Jeffrey Bender (NPI# 1043295504, PAC ID# 2567439946) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1043295504 |
| PAC ID by PECOS | 2567439946 |
| Professional Enrollment ID | I20190305003460 |
| Full Name | Jeffrey Bender |
| Organization Legal Name | CENTRA MEDICAL GROUP LLC |
| Address |
800 Oak St Farmville VA 23901-1199 |
| Phone Number | 4343152930 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1985 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4789606088 |
| Number of Group Practice Members | 583 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490090 | CENTRA SOUTHSIDE COMMUNITY HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 800 Oak St, Farmville, VA 23901-1199 | 4343152930 | CENTRA MEDICAL GROUP LLC |
| Organization Legal Name | CENTRA MEDICAL GROUP LLC |
| Physicians | 561 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sebastian J Ksionski | Family Medicine | Centra Medical Group LLC | 935 S Main St, Farmville, VA 23901-2211 |
| Weijuan M Li | Interventional Cardiology | Centra Medical Group LLC | 1039 Mayberry Crossing Dr, Suite C, Moneta, VA 24121-6414 |
| Marie Andrea Lopez | Physician Assistant | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Tahmina H Brady | Family Medicine | Centra Medical Group LLC | 16890 Forest Rd, Forest, VA 24551-4059 |
| Sharon P Hawout | Certified Nurse Midwife (cnm) | Centra Medical Group LLC | 291 Mcbride Ln, Gretna, VA 24557-2773 |
| Jacqueline Perdue | Physician Assistant | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Jordan J Synkowski | Neurosurgery | Centra Medical Group LLC | 2138 Langhorne Rd, Lynchburg, VA 24501-1400 |
| Oluloniyin E Peters | Physical Medicine and Rehabilitation | Centra Medical Group LLC | 1330 Oak Ln, Lynchburg, VA 24503-2513 |
| John B Blalock Jr. | General Surgery | Centra Medical Group LLC | 1906 Thomson Dr, Lynchburg, VA 24501-1009 |
| Hope A Alexander | Nurse Practitioner | Centra Medical Group LLC | 412 Namozine St, Burkeville, VA 23922-3184 |
| Street Address |
800 OAK ST |
| City | FARMVILLE |
| State | VA |
| Zip | 23901-1199 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emanuel Cirenza | Hematology | Centra Medical Group LLC | 800 Oak St, Farmville, VA 23901-1199 |
| Anoop S Kochar | Internal Medicine | Centra Medical Group LLC | 800 Oak St, Farmville, VA 23901-1199 |
| Titilayo Oluwatosin Osuntokun | Internal Medicine | 800 Oak St, Scranton, PA 18508-1255 | |
| Anne Cousins | Certified Registered Nurse Anesthetist (crna) | Centra Medical Group LLC | 800 Oak St, Farmville, VA 23901-1199 |
| Melissa H Zemmel | Certified Registered Nurse Anesthetist (crna) | Centra Medical Group LLC | 800 Oak St, Farmville, VA 23901-1199 |
| Amy M Waterman | Nurse Practitioner | Sanford Health Network | 800 Oak St, Sheldon, IA 51201-1242 |
| Tony R Farmer | Hospitalist | Centra Medical Group LLC | 800 Oak St, Farmville, VA 23901-1199 |
| Alexander M Wilgus | Hospitalist | Centra Medical Group LLC | 800 Oak St, Farmville, VA 23901-1199 |
| Katlin J Van Peursem | Occupational Therapy | Sanford Health Network | 800 Oak St, Sheldon, IA 51201-1242 |
| Thomas M Forsberg | Emergency Medicine | Centra Medical Group LLC | 800 Oak St, Farmville, VA 23901-1199 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea Blaisdell | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Rhian Mccann | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Jonathan Lundberg | Physical Therapy | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Jennifer Mohan | Speech Language Pathologist | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Sarah Parker | Speech Language Pathologist | Centra Outpatient Rehabilitation Services LLC | 935 Main St, Farmville, VA 23901 |
| Shashidharan B Ayer | Nephrology | 1801 E 3rd St, Farmville, VA 23901-0245 | |
| Ripon W La Roche | Ophthalmology | Southside Eye Center PC | 1511 W 3rd St, Farmville, VA 23901-0506 |
| St Claire R La Roche | Optometry | Southside Eye Center PC | 1511 W 3rd St, Farmville, VA 23901-0506 |
| Ripon W La Roche Iii | Optometry | Southside Eye Center PC | 1511 W 3rd St, Farmville, VA 23901-0506 |
| Edwina C Wilson | Family Medicine | Central Virginia Health Services Inc | 833 Buffalo St, Farmville, VA 23901-1111 |
| Find all physicians in zip 23901 | |||
| City | FARMVILLE |
| Zip Code | 23901 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | FARMVILLE + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.