Tracey Tatum (NPI# 1568588960, PAC ID# 9830493196) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1568588960 |
| PAC ID by PECOS | 9830493196 |
| Professional Enrollment ID | I20160205001843 |
| Full Name | Tracey Tatum |
| Organization Legal Name | SURGICAL ASSOCIATES OF RICHMOND INC |
| Address |
1051 Johnston Willis Dr Suite 200 North Chesterfield VA 23235-4871 |
| Phone Number | 8043202705 |
| Gender | F |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5496730475 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490112 | CJW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1051 Johnston Willis Dr, Suite 200, North Chesterfield, VA 23235-4871 | 8043202705 | SURGICAL ASSOCIATES OF RICHMOND INC |
| 1051 Johnston Willis Dr, North Chesterfield, VA 23235-4871 | 8043202705 | SURGICAL ASSOCIATES OF RICHMOND INC |
| Organization Legal Name | SURGICAL ASSOCIATES OF RICHMOND INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sunita Cheekati | Nurse Practitioner | Surgical Associates of Richmond Inc | 13460 Tredegar Lake Pkwy, Midlothian, VA 23112-4070 |
| Ann B Henderson | Physician Assistant | Surgical Associates of Richmond Inc | 1051 Johnston Willis Dr, Suite 200, North Chesterfield, VA 23235-4871 |
| Kiana M Maghamez | Physician Assistant | Surgical Associates of Richmond Inc | 1051 Johnston Willis Dr, Suite 200, North Chesterfield, VA 23235-4871 |
| Martin T Evans | General Surgery | Surgical Associates of Richmond Inc | 8700 Stony Point Pkwy, Suite 140, Richmond, VA 23235-1964 |
| Steven Eugene Swartz | General Surgery | Surgical Associates of Richmond Inc | 1051 Johnston Willis Dr, North Chesterfield, VA 23235-4871 |
| Street Address |
1051 JOHNSTON WILLIS DR SUITE 200 |
| City | NORTH CHESTERFIELD |
| State | VA |
| Zip | 23235-4871 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Antwana Sharee Wright | Vascular Surgery | Columbia Healthcare of Central Virginia Inc | 1051 Johnston Willis Dr, Suite 200, North Chesterfield, VA 23235-4871 |
| Venkataraman Santosh | General Surgery | Columbia Healthcare of Central Virginia Inc | 1051 Johnston Willis Dr, Suite 200, North Chesterfield, VA 23235-4871 |
| Richard L Binns | Vascular Surgery | Columbia Healthcare of Central Virginia Inc | 1051 Johnston Willis Dr, Suite 200, North Chesterfield, VA 23235-4871 |
| Ann B Henderson | Physician Assistant | Surgical Associates of Richmond Inc | 1051 Johnston Willis Dr, Suite 200, North Chesterfield, VA 23235-4871 |
| Kiana M Maghamez | Physician Assistant | Surgical Associates of Richmond Inc | 1051 Johnston Willis Dr, Suite 200, North Chesterfield, VA 23235-4871 |
| Steven Eugene Swartz | General Surgery | Surgical Associates of Richmond Inc | 1051 Johnston Willis Dr, North Chesterfield, VA 23235-4871 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne M Wright | Certified Registered Nurse Anesthetist (crna) | Commonwealth Anesthesia Associates, P.C. | 1401 Johnston-willis Dr, Richmond, VA 23235 |
| Christine L Kroepel | Certified Registered Nurse Anesthetist (crna) | Commonwealth Anesthesia Associates, P.C. | 1401 Johnston-willis Dr, Richmond, VA 23235 |
| Edwin Wortham | Ophthalmology | Virginia Pediatric Ophthalmology Specialists, LLC | 8720 Stony Point Pkwy, Suite 135, Richmond, VA 23235-0017 |
| Matthew D Doerr | Ophthalmology | Virginia Pediatric Ophthalmology Specialists, LLC | 8720 Stony Point Pkwy, Suite 135, Richmond, VA 23235-0017 |
| Patricia J Sime | Pulmonary Disease | Mcv Associated Physicians | 9000 Stony Point Pkwy, Richmond, VA 23235-1900 |
| Ruma G Adams | Internal Medicine | Mcv Associated Physicians | 9000 Stony Point Pkwy, Richmond, VA 23235-1900 |
| Francisco C Albuquerque Jr. | Vascular Surgery | Mcv Associated Physicians | 9000 Stony Point Pkwy, Richmond, VA 23235-1900 |
| Robert E Petres | Obstetrics/gynecology | Mcv Associated Physicians | 9000 Stony Point Pkwy, Richmond, VA 23235-1900 |
| Melissa C Smallfield | Cardiovascular Disease (cardiology) | Mcv Associated Physicians | 9000 Stony Point Pkwy, Richmond, VA 23235-1900 |
| Victoria Gregg Kuester | Orthopedic Surgery | Mcv Associated Physicians | 9000 Stony Point Pkwy, Richmond, VA 23235-1900 |
| Find all physicians in zip 23235 | |||
| City | NORTH CHESTERFIELD |
| Zip Code | 23235 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | NORTH CHESTERFIELD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tracey Tatum.
| 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.