Eventus WH Mid-Atlantic Care LLC
Organization Active NPI Geriatric Medicine (Family Medicine) Physician · Midlothian, VA
NPI 1063253490 · NPPES record last updated Nov 19, 2024
Key facts
- NPI
- 1063253490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Medicine (Family Medicine) Physician 207QG0300X
- Legal business name
- EVENTUS WH MID-ATLANTIC CARE LLC
- Practice address
- 250 Browns Hill CT
Midlothian, VA 23114-9510 - Phone
- (855) 743-2247
- NPI assigned
- May 31, 2024
- Organization subpart
- No
Authorized official
- Name
- Bradley Goad, DO
- Title
- Owner
- Phone
- (855) 743-2247
Practitioners 118
-
Marla Norris Alger, FNP-C
-
Uzma M Ali, MD
-
Patrick E Baroco Jr., M.D.
-
Michon Bechamps, MD
-
Victor H Bell, M.D.
-
Sharee Birkett, FNP
-
Crystal K Blosser, NP-C
-
Tammy V Bogart, NP
-
Polly Arey Cason, NP-C
-
Michael S Corbett, PA-C
-
Lisa Elmore Curtis, MS, APRN, BC
-
Julia Mackenzie Diehl, PA-C
-
Elaine M Dunnivan, FNP
-
Barbara J Frost, NP
-
Staci Naomi Greer, FNP-C
-
Karissa Hare, FNP-C
-
Natasha Ballentine Hart, PMHNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241203004710 | VA | Part B Supplier - Clinic/Group Practice | 8921534744 |
Receives reassigned benefits from 117 practitioners Practice locations: Glen Allen, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician |
207QG0300X | Yes | ||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
250 Browns Hill CT
Midlothian, VA 23114-9510
Mailing address
PO Box 1431 Dept 412
Charlotte, NC 28201-1431
Phone (855) 743-2247
Other providers in Midlothian, VA
- Michele Evans-Reavis
- Cutina Evans
- Kaitlin Lauren Evans
- Tracey Evans
- Eventus Premier Healthcare LLC
- Eventus WH Mid-Atlantic, LLC
- Carisa Lynn Everett
- Joel C Everett
- Every Age Every Stage LLC
- Everyday Transportation LLC
All providers in Midlothian, VA · Geriatric Medicine (Family Medicine) Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.