SOUTHSIDE SPECIALISTS FOR WOMEN, P.C. (NPI# 1033389440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033389440 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE SPECIALISTS FOR WOMEN, P.C. |
| Practice Address |
510 S Sycamore St Suite D Petersburg VA 23803-5044 |
| Practice Telephone | 8048611614 |
| Practice Fax Number | 8048630672 |
| Mailing Telephone | 8048611614 |
| Mailing Fax Number | 8048630672 |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |
| Authorized Official Name | CYNTHIA COLE (OFFICE MANAGER) |
| Authorized Official Telephone | 8048611614 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
510 S SYCAMORE ST SUITE D |
| City | PETERSBURG |
| State | VA |
| Zip Code | 23803-5044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245291186 | Pannala Vijay Reddy | Obstetrics & Gynecology | 510 S Sycamore St, Ste D, Petersburg, VA 23803 | 2006-03-30 |
| 1811193055 | Southside Physicians for Women, LLC | Obstetrics & Gynecology | 510 S Sycamore St, Suite A & B, Petersburg, VA 23803-5044 | 2007-06-25 |
| 1457319873 | Audree Brown | Counselor | 510 S Sycamore St, Suite F, Petersburg, VA 23803-5044 | 2006-05-03 |
| 1629034046 | John Paul Fretheim | Counselor | 510 S Sycamore St, Suite F, Petersburg, VA 23803-5044 | 2006-04-25 |
| 1023073038 | Pannala-jagan Reddy | Psychiatry & Neurology | 510 S Sycamore St, Suite F, Petersburg, VA 23803-5044 | 2006-04-20 |
| 1962467449 | Diane Marie Han | Counselor | 510 S Sycamore St, Suite F, Petersburg, VA 23803-5044 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523719 | Wise Journey Ltd | Home Health | 325-b Brown Street Suite 132, Petersburg, VA 23803 | 2019-08-14 |
| 1386101699 | Marliqua Barnes | Driver | 601 Carter St, Petersburg, VA 23803 | 2019-02-22 |
| 1356596571 | Quality Healthcare Inc | Community/Behavioral Health | 6111 Duncan Rd, Ste F, Petersburg, VA 23803 | 2008-12-02 |
| 1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
| 1841333721 | Family Preservation Services, Inc | Community/Behavioral Health | 1000 Patterson Ave, Petersburg, VA 23803 | 2007-02-14 |
| 1154473155 | Progressive Adult Rehabilitation Center, Inc. | Day Training, Developmentally Disabled Services | 114 North Union Street, Suite B, Petersburg, VA 23803 | 2007-01-18 |
| 1861556615 | Evelyn V. Whitehead | Counselor | 115 E Wythe St, Petersburg, VA 23803 | 2006-12-19 |
| 1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
| 1396842282 | Eugene Arthur Richardson IIi | Dentist | 23 Shore Street, Petersburg, VA 23803 | 2006-09-20 |
| 1679594030 | Olumuyiwa Akinniyi Ojediran | Internal Medicine | 734 South Sycamore Street, Petersburg, VA 23803 | 2006-07-21 |
| Find all providers in zip 23803 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699202150 | John L Hahn Md Inc | Obstetrics & Gynecology | 10 Valley St Ste 101, Petersburg, WV 26847-9568 | 2017-05-16 |
| 1518278118 | Amanda Marie Borror | Obstetrics & Gynecology | 65 Hospital Dr Ste 104, Petersburg, WV 26847 | 2010-06-29 |
| 1417095456 | Miguel Vega-gilormini | Obstetrics & Gynecology | 210 Medical Park Blvd Ste 150, Petersburg, VA 23805 | 2007-02-02 |
| 1245291186 | Pannala Vijay Reddy | Obstetrics & Gynecology | 510 S Sycamore St, Ste D, Petersburg, VA 23803 | 2006-03-30 |
| 1609843994 | Martin Jourden | Obstetrics & Gynecology | 50 Medical Park Blvd., Suite A, Petersburg, VA 23805-9274 | 2006-03-05 |
| 1104810142 | Krishna Rao Kudaravalli | Obstetrics & Gynecology | 210 Medical Park Boulevard, Suite 150, Petersburg, VA 23805-9274 | 2005-09-06 |
| 1831190446 | John L Hahn | Obstetrics & Gynecology | 65 Hospital Dr, Suite 104, Petersburg, WV 26847-9549 | 2005-08-04 |
| 1427579424 | Grant Memorial Hospital | Obstetrics & Gynecology | 65 Hospital Dr Ste 104, Petersburg, WV 26847-9549 | 2017-06-29 |
| 1811193055 | Southside Physicians for Women, LLC | Obstetrics & Gynecology | 510 S Sycamore St, Suite A & B, Petersburg, VA 23803-5044 | 2007-06-25 |
| 1508074931 | Shannon Charisse Gilham | Obstetrics & Gynecology | 210 Medical Park Boulevard, Suite 150, Petersburg, VA 23805-9214 | 2007-05-18 |
| Find all providers in PETERSBURG | ||||
| City | PETERSBURG |
| Zip Code | 23803 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.