Shenandoah Emergency Medicine Specialists LLC
Organization Active NPI Emergency Medicine Physician · Fishersville, VA
NPI 1083706121 · NPPES record last updated Jun 18, 2015
Key facts
- NPI
- 1083706121
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- SHENANDOAH EMERGENCY MEDICINE SPECIALISTS LLC
- Practice address
- 78 Medical Drive
Fishersville, VA 22939-1000 - Phone
- (540) 332-4423
- Fax
- (540) 332-5658
- NPI assigned
- Sep 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Glen E Michael, MD
- Title
- Cfo
- Phone
- (540) 332-4423
Practitioners 61
-
William E Brooks, MD
-
John E. Jesus, M.D.
-
Donald Lambka, M.D.
-
Danielle Steele McCown, NP-BC
-
Glen E Michael, MD
-
Karen O'Brien, DO
-
Clairemarie U. Plautz, M.D.
-
Jared Verga, D.O
-
Jackson F Agraz, MD
-
Adam T Belsches, MD
-
Dana H. Burns, DNP, FNP-BC
-
Robert W Cocke, MD
-
Lori Jan Conyers, FNP-C
-
Jennifer S Deviers, FNP
-
David E Fosnocht, MD
-
Kenneth S Hickey, M.D.
-
Erin L Keller, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070306000507 | VA | Part B Supplier - Clinic/Group Practice | 0345343620 |
Receives reassigned benefits from 57 practitioners Practice locations: Fishersville, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
78 Medical Drive
Fishersville, VA 22939-1000
Mailing address
PO Box 11107
Daytona Beach, FL 32120-1107
Phone (888) 311-8760
Other providers in Fishersville, VA
- Jacob Nathaniel Shank
- Anit Sharma
- Kendra Lynn Sheard
- Dolores O'Neill Sheff
- Lisa Speakman Shelton
- Shenandoah House at AMC
- Shenandoah Medical Supply, Inc.
- Shenandoah Psychiatric Medicine LLC
- Shenandoah Valley Neurological Associates
- Shenandoah Valley Surg Assoc Inc
All providers in Fishersville, VA · Emergency 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 Jun 18, 2015. 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.