JOHN BONIFACE JR. (NPI# 1841243441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841243441 |
| Entity Type | Individual |
| Full Name | JOHN BONIFACE JR. |
| Credential | M.D. |
| Practice Address |
2601 Fall Hill Ave Fredericksburg VA 22401-3323 |
| Practice Telephone | 5403719696 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2014-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
010102287 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
2601 FALL HILL AVE |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-3323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073566642 | Thomas Mastri | Internal Medicine | 2601 Fall Hill Ave, Fredericksburg, VA 22401-3323 | 2006-05-17 |
| 1932719549 | Jessica Rollins | Nurse Practitioner | 2601 Fall Hill Ave, Fredericksburg, VA 22401-3323 | 2020-08-07 |
| 1891239067 | Sanita Piya | Nurse Practitioner | 2601 Fall Hill Ave, Fredericksburg, VA 22401-3323 | 2016-12-07 |
| 1902991151 | Fall Hill Gastroenterology Associates, Ltd. | Internal Medicine | 2601 Fall Hill Ave, Fredericksburg, VA 22401-3323 | 2006-10-04 |
| 1598712929 | David Monahan | Internal Medicine | 2601 Fall Hill Ave, Fredericksburg, VA 22401-3323 | 2006-05-30 |
| 1164477493 | Fall Hill Gastroenterology Associates, A Division of Maha, Inc. | Internal Medicine | 2601 Fall Hill Ave, Fredericksburg, VA 22401-3323 | 2006-05-24 |
| 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 | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1073566642 | Thomas Mastri | Internal Medicine | 2601 Fall Hill Ave, Fredericksburg, VA 22401-3323 | 2006-05-17 |
| 1629048723 | Dong Heun Lee | Internal Medicine | 1031 Care Way, Fredericksburg, VA 22401-8425 | 2006-01-23 |
| 1043206238 | Waring Trible Jr. | Internal Medicine | 1500 Dixon St #202, Fredericksburg, VA 22401 | 2005-09-22 |
| 1134125008 | Herman Leonard Bentch | Internal Medicine | 205 N. Bowie St., Fredericksburg, TX 78624-3215 | 2005-06-24 |
| 1487038212 | Sentara Medical Group | Internal Medicine | 1451 Hospital Dr, Fredericksburg, VA 22401-8424 | 2015-07-10 |
| 1649488230 | Chetan Balakrishna Pai | Internal Medicine | 1031 Care Way, Fredericksburg, VA 22401-8425 | 2007-05-18 |
| 1952455735 | Gastroenterology Associates of Fredericksburg, P.C. | Internal Medicine | 1031 Care Way, Fredericksburg, VA 22401-8425 | 2007-01-22 |
| 1922157999 | Peter Wk Wong | Internal Medicine | 1031 Care Way, Fredericksburg, VA 22401-8425 | 2007-01-09 |
| 1265516686 | Frank J Detrane | Internal Medicine | 1031 Care Way, Fredericksburg, VA 22401-8425 | 2006-10-24 |
| 1902991151 | Fall Hill Gastroenterology Associates, Ltd. | Internal Medicine | 2601 Fall Hill Ave, Fredericksburg, VA 22401-3323 | 2006-10-04 |
| Find all providers in FREDERICKSBURG | ||||
| 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.