Provider Demographics
NPI:1700812435
Name:LAUREL TSCHIRGI
Entity Type:Organization
Organization Name:LAUREL TSCHIRGI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREL
Authorized Official - Middle Name:D
Authorized Official - Last Name:TSCHIRGI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-723-0611
Mailing Address - Street 1:905 CEDAR CREEK GRADE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-7100
Mailing Address - Country:US
Mailing Address - Phone:540-723-0611
Mailing Address - Fax:540-723-9875
Practice Address - Street 1:905 CEDAR CREEK GRADE
Practice Address - Street 2:SUITE 101
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-7100
Practice Address - Country:US
Practice Address - Phone:540-723-0611
Practice Address - Fax:540-723-9875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC09905Medicare PIN
VADG3959Medicare PIN