AUDREY LUDWIG BUNCH (NPI# 1245480318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245480318 |
| Entity Type | Individual |
| Full Name | AUDREY LUDWIG BUNCH |
| Credential | PA-C, M.S. |
| Practice Address |
28 Blackwell Park Ln Suite 302 Warrenton VA 20186-2685 |
| Practice Telephone | 5403411900 |
| Practice Fax Number | 5403410940 |
| Mailing Telephone | 5403411900 |
| Mailing Fax Number | 5403410940 |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2012-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
C0003830 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1245480318 | 05 |
| Street Address |
28 BLACKWELL PARK LN SUITE 302 |
| City | WARRENTON |
| State | VA |
| Zip Code | 20186-2685 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821097478 | Michael Samuel Amster | Pediatrics | 28 Blackwell Park Ln, Suite 103, Warrenton, VA 20186-2685 | 2005-07-17 |
| 1770039927 | Heather Renee Callahan | Physician Assistant | 28 Blackwell Park Ln, Suite 302, Warrenton, VA 20186-2685 | 2016-08-28 |
| 1801068937 | Juan-carlos Caballero | Dermatology | 28 Blackwell Park Ln, Suite 302, Warrenton, VA 20186-2685 | 2008-03-28 |
| 1396778205 | Warrenton Dermatology PC | Specialist | 28 Blackwell Park Ln, Suite 302, Warrenton, VA 20186-2685 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639708704 | Melissa A. Griffith Crooks | Social Worker | In Luck Counseling, LLC, 92 Main Street, Warrenton, VA 20186 | 2020-04-02 |
| 1255757506 | Wecare Pharmacy LLC | Pharmacy | 516 Fletcher Dr, Warrenton, VA 20186 | 2014-03-11 |
| 1497031975 | Blue Ridge Orthopaedic Associates, PC | Physician Assistant | 52 W. Shirley Ave., Warrenton, VA 20186 | 2011-10-27 |
| 1215213939 | Bassim Mousa | Pharmacist | 276 Lee Hwy, Warrenton, VA 20186 | 2011-10-26 |
| 1770868721 | Denise Leanne Glasser | Pharmacist | 276 West Lee Highway, Warrenton, VA 20186 | 2011-10-20 |
| 1003117607 | Elizabeth A Lowell | Pharmacist | 189 Old Lee Hwy, Warrenton, VA 20186 | 2010-11-12 |
| 1396045688 | Suong Thu Nguyen | Pharmacist | 189 Lee Hwy, Warrenton, VA 20186 | 2010-11-02 |
| 1174830921 | Natalia Lueck | Counselor | 28 Ashby St Suite G101, Warrenton, VA 20186 | 2010-08-31 |
| 1568604742 | Harris Teeter, LLC | Pharmacy | 530 Fletcher Dr., Warrenton, VA 20186 | 2009-04-02 |
| 1396998480 | Act Family Program | Community/Behavioral Health | 39 Garrett Street, Suite 109, Warrenton, VA 20186 | 2008-11-03 |
| Find all providers in zip 20186 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578792172 | Elizabeth Fatu Mclean | Physician Assistant | 52 W Shirley Ave, Warrenton, VA 20186-3008 | 2009-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962038042 | Emma Alexandra Rouse | Physician Assistant | 2712 Hatmark St, Vienna, VA 22181-6054 | 2020-03-20 |
| 1861059461 | Daniel P Sherman | Physician Assistant | 43165 Thistledown Ter Apt 241, Broadlands, VA 20148-4075 | 2019-05-20 |
| 1184289753 | Vicenta Hanh-phuoc Tran | Physician Assistant | 7611 Trammell Rd, Annandale, VA 22003-1442 | 2019-05-08 |
| 1649833021 | Karlie Diruzza | Physician Assistant | 2900 Lamb Cir # L760, Christiansburg, VA 24073-6344 | 2019-04-21 |
| 1164983599 | Bradley Pretzer | Physician Assistant | 5115 Cliffhaven Dr, Annandale, VA 22003-4348 | 2019-03-28 |
| 1346757416 | Hinda Yasmin Mezaache | Physician Assistant | 1101 Sam Perry Blvd Ste 219, Fredericksburg, VA 22401-4465 | 2018-01-10 |
| 1265974851 | Gerard Surgical Services, LLC | Physician Assistant | 12220 Chattanooga Plz Ste 121, Midlothian, VA 23112-4865 | 2016-11-14 |
| 1417301607 | Jose Gustavo Espino | Physician Assistant | 6866 Deer Run Dr, Alexandria, VA 22306-1124 | 2016-04-14 |
| 1477915098 | Kelly Egan Weaver | Physician Assistant | 1201 Broad Rock Blvd Richmond Va 23224, Richmond, VA 23249-4915 | 2016-03-23 |
| 1871976522 | Hall Surgical Assistance, LLC | Physician Assistant | 10332 Main St, Suite #344, Fairfax, VA 22030-2410 | 2015-06-30 |
| Find all providers with the same taxonomy | ||||
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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.