Hospitalist Medicine Physicians of Fredericksburg, LLC
Organization Active NPI Internal Medicine Physician · Fredericksburg, VA
NPI 1447577572 · NPPES record last updated Apr 29, 2010
Key facts
- NPI
- 1447577572
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- HOSPITALIST MEDICINE PHYSICIANS OF FREDERICKSBURG, LLC
- Practice address
- 1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453 - Phone
- (330) 493-4443
- Fax
- (330) 493-8677
- NPI assigned
- Apr 29, 2010
- Organization subpart
- No
Authorized official
- Name
- Stephen L Houff, MD
- Title
- Ceo
- Phone
- (330) 492-6400
Practitioners 341
-
Gauri Aggarwal, MD
-
Imran Ahmad, MD
-
Nelson Enor Airewele, M.D
-
Ali Omar Al-Saadoon, M.D.
-
Khalid Albedrani, M.D.
-
Yousef Almuzaini, DO
-
Ahmet Altay, M.D
-
Srivani Angadala, MD
-
Mushtaq Anis, M.D.
-
Zelalem Ashiny, MD
-
Kevin Andrew Azzam, D.O.
-
Nidal Babaa, M.D.
-
Menbere Bahru, MD
-
Ann M Baker, MD
-
Clay E Beveridge, MD
-
Anjali Kiran Bhateja, D.O.
-
Narayan Bhetwal, M.D
-
Onan Walker Bomar IV, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101013000902 | VA | Part B Supplier - Clinic/Group Practice | 7719179407 |
Receives reassigned benefits from 262 practitioners Practice locations: Richmond, VA; Winchester, VA; Midlothian, VA; Mechanicsville, VA; Front Royal, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443
NPI Registry JSON
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272499200000",
"number": "1447577572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182545",
"telephone_number": "330-493-4443",
"fax_number": "330-493-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SAM PERRY BLVD",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014453",
"telephone_number": "330-493-4443",
"fax_number": "330-493-8677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITALIST MEDICINE PHYSICIANS OF FREDERICKSBURG, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-29",
"last_updated": "2010-04-29",
"status": "A",
"authorized_official_last_name": "HOUFF",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "330-492-6400",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
- Susan Reiko Hoshi
- Aron Kyle Hoskins
- Hospital Based Medical Services of Virginia-I, P.C.
- Hospital Medicine Services of VA, LLC
- Hospital Medicine Services of VA, LLC
- Hospitalist Medicine Physicians of Virginia - Mechanicsville, LLC
- Ginger Houck
- Carol S Howard
- Chelsea Howard
- Jie Howe
All providers in Fredericksburg, VA · Internal 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 Apr 29, 2010. 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.