MEDIDOCTORS LLC DBA HORIZON PLASTIC AND COSMETIC SURGERY (NPI# 1306016613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306016613 |
Entity Type | Organization |
Organization Name | MEDIDOCTORS LLC DBA HORIZON PLASTIC AND COSMETIC SURGERY |
Practice Address |
1101 Sam Perry Blvd Suite 314 Fredericksburg VA 22401-4467 |
Practice Telephone | 5408991600 |
Practice Fax Number | 5407412868 |
Mailing Telephone | 5408991600 |
Mailing Fax Number | 5407412868 |
Enumeration Date | 2008-03-04 |
Last Update Date | 2008-03-12 |
Authorized Official Name | SEAN T BARDEN (EXECUTIVE VICE PRESIDENT) |
Authorized Official Telephone | 5407411494 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
Street Address |
1101 SAM PERRY BLVD SUITE 314 |
City | FREDERICKSBURG |
State | VA |
Zip Code | 22401-4467 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952301806 | Stephanie M Strazinsky | Physician Assistant | 1101 Sam Perry Blvd, Suite 207, Fredericksburg, VA 22401-4467 | 2005-07-21 |
1144843095 | Paul James Kinkead | Physician Assistant | 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 | 2020-05-27 |
1386282176 | Ashley Michelle Baker | Advanced Practice Midwife | 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 | 2019-12-12 |
1831735323 | Charles D Valiani | Pharmacist | 1101 Sam Perry Blvd, Fredericksburg, VA 22401-4467 | 2019-11-20 |
1376094557 | Cheryl Denise Corey | Nurse Practitioner | 1101 Sam Perry Blvd, Suite 207, Fredericksburg, VA 22401-4467 | 2016-10-21 |
1306291646 | Paige Lynch | Nurse Practitioner | 1101 Sam Perry Blvd, Suite 219, Fredericksburg, VA 22401-4465 | 2016-04-23 |
1033577390 | Sarah Vitaletti | Nurse Practitioner | 1101 Sam Perry Blvd, Suite 211, Fredericksburg, VA 22401-4467 | 2016-02-02 |
1497129134 | Lauren Backy | Nurse Practitioner | 1101 Sam Perry Blvd, Suite 401, Fredericksburg, VA 22401-4467 | 2015-11-18 |
1679998116 | Jared Kachurak | Physician Assistant | 1101 Sam Perry Blvd, Suite 211, Fredericksburg, VA 22401-4467 | 2014-02-20 |
1952742660 | Kimberly Beth Gordon | Physician Assistant | 1101 Sam Perry Blvd, Tompkins Martin Medical Plaza Suite 221, Fredericksburg, VA 22401-4467 | 2013-07-10 |
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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 Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235158189 | Balvant Parashram Arora | Surgery | 1101 Sam Perry Blvd., Suite 121, Fredericksburg, VA 22401-4467 | 2006-07-19 |
1174580583 | Howard P Heppe | Surgery | 3312 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2006-04-28 |
1679712616 | Pejman Aflaki | Surgery | 3312 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2009-02-16 |
1912087206 | Plastic Surgery Services of Fredericksburg | Surgery | 3312 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2006-10-17 |
1568420412 | Latimer Thomas Albert | Surgery | 3312 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2006-05-02 |
1235197195 | Harold C Bautista | Surgery | 3312 Fall Hill Ave, Fredericksburg, VA 22401-3000 | 2006-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134619166 | Aesthetic Center for Plastic Surgery | Surgery | 6845 Elm St Ste 708, Mc Lean, VA 22101-3851 | 2018-05-15 |
1720504244 | Dominion Surgical Specialists, LLC | Surgery | 2755 Hartland Rd Ste 300, Falls Church, VA 22043-3545 | 2017-08-16 |
1215465646 | Dominion Plastic Surgery LLC | Surgery | 2755 Hartland Rd Ste 204, Falls Church, VA 22043-3544 | 2017-05-30 |
1609018928 | Nicholas R Galardi | Surgery | 300 Medical Pkwy Ste 316, Chesapeake, VA 23320-4985 | 2009-04-01 |
1285835488 | Julia Stevenson | Surgery | 300 Medical Pkwy Ste 300, Chesapeake, VA 23320-4985 | 2007-05-29 |
1952516734 | Richard Gordon Lewis Jr. | Surgery | 2331a Robious Station Cir, Midlothian, VA 23113-2124 | 2007-05-14 |
1184768939 | Roanoke Plastic Surgery Plc | Surgery | 1118 First Street Sw, Roanoke, VA 24016-4702 | 2007-02-16 |
1851402515 | Nadia P Blanchet | Surgery | 9210 Forest Hill Avenue, Suite B1, Richmond, VA 23235-6880 | 2006-08-31 |
1255449872 | Magee-rosenblum Plastic Surgery, Inc | Surgery | 5818 Harbour View Blvd Ste 200, Suffolk, VA 23435-3315 | 2006-08-25 |
1780609602 | Saied Asfa | Surgery | 1502 Brookhaven Drive, Harrisonburg, VA 22801-2214 | 2006-07-13 |
Find all providers with the same taxonomy |
City | FREDERICKSBURG |
Zip Code | 22401 |
Please comment or provide details below to improve the information on MEDIDOCTORS LLC DBA HORIZON PLASTIC AND COSMETIC SURGERY.
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.