MEDIDOCTORS LLC DBA HORIZON PLASTIC AND COSMETIC SURGERY


Address: 1101 Sam Perry Blvd, Suite 314, Fredericksburg, VA 22401-4467
Phone: 5408991600

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
Allopathic & Osteopathic Physicians

Office Location

Street Address 1101 SAM PERRY BLVD
SUITE 314
City FREDERICKSBURG
State VA
Zip Code 22401-4467

Providers in the same location

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
Find all providers in the same location

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
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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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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