Provider Demographics
NPI:1013964667
Name:SADDINGTON, JULIA M (PA)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:M
Last Name:SADDINGTON
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1115 BOULDERS PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4067
Mailing Address - Country:US
Mailing Address - Phone:804-560-5595
Mailing Address - Fax:804-560-9029
Practice Address - Street 1:1115 BOULDERS PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23225-4067
Practice Address - Country:US
Practice Address - Phone:804-320-1339
Practice Address - Fax:804-330-5829
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2020-09-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0110001069363AS0400X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010076021Medicaid
VA226981OtherANTHEM HEALTHKEEPERS
VA0900834OtherUNITED HEALTHCARE
VA540885859OtherC&O EMPLOYEES HEALTHCARE
VA540885859OtherCORVEL
VA540885859OtherCOMPMANAGEMENT
VA540885859OtherUNITED HEALTHCARE MAMSI
VA17552OtherSH CARENET
VA540885859OtherCIGNA
VA78773POtherOPTIMA HEALTH
VAP00163248OtherRAILROAD MEDICARE
VA2214891OtherAETNA HMO
VA540885859OtherMULTIPLAN
VA540885859OtherPRIVATE HEALTHCARE SYSTEM
VA540885859OtherFIRST HEALTH/CNN
VA288507OtherSOUTHERN HEALTH
VA540885859OtherFOCUS
VA540885859OtherPRIVATE HEALTHCARE SYSTEM
VA010076021Medicaid
004814W43Medicare PIN