Brock Eric Ebbing (NPI# 1801459086, PAC ID# 9830432103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1801459086 |
| PAC ID by PECOS | 9830432103 |
| Professional Enrollment ID | I20190530001278 |
| Full Name | Brock Eric Ebbing |
| Organization Legal Name | DULLES URGENT CARE CENTER LLC |
| Address |
42010 Village Ctr Plz Suite 100 Stone Ridge VA 20105-3036 |
| Phone Number | 7035427921 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0143245571 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 42010 Village Ctr Plz, Suite 100, Stone Ridge, VA 20105-3036 | 7035427921 | DULLES URGENT CARE CENTER LLC |
| Organization Legal Name | DULLES URGENT CARE CENTER LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Wakatsuki | Internal Medicine | Dulles Urgent Care Center LLC | 42010 Village Ctr Plz, Suite 100, Stone Ridge, VA 20105-3036 |
| Anita S Chatman | Family Medicine | Dulles Urgent Care Center LLC | 42010 Village Ctr Plz, Suite 100, Stone Ridge, VA 20105-3036 |
| Alyssa B Laeser | Physician Assistant | Dulles Urgent Care Center LLC | 42010 Village Ctr Plz, Suite 100, Stone Ridge, VA 20105-3036 |
| Street Address |
42010 VILLAGE CTR PLZ SUITE 100 |
| City | STONE RIDGE |
| State | VA |
| Zip | 20105-3036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel Wakatsuki | Internal Medicine | Dulles Urgent Care Center LLC | 42010 Village Ctr Plz, Suite 100, Stone Ridge, VA 20105-3036 |
| Anita S Chatman | Family Medicine | Dulles Urgent Care Center LLC | 42010 Village Ctr Plz, Suite 100, Stone Ridge, VA 20105-3036 |
| Alyssa B Laeser | Physician Assistant | Dulles Urgent Care Center LLC | 42010 Village Ctr Plz, Suite 100, Stone Ridge, VA 20105-3036 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Petra J Thomas | Pulmonary Disease | 2440 Millstream Dr, Aldie, VA 20105 | |
| Taylor D Blattenberger | Physical Therapy | Excel Rehabilitation Pllc | 24585 Stone Carver Dr, Suite 275, Aldie, VA 20105-2798 |
| April A Munoz | Physical Therapy | Excel Rehabilitation Pllc | 24585 Stone Carver Dr, Aldie, VA 20105-2798 |
| Rachel E Herrmann | Physical Therapy | Excel Rehabilitation Pllc | 24585 Stone Carver Dr, Suite 275, Aldie, VA 20105-2798 |
| Tina N Burr | Optometry | Associates In Eyecare Stone Ridge PC | 42015 Village Ctr Plz, Stone Ridge, VA 20105-3031 |
| Swapna Gaddipati | Internal Medicine | Gaddipati Pllc | 24430 Millstream Dr, Aldie, VA 20105-3098 |
| Dana Marie Ebeling | Nurse Practitioner | Chantilly Rehab Physicians PC | 24430 Millstream Dr, Aldie, VA 20105-3098 |
| Padmavathi Murakonda | Internal Medicine | Gaddipati Pllc | 24430 Millstream Dr, Aldie, VA 20105-3098 |
| Tahir Ahmad | Internal Medicine | 24430 Millstream Dr, Aldie, VA 20105-3098 | |
| Shaik Samdani | Physical Medicine and Rehabilitation | Chantilly Rehab Physicians PC | 24430 Millstream Dr, Aldie, VA 20105-3098 |
| Find all physicians in zip 20105 | |||
| City | STONE RIDGE |
| Zip Code | 20105 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | STONE RIDGE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Brock Eric Ebbing.
| 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.