SOUTHPOINTE OBGYN, LLC (NPI# 1306160254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306160254 |
| Entity Type | Organization |
| Organization Name | SOUTHPOINTE OBGYN, LLC |
| Practice Address |
4710 Spotsylvania Pkwy Suite 205 Fredericksburg VA 22407-9433 |
| Practice Telephone | 5403714488 |
| Mailing Telephone | 5407102324 |
| Mailing Fax Number | 5407102381 |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-08-06 |
| Authorized Official Name | ASHLEIGH A RAUBENOLT (ADMIN) |
| Authorized Official Telephone | 5403714488 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1306160254 | 05 |
| Street Address |
4710 SPOTSYLVANIA PKWY SUITE 205 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22407-9433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215927629 | Diemngoc T. Dang | Ophthalmology | 4710 Spotsylvania Pkwy, Suite 104, Fredericksburg, VA 22407-9433 | 2005-10-26 |
| 1942853270 | Louis Kartoudi | Physical Therapy Assistant | 4710 Spotsylvania Pkwy, Fredericksburg, VA 22407-9433 | 2019-07-16 |
| 1912428772 | Leeanne Haus | Physician Assistant | 4710 Spotsylvania Pkwy, Fredericksburg, VA 22407-9433 | 2017-07-02 |
| 1538506886 | Commonwealth Spine & Rehab Centers, LLC | Clinic/Center | 4710 Spotsylvania Pkwy, Suite 201, Fredericksburg, VA 22407-9433 | 2013-05-28 |
| 1134403017 | Megan Elizabeth Booth | Physical Therapist | 4710 Spotsylvania Pkwy, Suite 102, Fredericksburg, VA 22407-9433 | 2011-10-10 |
| 1770881187 | Seniorcare Geriatric Medical Ctr LLC | Internal Medicine | 4710 Spotsylvania Pkwy, Suite 204, Fredericksburg, VA 22407-9433 | 2011-03-09 |
| 1417251331 | Helen Song | Optometrist | 4710 Spotsylvania Pkwy, Suite 104, Fredericksburg, VA 22407-9433 | 2011-01-06 |
| 1346564184 | Candi Dawn O'rourke | Nurse Practitioner | 4710 Spotsylvania Pkwy, Suite 205, Fredericksburg, VA 22407-9433 | 2010-03-23 |
| 1720301625 | Mary Washington Eye Care Center, LLC | Optometrist | 4710 Spotsylvania Pkwy, Fredericksburg, VA 22407-9433 | 2010-03-05 |
| 1730371501 | Jatinder Narula | Physical Medicine & Rehabilitation | 4710 Spotsylvania Pkwy, Suite 201, Fredericksburg, VA 22407-9433 | 2007-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120596 | Nutrition for You, LLC | 1129 Heatherstone Drive, Fredericksburg, VA 22407 | 2020-10-08 | |
| 1881241016 | Jessica Tran | Optometrist | 395-a Spotsylvania Towne Centre, Fredericksburg, VA 22407 | 2019-08-22 |
| 1376039065 | Virginia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 6010 Plank Rd, Fredericksburg, VA 22407 | 2018-07-05 |
| 1366935967 | Vip Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 5710 Lucas St, Fredericksburg, VA 22407 | 2018-06-08 |
| 1407348501 | Dina Maria Martinez Lombardy | Counselor | 6506 Forest Grove Dr, Fredericksburg, VA 22407 | 2018-06-04 |
| 1881192342 | Alyssa Testa | Specialist/Technologist | 5219 Mcmanus Dr, Fredericksburg, VA 22407 | 2018-01-30 |
| 1437675725 | Jacqueline D. Turner | Driver | 7112 Sharon Rd, Fredericksburg, VA 22407 | 2017-08-17 |
| 1689199556 | Audrey Daniel | Driver | 10701 Leavells Road, Fredericksburg, VA 22407 | 2017-08-11 |
| 1740722982 | T&d Optometry, LLC | Optometrist | 400 Spotsylvania Towne Centre, (spotsylvania Towne Centre--next To Jcpenney Optical), Fredericksburg, VA 22407 | 2016-11-04 |
| 1639521164 | Fredericksburg Eyecare LLC | Optometrist | 395a Towne Centre Blvd, Fredericksburg, VA 22407 | 2016-07-08 |
| Find all providers in zip 22407 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801055439 | Sathya Ramachandran | Obstetrics & Gynecology | 1071 Care Way, Suite 101, Fredericksburg, VA 22401-8431 | 2008-06-09 |
| 1245353507 | Douglas Robert Meyer | Obstetrics & Gynecology | 2103 Fall Hill Ave, Fredericksburg, VA 22401-3428 | 2007-04-09 |
| 1528139342 | Matthew J Werner | Obstetrics & Gynecology | 1201 Hospital Dr, Kaiser Permanente Fredericksburg Medical Center, Fredericksburg, VA 22401-8428 | 2006-11-13 |
| 1265456214 | William Anderson Hamilton | Obstetrics & Gynecology | 619 Jefferson Davis Hwy Ste 101, Fredericksburg, VA 22401-4437 | 2006-07-26 |
| 1033164835 | George Nowacek | Obstetrics & Gynecology | 221 Park Hill Dr, Fredericksburg, VA 22401-3361 | 2006-05-23 |
| 1639135775 | Michael G Campbell | Obstetrics & Gynecology | 816 Reuben St, Suite C, Fredericksburg, TX 78624-4436 | 2006-04-26 |
| 1225014095 | Arlene Lewis | Obstetrics & Gynecology | 609 Jefferson Davis Hwy, Suite 201, Fredericksburg, VA 22401-4436 | 2005-12-22 |
| 1306837265 | Thomas J. Tomzak | Obstetrics & Gynecology | 2300 Charles St, Fredericksburg, VA 22401-3346 | 2005-10-31 |
| 1578552576 | Hyung Joon Kil | Obstetrics & Gynecology | 1011 Care Way, Suite 200, Fredericksburg, VA 22401-8439 | 2005-10-21 |
| 1528057668 | Patrick Declan Burke | Obstetrics & Gynecology | 1420 Central Park Blvd, Suite 200, Fredericksburg, VA 22401-4932 | 2005-10-20 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22407 |
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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.