Spotsylvania Multi-Specialty Group, LLC · Infectious Disease Physician

4604 Spotsylvania Parkway, Suite 200, Fredericksburg, VA 22408-7762

Overview

Spotsylvania Multi-Specialty Group, LLC is a Infectious Disease Physician (organization) practicing in Fredericksburg, Virginia. The National Provider Identifier (NPI) is #1588980015, which was assigned on April 8, 2010, and the registration record was last updated on April 8, 2010. The practitioner's main practice location is at 4604 Spotsylvania Parkway, Suite 200, Fredericksburg, VA 22408-7762; the contact telephone number is 5404736600. The primary taxonomy of Spotsylvania Multi-Specialty Group, LLC is Infectious Disease Physician (207RI0200X), with specialization in Infectious Disease. The authorized official for Spotsylvania Multi-Specialty Group, LLC is Mr. William Tedrick Johnson (Ceo).

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Provider Information

NPI 1588980015
Entity Type Organization
Organization Name SPOTSYLVANIA MULTI-SPECIALTY GROUP, LLC
Provider Name SPOTSYLVANIA MULTI-SPECIALTY GROUP, LLC
Practice Address 4604 Spotsylvania Parkway
Suite 200
Fredericksburg
VA 22408-7762
Practice Telephone 5404736600
Mailing Address 4604 Spotsylvania Parkway
Suite 200
Fredericksburg
VA 22408-7762
Enumeration Date 2010-04-08
Last Update Date 2010-04-08
Is Organization Subpart N

Authorized Official Information

Official Name MR. WILLIAM TEDRICK JOHNSON
Official Title CEO
Telephone 8042377760

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y207RI0200XInternal MedicineInfectious Disease193200000X MULTI-SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 207RI0200X
Taxonomy Infectious Disease Physician
Classification Internal Medicine
Specialization Infectious Disease
Grouping Allopathic & Osteopathic Physicians
Definition: An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
University of Maryland Physicians, P.A. 7505 Osler Dr Ste 214, Baltimore, MD 21204-7738Infectious Disease Physician2024-12-11
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Pandora S9 Inc 10234 Alliance Rd, Blue Ash, OH 45242-4710Infectious Disease Physician2024-11-18
University of Maryland Physicians, P.A. 1001 W Pratt St Fl 2, Baltimore, MD 21223-2679Infectious Disease Physician2024-12-11
Keystone Rural Health Center 111 Chambers Hill Dr Ste 200, Chambersburg, PA 17201-7304Infectious Disease Physician2024-12-03
Island Infectious Disease Medical PLLC 23 Murray Ave, Port Washington, NY 11050-3502Infectious Disease Physician2024-11-07
University of Maryland Physicians, P.A. 3612 Falls Rd, Baltimore, MD 21211-1869Infectious Disease Physician2024-12-18
Immersiv Health of Colorado, PLLC 1075 W Horsetooth Rd Unit 208, Fort Collins, CO 80526-5984Infectious Disease Physician2024-11-22
Koray Kerem Demir 300 Pasteur Dr # L-134, Stanford, CA 94305-2200Infectious Disease Physician2025-01-02
Valley Infectious Deseases Specialists PLLC 4217 N Taylor Rd, Mission, TX 78573-9330Infectious Disease Physician2025-01-06
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Location Information

Street Address 4604 SPOTSYLVANIA PARKWAY
SUITE 200
City FREDERICKSBURG
State VA
Zip Code 22408-7762
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Ahmad Maarouf 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762Student in an Organized Health Care Education/Training Program2018-07-02
Spotsylvania Medical Center Inc · Spotsylvania Regional Medical Center 4600 Spotsylvania Parkway, Fredericksburg, VA 22408-7762Psychiatric Hospital Unit2009-09-18
Anesthesia Physician Solutions of Virginia, LLC 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762Anesthesiology Physician2017-10-05
Sarah Elizabeth Miller 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762Medical Physician Assistant2021-09-24
Spotsylvania Medical Center, Inc. 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762Emergency Care Clinic/Center2023-03-28
Lauren Riley 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762Family Nurse Practitioner2018-06-24
Michael Callahan 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762Physician Assistant2020-04-01
Christy Lynn Childress 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762Certified Registered Nurse Anesthetist2024-05-25
Hospital Medicine Services of Va, LLC 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762Hospitalist Physician2023-02-09
Farwa Mateen 4600 Spotsylvania Pkwy, Fredericksburg, VA 22408-7762Advanced Practice Midwife2024-08-12
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Embrace Foster Care, LLC 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408Foster Care Agency2019-01-11
Dena Smith 3121 Crossroads Station Blvd, Fredericksburg, VA 22408Marriage & Family Therapist2017-12-26
William F. Enos, M.D., PLLC 10300 Spotsylvania Avenue, Suite 130, Fredericksburg, VA 22408Anatomic Pathology & Clinical Pathology Physician2010-04-01
Marie Louise Veldhuyzen · Marie V Taylor 125 Olde Greenwich Dr, Suite 300, Fredericksburg, VA 22408Physician Assistant2015-05-11
The Golden Center LLC 4112 Westmorland Cir, Fredericksburg, VA 22408Case Manager/Care Coordinator2021-02-01
Eve Hope Pendletom 2717 Francis Ct, Fredericksbrg, VA 22408Driver2017-08-10
Gabriele Neumaier-Farnsworth 150 Olde Greenwich Dr., Ste. 204, Fredericksburg, VA 22408Clinical Social Worker2007-08-20
Joyce Catherine Corbin Moya 19003 Main Street, Fredericksburg, VA 22408Clinical Social Worker2013-02-21
Town & Country Health Services & Supplies, Inc. 4548 Empire Court, Fredericksburg, VA 22408Prosthetic/Orthotic Supplier2009-07-17
Shelby Jean Galloway 12709 Willow Pt. Dr., Fredericksburg, VA 22408Diagnostic Radiology Physician2015-02-03
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.