Anna Margarita Guerra Dumont, DO

Individual provider Active NPI Family Medicine Physician · Moseley, VA

NPI 1457549115 · NPPES record last updated Oct 3, 2024

Key facts

NPI
1457549115
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
0102206176 (VA)
Practice address
PO Box 34
Moseley, VA 23120-0034
Phone
(412) 600-7950
NPI assigned
Oct 9, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 26, 2024 through Sep 26, 2026

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS014359PAMDSports Medicine (Family Medicine) Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X OS014359 PA
Family Medicine Physician 207Q00000X 0102206176 VA Yes

Addresses

Primary practice location

PO Box 34
Moseley, VA 23120-0034

Mailing address

PO Box 34
Moseley, VA 23120-0034
Phone (412) 600-7950

Other identifiers

IdentifierTypeStateIssuer
1024674980001MedicaidPA

Other names

  • Anna Margarita Guerra Former name

Other providers in Moseley, VA

All providers in Moseley, VA · Family Medicine Physician in Virginia

Sources for this page

Verify at the official NPI Registry.