Provider Demographics
NPI:1275802019
Name:SPIEKERMANN, JOY CHERNEGA (MD)
Entity Type:Individual
Prefix:DR
First Name:JOY
Middle Name:CHERNEGA
Last Name:SPIEKERMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JOY
Other - Middle Name:C
Other - Last Name:SPIEKERMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1022 TILMAN ROAD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901
Mailing Address - Country:US
Mailing Address - Phone:434-953-7404
Mailing Address - Fax:434-207-6126
Practice Address - Street 1:1022 TILMAN ROAD
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901
Practice Address - Country:US
Practice Address - Phone:434-953-7404
Practice Address - Fax:434-207-6126
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-23
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101049464207R00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine