Edward G Canada Jr. (NPI# 1174680466, PAC ID# 9931385150) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1174680466 |
| PAC ID by PECOS | 9931385150 |
| Professional Enrollment ID | I20110523000711 |
| Full Name | Edward G Canada Jr. |
| Organization Legal Name | VIRGINIA SOUTH PSYCHIATRIC AND FAMILY SERVICES |
| Address |
207 N 4th Ave Hopewell VA 23860-2503 |
| Phone Number | 8048610700 |
| Gender | M |
| Graduation Year | 1984 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 3476443797 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 207 N 4th Ave, Hopewell, VA 23860-2503 | 8048610700 | VIRGINIA SOUTH PSYCHIATRIC AND FAMILY SERVICES |
| Organization Legal Name | VIRGINIA SOUTH PSYCHIATRIC AND FAMILY SERVICES |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thresa Simon | Psychiatry | Virginia South Psychiatric and Family Services | 269 Medical Park Blvd, Petersburg, VA 23805-9337 |
| Charles E Hodges Jr. | Clinical Social Worker | Virginia South Psychiatric and Family Services | 269 Medical Park Blvd, Petersburg, VA 23805-9337 |
| Harpreet Reeba | Psychiatry | Virginia South Psychiatric and Family Services | 269 Medical Park Blvd, Petersburg, VA 23805-9337 |
| Devi Vasu | Psychiatry | Virginia South Psychiatric and Family Services | 269 Medical Park Blvd, Petersburg, VA 23805-9337 |
| Barbara Hartmann | Clinical Social Worker | Virginia South Psychiatric and Family Services | 269 Medical Park Blvd, Petersburg, VA 23805-9337 |
| Prakash Bhushan Karn | Psychiatry | Virginia South Psychiatric and Family Services | 207 N 4th Ave, Hopewell, VA 23860-2503 |
| Banerje Koduru | Psychiatry | Virginia South Psychiatric and Family Services | 269 Medical Park Blvd, Petersburg, VA 23805-9337 |
| Christina D Dhir | Clinical Social Worker | Virginia South Psychiatric and Family Services | 269 Medical Park Blvd, Petersburg, VA 23805-9337 |
| Aslihan Sogutlu | Psychiatry | Virginia South Psychiatric and Family Services | 13901 Coalfield Commons Pl, Suite 102, Midlothian, VA 23114-1219 |
| Victor Spencer Ferguson Jr. | Clinical Social Worker | Virginia South Psychiatric and Family Services | 269 Medical Park Blvd, Petersburg, VA 23805-9337 |
| Street Address |
207 N 4TH AVE |
| City | HOPEWELL |
| State | VA |
| Zip | 23860-2503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Prakash Bhushan Karn | Psychiatry | Virginia South Psychiatric and Family Services | 207 N 4th Ave, Hopewell, VA 23860-2503 |
| Salman Siddiqui | Psychiatry | Virginia South Psychiatric and Family Services | 207 N 4th Ave, Hopewell, VA 23860-2503 |
| Thomas A Crooks | Clinical Social Worker | Virginia South Psychiatric and Family Services | 207 N 4th Ave, Hopewell, VA 23860-2503 |
| Srinivasa R Punyala | Psychiatry | Virginia South Psychiatric and Family Services | 207 N 4th Ave, Hopewell, VA 23860-2503 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald D Farr | Clinical Social Worker | 211 N 5th Ave, Hopewell, VA 23860-2509 | |
| Jerry M Walters | Clinical Social Worker | 211 N 5th Ave, Hopewell, VA 23860-2509 | |
| Christopher D Miller | Family Medicine | Appomattox River Medical LLC | 815 W Poythress St, Hopewell, VA 23860-2532 |
| David M Neifeld | Family Medicine | Appomattox River Medical LLC | 815 W Poythress St, Hopewell, VA 23860-2532 |
| Frank C Jordaens Jr. | Nurse Practitioner | Appomattox River Medical LLC | 815 W Poythress St, Hopewell, VA 23860-2532 |
| Shannon L Stone | Nurse Practitioner | Appomattox River Medical LLC | 815 W Poythress St, Hopewell, VA 23860-2532 |
| Zahid Ikhlaq Mughal | Pulmonary Disease | Pulmonary and Critical Care Associates of The Tri-cities PC | 602 N 6th Ave, Hopewell, VA 23860-2621 |
| James Michael Gill | Nurse Practitioner | Pulmonary and Critical Care Associates of The Tri-cities PC | 602 N 6th Ave, Hopewell, VA 23860-2621 |
| Agha Suhail Haider | Pulmonary Disease | Pulmonary and Critical Care Associates of The Tri-cities PC | 602 N 6th Ave, Hopewell, VA 23860-2621 |
| Mubashir A Khan | Neurology | Neuro Care of Virginia PC | 247 E Cawson St, Hopewell, VA 23860-2814 |
| Find all physicians in zip 23860 | |||
| City | HOPEWELL |
| Zip Code | 23860 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | HOPEWELL + CLINICAL SOCIAL WORKER |
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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.