Leah Waller (NPI# 1740673250, PAC ID# 2466763677) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1740673250 |
| PAC ID by PECOS | 2466763677 |
| Professional Enrollment ID | I20160912000565 |
| Full Name | Leah Waller |
| Organization Legal Name | VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER, PLLC |
| Address |
1985 Jefferson Davis Hwy Fredericksburg VA 22401-5298 |
| Phone Number | 5403736647 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0547439200 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1985 Jefferson Davis Hwy, Fredericksburg, VA 22401-5298 | 5403736647 | VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER, PLLC |
| 11701 Livingston Rd, Suite 302, Ft Washington, MD 20744-5146 | 3012926010 | ADVANCED DERMATOLOGY OF MARYLAND PC |
| 2401 Research Blvd, Suite 260, Rockville, MD 20850-3261 | 3019906565 | ADVANCED DERMATOLOGY OF MARYLAND PC |
| Organization Legal Name | VIRGINIA DERMATOLOGY AND SKIN SURGERY CENTER, PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kim D Edhegard Ii | Dermatology | Virginia Dermatology and Skin Surgery Center, Pllc | 13875 Hedgewood Dr, Woodbridge, VA 22193-5950 |
| Mark P Eid | Dermatology | Virginia Dermatology and Skin Surgery Center, Pllc | 13875 Hedgewood Dr, Woodbridge, VA 22193-5950 |
| Street Address |
1985 JEFFERSON DAVIS HWY |
| City | FREDERICKSBURG |
| State | VA |
| Zip | 22401-5298 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt R Larson | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Steven J Ma | Family Medicine | 605 Jefferson Davis Hwy, Suite 201, Fredericksburg, VA 22401 | |
| Anders C Brandt | Physical Therapy | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Joseph P Gowaty | Physician Assistant | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Timothy Neary | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Raymond K Chung | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Scott M Krushinski | Physician Assistant | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Raymond S Kirchmier Jr. | Orthopedic Surgery | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Allison N Baldwin | Physician Assistant | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Joanne M Kaiman | Physical Therapy | Orthopedic Specialty Clinic Ltd | 2800 Welford St, Suite 100, Fredericksburg, VA 22401 |
| Find all physicians in zip 22401 | |||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FREDERICKSBURG + PHYSICIAN ASSISTANT |
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| 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.