Provider Demographics
NPI:1801841069
Name:MCALPINE, MARCIA JEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:JEAN
Last Name:MCALPINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MARCIA
Other - Middle Name:JEAN
Other - Last Name:GORDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 75268
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21275-5268
Mailing Address - Country:US
Mailing Address - Phone:434-982-7794
Mailing Address - Fax:434-982-7752
Practice Address - Street 1:310 OLD IVY WAY
Practice Address - Street 2:SUITE 201
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-4896
Practice Address - Country:US
Practice Address - Phone:434-244-4550
Practice Address - Fax:434-244-4563
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101049181207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA44973OtherCOMMUNITY HEALTH
VA463107OtherANTHEM SERV/HEALTHKEEPERS
VA267164OtherMAMSI
VA700103029OtherCIGNA
VAP00075725OtherMEDICARE PIN
VA142926OtherSOUTHERN HEALTH
VA142926OtherSOUTHERN HEALTH
VAMC10073Medicare PIN
VA002621M47Medicare PIN
VA463107OtherANTHEM SERV/HEALTHKEEPERS
VAP00075725OtherMEDICARE PIN