PATRICK L NEUSTATTER


Address: 1301 Sam Perry Blvd, Fredericksburg, VA 22401
Phone: 5407411061

PATRICK L NEUSTATTER (NPI# 1144290388) 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) 1144290388
Entity Type Individual
Full Name PATRICK L NEUSTATTER
Credential M.D.
Practice Address 1301 Sam Perry Blvd
Fredericksburg
VA 22401
Mailing Address 1301 Sam Perry Blvd
Fredericksburg
VA 22401-8420
Practice Telephone 5407411061
Practice Fax Number 5407411096
Mailing Telephone 5407411061
Mailing Fax Number 5407411096
Enumeration Date 2006-01-23
Last Update Date 2019-07-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 0101039127 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA AETNA CAP 00090768 01
VA MEDICARE GROUP CO2375 01
VA AETNA HMO 0898100 01
VA MAMSI 82929 01
VA MCR RAILROAD GROUP CA9037 01
VA 005636973 05
VA ANTHEM 285302 01
VA AETNA NON HMO 4092057 01
VA LICENSE 0101039127 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
392 Garrisonville Rd, Stafford, VA 225541500 5406592111 5406591634

Office Location

Street Address 1301 SAM PERRY BLVD
City FREDERICKSBURG
State VA
Zip Code 22401

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548650815 Doris Yvett Johnson Registered Nurse 1301 Sam Perry Blvd, Suite 100, Fredericksburg, VA 22401-8420 2015-01-26
1487089512 Lloyd F. Moss Free Clinic Clinic/Center 1301 Sam Perry Blvd, Fredericksburg, VA 22401-8420 2013-09-09
1023396892 Fredericksburg Area Regional Health Council Clinic/Center 1301 Sam Perry Blvd, Suite 100, Fredericksburg, VA 22401-8420 2011-07-28
1437469152 Mary Nichols Nurse Practitioner 1301 Sam Perry Blvd, Fredericksburg, VA 22401-8420 2010-10-15
1225358930 Fredericksburg Area Regional Health Council Clinic/Center 1301 Sam Perry Blvd, Suite 100, Fredericksburg, VA 22401-8420 2010-06-03
1821318775 Donna Maria Bowser Nurse Practitioner 1301 Sam Perry Blvd, Suite 100, Fredericksburg, VA 22401-8420 2010-06-02
1578603809 Judith Price Registered Nurse 1301 Sam Perry Blvd, Fredericksburg, VA 22401-8420 2007-02-07
1811052145 Joan R Ellmore Nurse Practitioner 1301 Sam Perry Blvd, Fredericksburg, VA 22401-8420 2006-12-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992313415 Amanda Dodd Behavior Technician 1411 Princess Anne, Fredericksburg, VA 22401 2020-07-21
1215567326 Britteny Whitaker Behavior Technician 1411 Princess Ann, Fredericksburg, VA 22401 2020-01-17
1396389433 Ashley Stanevich Behavior Technician 1411 Princess Anne Lane, Fredericksburg, VA 22401 2019-11-01
1265074231 Anna Kelleher Behavior Technician 1411 Princess Anna St, Frericksburg, VA 22401 2019-10-11
1649824152 Zaan Z Ali Audiologist 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 2019-08-01
1790342426 Michael Williams Jr. Physician Assistant 411 B Park Hill Dr, Frederickburg, VA 22401 2019-05-29
1285290965 Ann Damalie Namabiro Behavior Technician 1411 Princess Ann Street, Fredericksburg, VA 22401 2019-05-17
1922579630 Primary and Urgent Care LLC Family Medicine Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 2018-12-07
1003323056 Mariah Mazzariello Behavior Technician 1411 Princess Anne Stree, Fredericksburg, VA 22401 2017-12-29
1336655281 Hina Zafar Behavior Technician 1411 Princess Anne St., Fredericksburg, VA 22401 2017-12-14
Find all providers in zip 22401

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922579630 Primary and Urgent Care LLC Family Medicine Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 2018-12-07
1477905784 Metropolitan Health Care Providers, Inc Family Medicine 12702 Maxwell Ct, Fredericksburg, VA 22407-2272 2016-07-11
1497106504 Centercare Family Practice, LLC Family Medicine 2565 Cowan Blvd, Fredericksburg, VA 22401-8440 2016-06-29
1477933851 Hill Country Integrative Medicine Family Medicine 1603 E Main St Unit A, Fredericksburg, TX 78624-5450 2015-06-01
1043563174 Primary and Urgent Care LLC Family Medicine 10009 South Point Parkway, Suite # 200, Fredericksburg, VA 22407 2012-10-26
1225322639 Raymond Smith Family Medicine 608 Royal Oaks Loop, Fredericksburg, TX 78624-6663 2011-06-02
1649414137 Donna Roxanne Richards Family Medicine 21 Dabney Ct, Fredericksburg, VA 22405-2173 2009-04-28
1235375007 Nicquia Spain Family Medicine 4535 Spotsylvania Pkwy, Fredericksburg, VA 22408-7768 2008-12-30
1952520330 Naeem Ahmad Family Medicine 4510 Plank Rd, Suite 200, Fredericksburg, VA 22407-0138 2007-04-24
1154545028 Muhammad Jadoon Family Medicine 1000 Sam Perry Blvd, Fredericksburg, VA 22405 2007-04-12
Find all providers in FREDERICKSBURG

Competitor

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City FREDERICKSBURG
Zip Code 22401

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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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