MEDICARE: HOUSE CALL MD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003923533
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSE CALL MD LLC

Provider Business Mailing Address
First Line	:	7323 BOULDER VIEW LN
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-4953
Country	:	US
Telephone Number	:	804-744-5050
Fax Number	:	804-744-8811

Provider Business Practice Location Address
First Line	:	7323 BOULDER VIEW LN
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-4953
Country	:	US
Telephone Number	:	804-744-5050
Fax Number	:	804-744-8811

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. JOHN E GEHMAN SR.
Credential	:	MD
Telephone Number	:	804-744-5050

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	02/20/2009

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Directions to “HOUSE CALL MD LLC ” Practice Location

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