Provider Demographics
| NPI: | 1972149607 |
|---|---|
| Name: | HOSPITALIST MEDICINE PHYSICIANS OF VIRGINIA - MECHANICSVILLE, LLC |
| Entity type: | Organization |
| Organization Name: | HOSPITALIST MEDICINE PHYSICIANS OF VIRGINIA - MECHANICSVILLE, LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | ROBERT |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | BESSLER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 615-377-5658 |
| Mailing Address - Street 1: | 5410 MARYLAND WAY STE 300 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BRENTWOOD |
| Mailing Address - State: | TN |
| Mailing Address - Zip Code: | 37027-5339 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 1001 SAM PERRY BLVD |
| Practice Address - Street 2: | |
| Practice Address - City: | FREDERICKSBURG |
| Practice Address - State: | VA |
| Practice Address - Zip Code: | 22401-4453 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 615-377-5658 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2019-11-18 |
| Last Update Date: | 2019-11-18 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty |