Mark Niehaus (NPI# 1972541548, PAC ID# 6901980820) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1972541548 |
| PAC ID by PECOS | 6901980820 |
| Professional Enrollment ID | I20080229000465 |
| Full Name | Mark Niehaus |
| Organization Legal Name | MARTHA JEFFERSON MEDICAL GROUP LLC |
| Address |
416 Albemarle Sq Charlottesville VA 22901-7400 |
| Phone Number | 4346542830 |
| Gender | M |
| Medical School | BROWN UNIVERSITY PROGRAM IN MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 5991889081 |
| Number of Group Practice Members | 163 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490077 | SENTARA MARTHA JEFFERSON HOSPITAL |
| 490009 | UNIVERSITY OF VIRGINIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 416 Albemarle Sq, Charlottesville, VA 22901-7400 | 4346542830 | MARTHA JEFFERSON MEDICAL GROUP LLC |
| 416 Albemarle Sq, Charlottesville, VA 22901-7400 | 4349782126 | ANCHOR HEALTHCARE PLC |
| 65 Brickyard Dr, Dillwyn, VA 23936-3361 | 4349832722 | MARTHA JEFFERSON MEDICAL GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | MARTHA JEFFERSON MEDICAL GROUP LLC |
| Physicians | 167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kara Lynn Jacobs | Nurse Practitioner | Martha Jefferson Medical Group LLC | 15 Pratts Run, Suite 104, Waynesboro, VA 22980-6606 |
| Aric Jordan Moran | Hospitalist | Martha Jefferson Medical Group LLC | 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668 |
| Jennifer Graham Stancil | Nurse Practitioner | Martha Jefferson Medical Group LLC | 65 Brickyard Dr, Dillwyn, VA 23936-3361 |
| Shannon Mcdonnell Miller | Nurse Practitioner | Martha Jefferson Medical Group LLC | 29 Jefferson Ct, Zion Crossroads, VA 22942-9602 |
| Mary Whittemore | Family Medicine | Martha Jefferson Medical Group LLC | 416 Albemarle Sq, Charlottesville, VA 22901-7400 |
| Barrie Carveth | Nurse Practitioner | Martha Jefferson Medical Group LLC | 315 10th St Ne, Charlottesville, VA 22902-5316 |
| Michael Q Potter | Hand Surgery | Martha Jefferson Medical Group LLC | 595 Martha Jefferson Dr, Suite 180, Charlottesville, VA 22911-4669 |
| Stephen A Hoover | Hand Surgery | Martha Jefferson Medical Group LLC | 3263 Proffit Rd, Suite 203, Charlottesville, VA 22911-5639 |
| Blake R Garmon | Internal Medicine | Martha Jefferson Medical Group LLC | 435 Merchant Walk Sq, Suite 400, Charlottesville, VA 22902-6516 |
| Joseph Devon Lowdon | Internal Medicine | Martha Jefferson Medical Group LLC | 1011 E Jefferson St, Suite 202, Charlottesville, VA 22902-5354 |
| Street Address |
416 ALBEMARLE SQ |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip | 22901-7400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Whittemore | Family Medicine | Martha Jefferson Medical Group LLC | 416 Albemarle Sq, Charlottesville, VA 22901-7400 |
| Jane R Shaw | Family Medicine | Anchor Healthcare Plc | 416 Albemarle Sq, Charlottesville, VA 22901-7400 |
| Kurtis Scott Elward | Family Medicine | Martha Jefferson Medical Group LLC | 416 Albemarle Sq, Charlottesville, VA 22901-7400 |
| Margo L Gill | Family Medicine | Martha Jefferson Medical Group LLC | 416 Albemarle Sq, Charlottesville, VA 22901-7400 |
| Christine Ann Arcidicono | Nurse Practitioner | Martha Jefferson Medical Group LLC | 416 Albemarle Sq, Charlottesville, VA 22901-7400 |
| Duncan A Macfarlan | Family Medicine | Martha Jefferson Medical Group LLC | 416 Albemarle Sq, Charlottesville, VA 22901-7400 |
| Elaine C Alpern | Nurse Practitioner | Martha Jefferson Medical Group LLC | 416 Albemarle Sq, Charlottesville, VA 22901-7400 |
| Deborah L Campbell | Family Medicine | Martha Jefferson Medical Group LLC | 416 Albemarle Sq, Charlottesville, VA 22901-7400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brycen A Hudock | Chiropractic | 355 W Rio Rd, Suite 106, Charlottesville, VA 22901-1360 | |
| David Chesler | Internal Medicine | Privia Medical Group,llc | 3025 Berkmar Dr, Suite 1, Charlottesville, VA 22901-1456 |
| Todd J Long | Ophthalmology | Eyeone, Plc | 620 Berkmar Cir, Charlottesville, VA 22901-1464 |
| Ashley H Schauer | Ophthalmology | Blue Ridge Ophthalmology Pllc | 626 Berkmar Cir, Charlottesville, VA 22901-1464 |
| Robert L Stokes | Family Medicine | 674 Berkmar Cir, Charlottesville, VA 22901-1464 | |
| Andrew S Collins | Ophthalmology | Blue Ridge Ophthalmology Pllc | 626 Berkmar Cir, Charlottesville, VA 22901-1464 |
| Rita Digrazia Page | Ophthalmology | Blue Ridge Ophthalmology Pllc | 626 Berkmar Cir, Charlottesville, VA 22901-1464 |
| Ellen C Sanders | Ophthalmology | Blue Ridge Ophthalmology Pllc | 626 Berkmar Cir, Charlottesville, VA 22901-1464 |
| Sara E Hawken | Nurse Practitioner | Albemarle Dermatology Associates, LLC | 3350 Berkmar Dr, Charlottesville, VA 22901-1491 |
| Hannah P Pearce | Dermatology | Albemarle Dermatology Associates, LLC | 3350 Berkmar Dr, Charlottesville, VA 22901-1491 |
| Find all physicians in zip 22901 | |||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CHARLOTTESVILLE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mark Niehaus.
| 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.