MEDICORP HEALTH SYSTEM (NPI# 1326284449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326284449 |
| Entity Type | Organization |
| Organization Name | MEDICORP HEALTH SYSTEM |
| Practice Address |
1001 Sam Perry Blvd Fredericksburg VA 22401-4453 |
| Mailing Address |
15640 Three Otters Pl Manassas VA 20112-5427 |
| Practice Telephone | 5407411100 |
| Mailing Telephone | 5712284376 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |
| Authorized Official Name | AMELIA SAKELLAROPOULOS (CRNA) |
| Authorized Official Telephone | 5712284376 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Street Address |
1001 SAM PERRY BLVD |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-4453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730185398 | Torrey Hawley | Nurse Anesthetist, Certified Registered | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2005-06-28 |
| 1023622529 | Jacob Dillon Gooden | Physician Assistant | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-09-02 |
| 1508478462 | Sabrina Brandi Cervantez | Registered Nurse | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-08-20 |
| 1275144297 | Emily Burger | Pharmacist | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-08-13 |
| 1144839762 | Briana Lafuria | Registered Nurse | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-07-29 |
| 1831724301 | Yaru Chen | Registered Nurse | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-03-05 |
| 1922631456 | Christopher Barnes | Registered Nurse | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-02-12 |
| 1649803172 | Richard L Derrick | Registered Nurse | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2020-02-12 |
| 1851930838 | Markia Stewart Dudley | Nurse Practitioner | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2019-12-23 |
| 1861030637 | Amalea Suzette Gray | Pharmacist | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2019-12-12 |
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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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376876664 | Spotsylvania Medical Center Inc | General Acute Care Hospital | 4600 Spotsylvania Parkway, Fredericksburg, VA 22408-7762 | 2009-09-17 |
| 1952852089 | American Anesthesiology of Virginia PC | General Acute Care Hospital | 1001 Sam Perry Blvd, Fredericksburg, VA 22401 | 2016-10-24 |
| 1447649785 | American Anesthesiology Associates of Va | General Acute Care Hospital | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2015-01-09 |
| 1417166133 | Amy Elizabeth Kelly | General Acute Care Hospital | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2007-05-21 |
| 1184757973 | Mary Washington Hospital | General Acute Care Hospital | 1101 Sam Perry Blvd, Ste 219, Fredericksburg, VA 22401-4467 | 2007-03-13 |
| 1497726343 | Hill Country Memorial Hospital | General Acute Care Hospital | 1020 Hwy 16 S, Fredericksburg, TX 78624-4471 | 2006-01-30 |
| 1942288527 | Mary Washington Hospital Inc. | General Acute Care Hospital | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538669445 | Virginia Hospital Center Arlington Health System | General Acute Care Hospital | 8100 Boone Blvd Ste 140, Vienna, VA 22182-2665 | 2018-02-16 |
| 1871020651 | Virginia Internal Medicine Specialists LLC | General Acute Care Hospital | 44790 Maynard Sq Ste 320, Ashburn, VA 20147-6514 | 2017-05-11 |
| 1730615816 | Sentara Healthcare | General Acute Care Hospital | 100 Ireland St, Hampton, VA 23663-2150 | 2017-05-10 |
| 1528592573 | New York Presbyterian Hospital-weill Cornell | General Acute Care Hospital | 9644 Sutton Green Ct, Vienna, VA 22181-6105 | 2017-04-17 |
| 1386181733 | Lyle Purnell | General Acute Care Hospital | 100 Emancipation Dr Bldg 146, Hampton, VA 23667-0001 | 2017-01-24 |
| 1700233855 | Debra Hafer | General Acute Care Hospital | 33290 Chincoteague Rd, Wallops Island, VA 23337-2204 | 2016-05-18 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1700248796 | Hq Surgical | General Acute Care Hospital | 905 Hathaway Ct, Chesapeake, VA 23322-7622 | 2016-03-28 |
| 1710355649 | Johnston Memorial Hospital, Inc | General Acute Care Hospital | 3175 Linden Dr Ste 3-5, Bristol, VA 24202-5849 | 2015-09-09 |
| 1184092298 | Anita Sites | General Acute Care Hospital | Uva Transplant Center 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22908-3363 | 2015-09-04 |
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| City | FREDERICKSBURG |
| Zip Code | 22401 |
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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.