Robert D Footer (NPI# 1376562116, PAC ID# 4587836812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1376562116 |
| PAC ID by PECOS | 4587836812 |
| Professional Enrollment ID | I20111011000355 |
| Full Name | Robert D Footer |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Address |
10401 Old Georgetown Rd Bethesda MD 20814-1911 |
| Gender | M |
| Medical School | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1975 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4385682061 |
| Number of Group Practice Members | 969 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 090005 | SIBLEY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10401 Old Georgetown Rd, Bethesda, MD 20814-1911 | PRIVIA MEDICAL GROUP,LLC | |
| 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 | 3019172191 | PRIVIA MEDICAL GROUP,LLC |
| Organization Legal Name | PRIVIA MEDICAL GROUP,LLC |
| Physicians | 987 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana Jones-sheppard | Nurse Practitioner | Privia Medical Group,llc | 3903 Fair Ridge Dr, Suite 219, Fairfax, VA 22033-2945 |
| Ryan Timothy Pyles | Physician Assistant | Privia Medical Group,llc | 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 |
| Emily Christine Stano | Psychologist, Clinical | Privia Medical Group,llc | 1901 Research Blvd, Suite 160, Rockville, MD 20850-6122 |
| Deidre Ann Fisher | Nurse Practitioner | Privia Medical Group,llc | 7505 Democracy Blvd, A113, Bethesda, MD 20817-1238 |
| Stephanie Carter | Family Medicine | Privia Medical Group,llc | 3650 Joseph Swck Dr, 205b All Female Obgyn LLC, Fairfax, VA 22033-1710 |
| Belen Tesfaye | Gastroenterology | Privia Medical Group,llc | 18121 Georgia Ave, Suite 103, Olney, MD 20832-1437 |
| Anita Sikand | Obstetrics/gynecology | Privia Medical Group,llc | 2440 M Street, 320 Pmg_cwhp_dc Office', Washington, DC 20037-1473 |
| Alicia Morgan-cooper | Pediatric Medicine | Privia Medical Group,llc | One E University Pkwy, 109 Pmg_viped_baltimore Office, Baltimore, MD 21218-2432 |
| Carrie S Goodrich | Nurse Practitioner | Privia Medical Group,llc | 142 Smithfield Rd, Saint Stephens Church, VA 23148-2129 |
| Jonathan L Siddon | Internal Medicine | Privia Medical Group,llc | 9900 Belward Campus Dr, Suite 325, Rockville, MD 20850-4095 |
| Street Address |
10401 OLD GEORGETOWN RD |
| City | BETHESDA |
| State | MD |
| Zip | 20814-1911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sylvan S Mintz | Oral Surgery | Drs Mintz and Abbott LLC | 10401 Old Georgetown Rd, Suite 106, Bethesda, MD 20814-1911 |
| Molly J Garges | Nurse Practitioner | Privia Medical Group,llc | 10401 Old Georgetown Rd, Bethesda, MD 20814-1911 |
| Lori Kaler | Obstetrics/gynecology | Privia Medical Group,llc | 10401 Old Georgetown Rd, Bethesda, MD 20814-1911 |
| Jeremy Abbott | Oral Surgery | Drs Mintz and Abbott LLC | 10401 Old Georgetown Rd, Suite 106, Bethesda, MD 20814-1911 |
| John Irons | Allergy/immunology | Privia Medical Group,llc | 10401 Old Georgetown Rd, Bethesda, MD 20814-1911 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph Dewey Teunis | Optometry | 5630 Bradley Blvd, Bethesda, MD 20814-1006 | |
| Mahmud R Elbackush | Anesthesiology | First Colonies Anesthesia Associates, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Michael J Peck | Anesthesiology | First Colonies Anesthesia Associates, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Katharine Funari | Optometry | Johns Hopkins University | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Michelle C Divito | Emergency Medicine | Bethesda Emergency Associates, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Andrew Demidowich | Hospitalist | Johns Hopkins Community Physicians | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Colleen Rodak | Nurse Practitioner | Bethesda Physician Services, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Ima Sasu | Nurse Practitioner | Bethesda Physician Services, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Eligio B Aguhob | Anesthesiology | First Colonies Anesthesia Associates, LLC | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Brian J Masterson | Internal Medicine | Axis Healthcare Group | 8600 Old Georgetown Rd, Bethesda, MD 20814-1422 |
| Find all physicians in zip 20814 | |||
| City | BETHESDA |
| Zip Code | 20814 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BETHESDA + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Robert D Footer.
| 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.