NPIMap

Individual provider Active NPI

Donna J. Gamache, M.D.

  • Family Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1063401446
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101840583 Issued in VA
Practice address
125 Olde Greenwich Dr
Suite 220
Fredericksburg, VA 22408-4001
Phone
(540) 898-8001
Fax
(540) 898-2127
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101840583 VA Primary

Addresses

Primary practice location

125 Olde Greenwich Dr
Suite 220
Fredericksburg, VA 22408-4001

Mailing address

125 Olde Greenwich Dr
Suite 220
Fredericksburg, VA 22408-4001
Phone (540) 898-8001

Other identifiers 2

IdentifierTypeStateIssuer
P00213352OtherVARAILROAD MEDICARE
010139201MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050527000347 VA Practitioner - Family Practice 4880636083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Vermont College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lee'S Hill Family Physicians, P.C.Group PAC ID 3375585573, 2 clinicians

Practice addresses (Care Compare)

125 Olde Greenwich Dr
Suite 220
Fredericksburg, VA 22408-4010
Phone (540) 898-8001

Hospital & facility affiliations

  • At Home Care Home health agency, Mechanicsvlle, VA, CCN 497493
  • Amedisys Home Health Home health agency, Midlothian, VA, CCN 497538
  • Mary Washington Home Health Agency Home health agency, Fredericksburg, VA, CCN 497272
  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101840583VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lee'S Hill Family Physicians, P.C. Family Medicine CurrentSince Oct 14, 2004 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10709 Spotsylvania Ave
Ste 102
Fredericksburg, VA 22408
Phone (540) 898-8001

125 Olde Greenwich Dr
Ste 220
Fredericksburg, VA 22408
Phone (540) 898-8001

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1063401446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 OLDE GREENWICH DR",
            "address_2": "SUITE 220",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084001",
            "telephone_number": "540-898-8001",
            "fax_number": "540-898-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 OLDE GREENWICH DR",
            "address_2": "SUITE 220",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084001",
            "telephone_number": "540-898-8001",
            "fax_number": "540-898-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMACHE",
        "first_name": "DONNA",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101840583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00213352",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010139201",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.