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).
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 |
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 |
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 |
Street Address |
1992 MEDICAL AVE |
City | HARRISONBURG |
State | VA |
Zip Code | 22801-3436 |
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 |
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 |
1699301788 | Harrisonburg Center for Healing LLC | Psychologist | 1041 Reservoir Street, Suite A, Harrisonburg, VA 22801 | 2020-03-20 |
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 |
1447621867 | Generations Crossing | Clinic/Center | 3765 Taylor Spring Lane, Harrisonburg, VA 22801 | 2015-10-12 |
1275918427 | Tyechia Blakey | Massage Therapist | 1356 1/2 S. Main St., Harrisonburg, VA 22801 | 2015-07-29 |
Find all providers in zip 22801 |
Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
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 |
Find all providers with the same taxonomy |
City | HARRISONBURG |
Zip Code | 22801 |
Please comment or provide details below to improve the information on LIDEE OF AESTHETICS AND GYNECOLOGY, PC.
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.