MEDICARE: MARTHA JEFFERSON HOSPITAL

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	261QR0404X	Cardiac Rehabilitation Clinic/Center
2	282N00000X	General Acute Care Hospital	H1872	VA

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
2	000012	OTHER	VA	BLUE CROSS PROVIDER NUMBE

General Provider Information

NPI Number	:	1346248663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARTHA JEFFERSON HOSPITAL

Provider Business Mailing Address
First Line	:	1300 SENTARA PARK
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23464-5884
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 MARTHA JEFFERSON DR
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22911-4668
Country	:	US
Telephone Number	:	434-654-7000
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MELINDA SUMMERLIN HANCOCK
Credential	:
Telephone Number	:	757-455-7458

Provider Enumeration Date	:	07/11/2005
Last Update Date	:	12/11/2025

Similar Medicare Providers

1780549451 — ANNA KATHLEEN GOEHNER
Practice Location Address:

500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA
22911-4668

Practice Phone: 434-654-7000
Practice Fax:

1477571206 — MARTHA JEFFERSON HOSPITAL
Practice Location Address:

500 MARTHA JEFFERSON DRIVE , MB# G231
CHARLOTTESVILLE, VA
22911-4668

Practice Phone: 434-654-7195
Practice Fax: 434-654-4794

1912228628 — MARTHA JEFFERSON HOSPITAL
Practice Location Address:

500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA
22911-4668

Practice Phone: 434-654-7042
Practice Fax:

1578561361 — DR. PETER NOCK DO
Practice Location Address:

500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA
22911-4668

Practice Phone: 434-654-7580
Practice Fax: 434-654-7582

1790786069 — DR. CYNTHIA SPAULDING M.D.
Practice Location Address:

500 MARTHA JEFFERSON DRIVE
CHARLOTTESVILLE, VA
22911-4668

Practice Phone: 434-654-8125
Practice Fax: 434-654-8127

1598767402 — DR. KEVIN BRADLEY MERCURE MD
Practice Location Address:

500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA
22911-4668

Practice Phone: 434-654-5260
Practice Fax: 844-340-9731

Directions to “MARTHA JEFFERSON HOSPITAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.