Douglas C Root (NPI# 1770580987, PAC ID# 0446275846) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1770580987 |
PAC ID by PECOS | 0446275846 |
Professional Enrollment ID | I20141226000611 |
Full Name | Douglas C Root |
Organization Legal Name | AUGUSTA MEDICAL GROUP |
Address |
1140 Keezletown Rd Weyers Cave VA 24486-2337 |
Phone Number | 5404530040 |
Gender | M |
Credential | MD |
Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
Graduation Year | 1987 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 3678632544 |
Number of Group Practice Members | 181 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
490018 | AUGUSTA HEALTH |
Address | Phone | Organization |
---|---|---|
1140 Keezletown Rd, Weyers Cave, VA 24486-2337 | 5404530040 | AUGUSTA MEDICAL GROUP |
Organization Legal Name | AUGUSTA MEDICAL GROUP |
Physicians | 182 |
Name | Specialty | Organization | Address |
---|---|---|---|
Matthew Douglas Painter | Nurse Practitioner | Augusta Medical Group | 1 Green Hills Dr, Verona, VA 24482-2654 |
Sarah B Borchelt | Nurse Practitioner | Augusta Medical Group | 57 N Medical Park Dr, Suite 105, Fishersville, VA 22939-2353 |
Sylvia Sok Le | Family Medicine | Augusta Medical Group | 2570 Stuarts Draft Hwy, Suite 100, Stuarts Draft, VA 24477-3237 |
Carrie E Schlabach | Nurse Practitioner | Augusta Medical Group | 851 Statler Blvd, Suite B, Staunton, VA 24401-4894 |
Judy Ko | Rheumatology | Augusta Medical Group | 30 Greenhouse Rd, Lexington, VA 24450-3789 |
Sun W Yim | Family Medicine | Augusta Medical Group | 540 Radford Ln, Suite 250, Charlottesville, VA 22903-7466 |
Kerry A Alexander | Internal Medicine | Augusta Medical Group | 42 Lambert St, Suite 511, Staunton, VA 24401-2437 |
Matthew Hoy | Physician Assistant | Augusta Medical Group | 78 Medical Ctr Dr, Fishersville, VA 22939-2332 |
Thomas G Gray | Internal Medicine | Augusta Medical Group | 22 N Medical Park Dr, Fishersville, VA 22939-2344 |
George Tran | Family Medicine | Augusta Medical Group | 3881 Churchville Ave, Churchville, VA 24421-2525 |
Street Address |
1140 KEEZLETOWN RD |
City | WEYERS CAVE |
State | VA |
Zip | 24486-2337 |
Name | Specialty | Organization | Address |
---|---|---|---|
Janet Polansky | Family Practice | Augusta Medical Group | 1140 Keezletown Rd, Weyers Cave, VA 24486-2337 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melissa Karin Sikes | Nurse Practitioner | Carilion Healthcare Corporation | 1151 Keezletown Rd, Suite 101, Weyers Cave, VA 24486-2337 |
Robert J Audet Jr. | Pain Management | 54 Franklin St, Suite 104, Weyers Cave, VA 24486-2340 | |
Alex Joseph Moore | Physical Therapy | Advantage Physical Therapy of Virginia LLC | 54 Franklin St, Weyers Cave, VA 24486-2340 |
Joshua L Petersheim | Physical Therapy | Advantage Physical Therapy of Virginia LLC | 54 Franklin St, Weyers Cave, VA 24486-2340 |
City | WEYERS CAVE |
Zip Code | 24486 |
Specialty | FAMILY PRACTICE |
City + Specialty | WEYERS CAVE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Douglas C Root.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.