LIDEE OF AESTHETICS AND GYNECOLOGY, PC


Address: 1992 Medical Ave, Harrisonburg, VA 22801-3436
Phone: 5404371296

LIDEE OF AESTHETICS AND GYNECOLOGY, PC (NPI# 1144269002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144269002
Entity Type Organization
Organization Name LIDEE OF AESTHETICS AND GYNECOLOGY, PC
Practice Address 1992 Medical Ave
Harrisonburg
VA 22801-3436
Practice Telephone 5404371296
Practice Fax Number 5404371298
Mailing Telephone 5404371296
Mailing Fax Number 5404371298
Enumeration Date 2006-06-06
Last Update Date 2013-04-16
Authorized Official Name MRS. SHERRY L BRAITHWAITE (OFFICE MANAGER)
Authorized Official Telephone 5404371296
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 101054345 VA Allopathic & Osteopathic Physicians
Y 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
101037944 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA MEDICARE 1477716959 01
VA DR CAMPER SOUTHERN HEALTH 243253 01
VA DR CAMPER ANTHEM PROVIDER 144250 01
VA DR CAMPER MAMSI 2129961 01
RAILROAD MEDICAL PTAN GROUP DF1466 01
VA DR MARLO NPI 1477716959 01
VA DR CAMPER CIGNA 541480016005 01
RAILROAD MEDICARE PTAN-DR CAMPER P00341994 01

Office Location

Street Address 1992 MEDICAL AVE
City HARRISONBURG
State VA
Zip Code 22801-3436

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053307074 Rebecca Botticelli Family Medicine 1992 Medical Ave, Harrisonburg, VA 22801-3436 2005-09-26
1477716959 Hunter Marlo Family Medicine 1992 Medical Ave, Harrisonburg, VA 22801-3436 2008-07-06
1558490714 Karen S Martin Nurse Practitioner 1992 Medical Ave, Harrisonburg, VA 22801-3436 2007-03-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164046678 Comprehensive Advanced Practice Nursing Care Pllc Nurse Practitioner 1866 E Market Street, Pmb 348, Harrisonburg, VA 22801 2020-06-01
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1689233868 Catherine Saliba Western Occupational Therapist 1591 Port Republic Road, Harrisonburg, VA 22801 2019-06-11
1043794027 Srijana Chhetri Social Worker 217 S. Liberty St., Suite 205, Harrisonburg, VA 22801 2018-09-17
1649765306 Jacob Nathaniel Shank Physician Assistant 75 Health Campus Drive, Harrisonburg, VA 22801 2018-06-26
1063929057 Anna Maria Boggs, Dmd, PC Dentist 1947 A Medical Ave, Harrisonburg, VA 22801 2017-12-29
1982119475 C. M. Garrison, Dds, PC Dentist 129 University Blvd., Suite D, Harrisonburg, VA 22801 2017-12-06
1518495696 Amanda Ormsby Speech-Language Pathologist 847 Alpine Dr, Harrisonburg, VA 22801 2017-06-01
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Taxonomy Information

Taxonomy Code 207VG0400X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013530435 Center for Endometriosis and Advanced Pelvic Surgery Obstetrics & Gynecology 6801 Whittier Ave Ste 301, Mc Lean, VA 22101-4549 2020-05-20
1891217857 Loudoun Medical Group PC Obstetrics & Gynecology 3301 Woodburn Rd Ste 309, Annandale, VA 22003-7308 2017-07-12
1285093070 Loudoun Medical Group PC Obstetrics & Gynecology 8292 Old Courthouse Rd, Suite C, Vienna, VA 22182-3834 2016-02-22
1730589458 Drs Moore & Stockstill PC Obstetrics & Gynecology 5104 Bernard Dr, Suite 301, Roanoke, VA 24018-4349 2014-08-29
1649694993 Carol Ciofalo Obstetrics & Gynecology 5209 11th Rd N, Arlington, VA 22205-2424 2014-02-06
1063754554 Westhampton Health and Wellness LLC Obstetrics & Gynecology 2000 Bremo Rd # 205a, Richmond, VA 23226-2440 2013-03-22
1316212889 Lisa Ruth Himmelstein Obstetrics & Gynecology 2515 Londonderry Rd, Alexandria, VA 22308-2332 2012-03-17
1265700769 Jerome Frank Strauss IIi Obstetrics & Gynecology 2805 Monument Ave Apt 3, Richmond, VA 23221-1737 2011-12-12
1548592397 Womens Health and Wellness LLC Obstetrics & Gynecology 6506 Main St, Gloucester, VA 23061-6103 2010-02-04
1467686907 Millennium Gynecology P.l.l.c. Obstetrics & Gynecology 3359 Roundtree Estates Ct, Falls Church, VA 22042-3550 2009-05-12
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Competitor

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City HARRISONBURG
Zip Code 22801

Improve Information

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Dataset Information

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.

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