Provider Demographics
NPI:1982690194
Name:CIURASH, JOHN SILVIUS (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SILVIUS
Last Name:CIURASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12801 IRON BRIDGE RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-1669
Mailing Address - Country:US
Mailing Address - Phone:804-777-9908
Mailing Address - Fax:804-777-9056
Practice Address - Street 1:12801 IRON BRIDGE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-1669
Practice Address - Country:US
Practice Address - Phone:804-777-9908
Practice Address - Fax:804-777-9056
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2008-08-19
Deactivation Date:2006-03-24
Deactivation Code:
Reactivation Date:2006-03-30
Provider Licenses
StateLicense IDTaxonomies
VA0101050490207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA8127435OtherMAMSI HMO PCP NUMBER
VA2127495OtherMAMSI PROVIDER NUMBER
VA4287866OtherAETNA PROVIDER NUMBER
VA103405OtherBLUE CROSS PROVIDER NUMBE
VA1406108OtherCIGNA PROVIDER NUMBER
VA249053OtherBLUE CROSS
VA00V831J79Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
VA249053OtherBLUE CROSS
VA00V831J79Medicare PIN