William S Gillen (NPI# 1932460441, PAC ID# 4486893633) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1932460441 |
PAC ID by PECOS | 4486893633 |
Professional Enrollment ID | I20170815002487 |
Full Name | William S Gillen |
Organization Legal Name | BON SECOURS ST MARYS HOSPITAL OF RICHMOND INC |
Address |
5207 Hickory Park Dr Suite A Glen Allen VA 23059-2624 |
Phone Number | 8049778939 |
Gender | M |
Graduation Year | 2012 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 8527969476 |
Number of Group Practice Members | 142 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
490059 | BON SECOURS ST MARYS HOSPITAL |
Address | Phone | Organization |
---|---|---|
5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059-2624 | 8049778939 | BON SECOURS ST MARYS HOSPITAL OF RICHMOND INC |
5855 Bremo Rd, Suite 306, Richmond, VA 23226-1923 | BON SECOURS ST MARYS HOSPITAL OF RICHMOND INC | |
5855 Bremo Rd, Suite 506, Richmond, VA 23226-1925 | 8048938676 | BON SECOURS ST MARYS HOSPITAL OF RICHMOND INC |
Organization Legal Name | BON SECOURS ST MARYS HOSPITAL OF RICHMOND INC |
Physicians | 118 |
Name | Specialty | Organization | Address |
---|---|---|---|
Seema K Patel | Internal Medicine | Bon Secours St Marys Hospital of Richmond Inc | 5855 Bremo Rd, Suite 306, Richmond, VA 23226-1923 |
Mary P Lucchesi | Hospice/palliative Care | Bon Secours St Marys Hospital of Richmond Inc | 14051 St Francis Blvd, Suite 2209, Midlothian, VA 23114-3203 |
Pravin Deshmukh | Internal Medicine | Bon Secours St Marys Hospital of Richmond Inc | 12320 W Broad St, Suite 204, Richmond, VA 23233-7603 |
Lindsay H Sherrard | Family Medicine | Bon Secours St Marys Hospital of Richmond Inc | 9600 Patterson Ave, Richmond, VA 23229-6053 |
Aysha Habib | Internal Medicine | Bon Secours St Marys Hospital of Richmond Inc | 5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059-2624 |
Vicki B Latham-solomon | Internal Medicine | Bon Secours St Marys Hospital of Richmond Inc | 2401 W Leigh St, Suite 200, Richmond, VA 23220-1328 |
Emily E Slater | Nurse Practitioner | Bon Secours St Marys Hospital of Richmond Inc | 1501 Maple Ave, Suite 100, Richmond, VA 23226-2553 |
Tyler C Howard | Physician Assistant | Bon Secours St Marys Hospital of Richmond Inc | 5801 Bremo Rd, Richmond, VA 23226-1907 |
Dana Taylor | Certified Nurse Midwife (cnm) | Bon Secours St Marys Hospital of Richmond Inc | 5855 Bremo Rd, Suite 306, Richmond, VA 23226-1923 |
Carolyn A Burns | Cardiovascular Disease (cardiology) | Bon Secours St Marys Hospital of Richmond Inc | 5801 Bremo Rd, Richmond, VA 23226-1907 |
Street Address |
5207 HICKORY PARK DR SUITE A |
City | GLEN ALLEN |
State | VA |
Zip | 23059-2624 |
Name | Specialty | Organization | Address |
---|---|---|---|
Aysha Habib | Internal Medicine | Bon Secours St Marys Hospital of Richmond Inc | 5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059-2624 |
Shelley B Woodley | Nurse Practitioner | Bon Secours St Marys Hospital of Richmond Inc | 5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059-2624 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cherine M Vanwagner | Chiropractic | 11520 Nuckols Rd, Suite 101, Glen Allen, VA 23059-2558 | |
Shoshana D Katz | Physician Assistant | Physical Medicine Associates Ltd | 5213 Hickory Park Dr, B, Glen Allen, VA 23059-2617 |
Andrea M Stern | Psychologist, Clinical | Commonwealth Counseling Associates PC | 5213 Hickory Park Dr A, Glen Allen, VA 23059-2617 |
Beth Mcgraw | Psychologist, Clinical | Commonwealth Counseling Associates PC | 5213 Hickory Park Dr A, Glen Allen, VA 23059-2617 |
Jill Ascari | Psychologist, Clinical | Commonwealth Counseling Associates PC | 5213 Hickory Park Dr A, Glen Allen, VA 23059-2617 |
Sailatha Bobba | Psychiatry | Commonwealth Counseling Associates PC | 5213 Hickory Park Dr A, Glen Allen, VA 23059-2617 |
Kate T Tibbs | Nurse Practitioner | Commonwealth Counseling Associates PC | 5213 Hickory Park Dr A, Glen Allen, VA 23059-2617 |
Allison Revenson | Clinical Social Worker | Commonwealth Counseling Associates PC | 5213 Hickory Park Dr A, Glen Allen, VA 23059-2617 |
Stephanie B Johnson | Psychologist, Clinical | Commonwealth Counseling Associates PC | 5213 Hickory Park Dr A, Glen Allen, VA 23059-2617 |
Wendy S Cohen | Psychiatry | Commonwealth Counseling Associates PC | 5213 Hickory Park Dr A, Glen Allen, VA 23059-2617 |
Find all physicians in zip 23059 |
City | GLEN ALLEN |
Zip Code | 23059 |
Specialty | DERMATOLOGY |
City + Specialty | GLEN ALLEN + DERMATOLOGY |
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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.