Basic Information
| Provider Information | |||||||||
| NPI: | 1013964667 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SADDINGTON | ||||||||
| FirstName: | JULIA | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | P.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1115 BOULDERS PKWY | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | NORTH CHESTERFIELD | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232254067 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8045605595 | ||||||||
| FaxNumber: | 8045609029 | ||||||||
| Practice Location | |||||||||
| Address1: | 1115 BOULDERS PKWY | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | NORTH CHESTERFIELD | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232254067 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8043201339 | ||||||||
| FaxNumber: | 8043305829 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2006 | ||||||||
| LastUpdateDate: | 09/16/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/16/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AS0400X | 0110001069 | VA | N | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical | 363A00000X | 0110001069 | VA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
ID Information
| ID | Type | State | Issuer | Description | 010076021 | 05 | VA | MEDICAID | 226981 | 01 | VA | ANTHEM HEALTHKEEPERS | OTHER | 0900834 | 01 | VA | UNITED HEALTHCARE | OTHER | 540885859 | 01 | VA | C&O EMPLOYEES HEALTHCARE | OTHER | 540885859 | 01 | VA | CORVEL | OTHER | 540885859 | 01 | VA | COMPMANAGEMENT | OTHER | 540885859 | 01 | VA | UNITED HEALTHCARE MAMSI | OTHER | 17552 | 01 | VA | SH CARENET | OTHER | 540885859 | 01 | VA | CIGNA | OTHER | 78773P | 01 | VA | OPTIMA HEALTH | OTHER | P00163248 | 01 | VA | RAILROAD MEDICARE | OTHER | 2214891 | 01 | VA | AETNA HMO | OTHER | 540885859 | 01 | VA | MULTIPLAN | OTHER | 540885859 | 01 | VA | PRIVATE HEALTHCARE SYSTEM | OTHER | 540885859 | 01 | VA | FIRST HEALTH/CNN | OTHER | 288507 | 01 | VA | SOUTHERN HEALTH | OTHER | 540885859 | 01 | VA | FOCUS | OTHER |