MEDIDOCTORS LLC (NPI# 1427241090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427241090 |
| Entity Type | Organization |
| Organization Name | MEDIDOCTORS LLC |
| Other Organization Name | RAPPAHANNOCK TRAUMA AND ACUTE CARE SURGEONS |
| Practice Address |
1101 Sam Perry Blvd Suite 314 Fredericksburg VA 22401-4467 |
| Mailing Address |
1101 Sam Perry Blvd Suite 219 Fredericksburg VA 22401-4467 |
| Practice Telephone | 5407412855 |
| Practice Fax Number | 5407412859 |
| Mailing Telephone | 5407412855 |
| Mailing Fax Number | 5407412859 |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2008-12-11 |
| Authorized Official Name | ROBERT K LIVELY (DIRECTOR) |
| Authorized Official Telephone | 5407411473 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Rappahannock Trauma and Acute Care Surgeons | Doing Business As Name - Organization |
| 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 |
| Find all providers in the same location | ||||
| 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 | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952573370 | Tedla T Tessema | Surgery | 1101 Sam Perry Blvd, Suite 219, Fredericksburg, VA 22401-4467 | 2008-03-26 |
| 1437102514 | Donald R Kauder | Surgery | 1101 Sam Perry Blvd, Suite 219, Fredericksburg, VA 22401-4467 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528685120 | Hannah Beam | Surgery | 1627 Farmington Dr, Forest, VA 24551-5612 | 2020-06-30 |
| 1023582046 | Lauren Elizabeth Rusy | Surgery | 111 Lighthouse Ln, Winchester, VA 22602-6191 | 2019-01-12 |
| 1548467855 | Timothy Joshua Donahue | Surgery | 2110 Marina Shores Dr # 330, Virginia Beach, VA 23451-6800 | 2007-06-29 |
| 1164495040 | Thomas Preston Davis | Surgery | 1148 Kingsbury Dr, Chesapeake, VA 23322-4264 | 2006-02-10 |
| 1417466780 | Hamdy Medical Center PC | Surgery | 110 Commonwealth Blvd W, Martinsville, VA 24112-1913 | 2017-09-29 |
| 1447796073 | Premier Trauma and Surgical Specialists LLC | Surgery | 44045 Riverside Pkwy, Leesburg, VA 20176-5101 | 2017-01-06 |
| 1902076169 | Paula E Ferrada | Surgery | 1250 E Marshall St, Surgery, Richmond, VA 23298-5051 | 2008-03-04 |
| 1144425034 | Rahul Jagdish Anand | Surgery | 1250 E Marshall St, Surgery, Richmond, VA 23298-5051 | 2007-06-19 |
| 1902993041 | Bryan Collier | Surgery | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2006-10-09 |
| 1700807179 | Christopher P Michetti | Surgery | 3300 Gallows Rd, Physician Billing, Falls Church, VA 22042-3307 | 2006-07-21 |
| 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.
| 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.