Stefanie Lea Eads (NPI# 1437636503, PAC ID# 2961750971) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1437636503 |
| PAC ID by PECOS | 2961750971 |
| Professional Enrollment ID | I20180808001245 |
| Full Name | Stefanie Lea Eads |
| Organization Legal Name | ENDE MEDICAL PRACTICE, LLP |
| Address |
121 S Market St Petersburg VA 23803-4217 |
| Phone Number | 8047338771 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1759556459 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490067 | SOUTHSIDE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1012 Winston Churchill Dr, Hopewell, VA 23860-5141 | 8044588583 | TWIN RIVER MEDICAL CLINIC PC |
| 121 S Market St, Petersburg, VA 23803-4217 | 8047338771 | ENDE MEDICAL PRACTICE, LLP |
| Organization Legal Name | ENDE MEDICAL PRACTICE, LLP |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Ende | Internal Medicine | Ende Medical Practice, LLP | 121 S Market St, Petersburg, VA 23803-4217 |
| Frederick Ivan Ende | Internal Medicine | Ende Medical Practice, LLP | 121 S Market St, Petersburg, VA 23803-4217 |
| Street Address |
121 S MARKET ST |
| City | PETERSBURG |
| State | VA |
| Zip | 23803-4217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Ende | Internal Medicine | Ende Medical Practice, LLP | 121 S Market St, Petersburg, VA 23803-4217 |
| Frederick Ivan Ende | Internal Medicine | Ende Medical Practice, LLP | 121 S Market St, Petersburg, VA 23803-4217 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Quarshie | Family Medicine | Southside Physician Network LLC | 20901 Chesterfield Ave, South Chesterfield, VA 23803-1903 |
| Terri S Carter | Clinical Social Worker | District 19 Community Services Board | 20 W Bank St, Suite 6, Petersburg, VA 23803-3279 |
| Maria W Haltom | Clinical Social Worker | District 19 Community Services Board | 20 W Bank St, Suite 6, Petersburg, VA 23803-3279 |
| Dawn Welch | Clinical Social Worker | District 19 Community Services Board | 20 W Bank St, Petersburg, VA 23803-3279 |
| Xiao H Jin | Family Medicine | 51 S Market St, Petersburg, VA 23803-4215 | |
| Rose Renee Jeter | Clinical Social Worker | 115 S Sycamore St, Suite B, Petersburg, VA 23803-4279 | |
| Kiho Min | Internal Medicine | Professional Health Care, Inc. | 24 S Adams St, Petersburg, VA 23803-4525 |
| Theresa K Kennon | Nurse Practitioner | Professional Health Care, Inc. | 24 S Adams St, Petersburg, VA 23803-4525 |
| Bryon E Greenberg | Psychologist, Clinical | 40 Liberty St, Petersburg, VA 23803-5021 | |
| Bolling J Feild | Internal Medicine | 507 S Sycamore St, Petersburg, VA 23803-5037 | |
| Find all physicians in zip 23803 | |||
| City | PETERSBURG |
| Zip Code | 23803 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PETERSBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stefanie Lea Eads.
| 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.