Physician Assistant | Virginia Oncology Associates | 725 Volvo Pkwy, Suite 200, Chesapeake, VA 23320-1602 |
Andrea Marie Edwards | Physician Assistant | Virginia Oncology Associates | 725 Volvo Pkwy, Suite 200, Chesapeake, VA 23320-1602 |
Shaker George Saman | Hematology/oncology | Virginia Oncology Associates | 725 Volvo Pkwy, Suite 200, Chesapeake, VA 23320-1602 |
Dean S Mcgaughey Iii | Hematology/oncology | Virginia Oncology Associates | 725 Volvo Pkwy, Suite 200, Chesapeake, VA 23320-1602 |
Celesteann T Bremer | Hematology/oncology | Virginia Oncology Associates | 725 Volvo Pkwy, Suite 200, Chesapeake, VA 23320-1602 |
Kathleen Sharp | Physician Assistant | Virginia Oncology Associates | 725 Volvo Pkwy, Suite 200, Chesapeake, VA 23320-1602 |
Valiant D Tan | Hematology/oncology | Virginia Oncology Associates | 725 Volvo Pkwy, Suite 200, Chesapeake, VA 23320-1602 |
Street Address |
500 SENTERA CIRCLE SUITE 203 |
City | WILLIAMSBURG |
State | VA |
Zip | 23188-5727 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christina Prillaman | Hematology/oncology | Virginia Oncology Associates | 500 Sentera Circle, Suite 203, Williamsburg, VA 23188-5727 |
Leslie D Koberstein | Nurse Practitioner | Virginia Oncology Associates | 500 Sentera Circle, Suite 203, Williamsburg, VA 23188-5727 |
Miriam New | Nurse Practitioner | Virginia Oncology Associates | 500 Sentera Circle, Suite 203, Williamsburg, VA 23188-5727 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tina M D'amico | Clinical Social Worker | 151 Kristiansand Dr, 104a, Williamsburg, VA 23188-1013 | |
Earl W Flora | Psychologist, Clinical | 3305 Poplar Creek Ln, Williamsburg, VA 23188-1058 | |
Artie Wilding | Chiropractic | 129 Devon Rd, Williamsburg, VA 23188-1541 | |
Krista M Pine | Psychiatry | Diamond Health Group Inc | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 |
Matthew Joseph Jaeger | Family Medicine | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 | |
Hasmukh A Vyas | Psychiatry | Diamond Health Group Inc | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 |
Norriece Liana Gibson | Geriatric Psychiatry | Diamond Health Group Inc | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 |
Margaret A Loew-cooney | Clinical Social Worker | Diamond Health Group Inc | 5483 Mooretown Rd, Williamsburg, VA 23188-2108 |
David R Barley | Optometry | 731 E Rochambeau Dr, Williamsburg, VA 23188-2187 | |
Dennis Gesualdi | Chiropractic | 3204 Ironbound Rd, Suite A, Williamsburg, VA 23188-2410 | |
Find all physicians in zip 23188 |
City | WILLIAMSBURG |
Zip Code | 23188 |
Specialty | HEMATOLOGY/ONCOLOGY |
City + Specialty | WILLIAMSBURG + HEMATOLOGY/ONCOLOGY |
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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.