SENIORCARE GERIATRIC MEDICAL CTR LLC (NPI# 1770881187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770881187 |
| Entity Type | Organization |
| Organization Name | SENIORCARE GERIATRIC MEDICAL CTR LLC |
| Practice Address |
4710 Spotsylvania Pkwy Suite 204 Fredericksburg VA 22407-9433 |
| Practice Telephone | 5403714488 |
| Mailing Telephone | 5403714488 |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-05-27 |
| Authorized Official Name | DANA P TATE (MANAGING PARTNER) |
| Authorized Official Telephone | 5403714488 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
0101242169 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
4710 SPOTSYLVANIA PKWY SUITE 204 |
| 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 |
| 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 |
| 1306160254 | Southpointe Obgyn, LLC | Obstetrics & Gynecology | 4710 Spotsylvania Pkwy, Suite 205, Fredericksburg, VA 22407-9433 | 2010-03-22 |
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053340851 | Fredericksburg Geriatric Medicine, Pllc | Internal Medicine | 46 Townes Pl, Fredericksburg, VA 22405-2092 | 2006-07-02 |
| 1801847454 | Rebecca Bigoney | Internal Medicine | 1201 Sam Perry Blvd, Suite 265, Fredericksburg, VA 22401-4490 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477068328 | Integrity Healthcare Corporation | Internal Medicine | 243 Mclaws Cir Ste 101, Williamsburg, VA 23185-5673 | 2017-12-13 |
| 1265899124 | Brennan Geriatric Medicine PC | Internal Medicine | 5717 Park Creste Dr, Glen Allen, VA 23059-2604 | 2016-01-24 |
| 1932526233 | Nova Health Care Management | Internal Medicine | 8181 Pasture Rose Ct, Lorton, VA 22079-2957 | 2014-03-25 |
| 1205250172 | Leesburg Internal Medicine and And Primary Care LLC | Internal Medicine | 20093 Whistling Straits Pl, Ashburn, VA 20147-3196 | 2014-02-12 |
| 1487090833 | Elise Antoinette Sideris | Internal Medicine | 1201 Broad Rock Blvd # 181, Richmond, VA 23224-4915 | 2013-05-13 |
| 1508125386 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 1501 Maple Ave Ste 100, Richmond, VA 23226-2553 | 2012-05-14 |
| 1043512205 | James Thompson Medical, Pllc | Internal Medicine | 507 N 28th St, Richmond, VA 23223-7303 | 2010-11-21 |
| 1417257585 | Richmond Internists Pllc | Internal Medicine | 4311 Otterburn Rd, Moseley, VA 23120-1262 | 2010-10-23 |
| 1144464678 | Katherine L Coffey-vega | Internal Medicine | 490 Hillsdale Dr, Charlottesville, VA 22901-5731 | 2009-04-28 |
| 1518122126 | James T Saunders Md PC | Internal Medicine | 1500 Still Harbor Ln, Virginia Beach, VA 23464-7218 | 2008-07-23 |
| Find all providers with the same taxonomy | ||||
| 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.