CENTRA HEALTH PROFESSIONAL SERVICES, LLC (NPI# 1033471438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033471438 |
| Entity Type | Organization |
| Organization Name | CENTRA HEALTH PROFESSIONAL SERVICES, LLC |
| Other Organization Name | CENTRA THORACIC SURGERY |
| Practice Address |
1701 Thomson Dr Lynchburg VA 24501-1118 |
| Mailing Address |
1204 Fenwick Dr Lynchburg VA 24502-2112 |
| Practice Telephone | 4342006262 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |
| Authorized Official Name | LEWIS ADDISON (CFO) |
| Authorized Official Telephone | 4342003656 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRA HEALTH PROFESSIONAL SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Centra Thoracic Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043662828 | Centra Health Professional Services, LLC | Internal Medicine | 414 Park Avenue, Danville, VA 24541-9998 | 2016-07-06 |
| 1760776447 | Centra Health Professional Services, LLC | Family Medicine | 10961 Lee Jackson Highway, Big Island, VA 24526 | 2011-05-31 |
| 1811135593 | Centra Health Professional Services, LLC | Physical Medicine & Rehabilitation | 404 Airport Dr, Suite C, Danville, VA 24540-5196 | 2009-02-03 |
| 1346486560 | Centra Health Professional Services, LLC | Family Medicine | 1902 Grace St, Lynchburg, VA 24504-3524 | 2008-12-17 |
| 1497900047 | Centra Health Professional Services, LLC | Urology | 1039 Mayberry Crossing Drive, Moneta, VA 24121 | 2008-11-24 |
| 1538101969 | Centra Health Professional Services, LLC | Physical Medicine & Rehabilitation | 1900 Tate Springs Rd, Suite 16, Lynchburg, VA 24501-1122 | 2006-06-11 |
| 1235480351 | Centra Health Professional Services, LLC | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2012-09-28 |
| 1316298433 | Centra Health Professional Services, LLC | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2012-09-28 |
| 1770840654 | Centra Health Professional Services, LLC | Orthopaedic Surgery | 1613 Oakwood St, Suite 101, Bedford, VA 24523-1213 | 2012-04-18 |
| 1881979342 | Centra Health Professional Services, LLC | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2011-10-17 |
| Street Address |
1701 THOMSON DR |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861491136 | Brenda L. Stokes | Family Medicine | 1701 Thomson Dr, Lynchburg, VA 24501-1118 | 2005-07-19 |
| 1821695578 | Molly E Vaughan | Nurse Practitioner | 1701 Thomson Dr, Lynchburg, VA 24501-1118 | 2020-10-06 |
| 1205478633 | Kara Lamb | Nurse Practitioner | 1701 Thomson Dr, Lynchburg, VA 24501-1118 | 2019-10-17 |
| 1255809612 | Erno Csatlos | Nurse Practitioner | 1701 Thomson Dr, Lynchburg, VA 24501-1118 | 2018-11-05 |
| 1871080853 | Centra Cancer Center Pharmacy, LLC | Pharmacy | 1701 Thomson Dr, Lynchburg, VA 24501 | 2018-04-16 |
| 1588102941 | Edward Morgan Williams | Genetic Counselor, MS | 1701 Thomson Dr, Lynchburg, VA 24501-1118 | 2017-02-06 |
| 1699185835 | Mahmood Rasheed | Internal Medicine | 1701 Thomson Dr, Lynchburg, VA 24501-1118 | 2014-04-28 |
| 1740538321 | Diana Michelle Harris | Nurse Practitioner | 1701 Thomson Dr, Lynchburg, VA 24501-1118 | 2012-08-29 |
| 1811298268 | Tammy Anderson | Social Worker | 1701 Thomson Dr, Lynchburg, VA 24501-1118 | 2010-11-16 |
| 1174766257 | Emaculate Verla Tebit | Internal Medicine | 1701 Thomson Dr, Suite 200, Lynchburg, VA 24501-1118 | 2009-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606957 | Evidence Based Counseling Solutions | Speech-Language Pathologist | 302 Oakley Ave, Lynchburg, VA 24501 | 2020-07-14 |
| 1740805506 | Ryan Buschmann | Physical Therapist | 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 | 2020-06-08 |
| 1528525276 | Julia M Mcauley-gonzalez | Nurse Practitioner | Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 | 2019-02-28 |
| 1548732795 | Morgan Rose Nails | Chiropractor | 3012 Forest Hills Circle, Lynchburg, VA 24501 | 2018-12-28 |
| 1407346935 | Belva Shelor | Psychologist | 1201 Floyd Street, Lynchburg, VA 24501 | 2018-05-10 |
| 1770092447 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 3204 Old Forest Rd, Lynchburg, VA 24501 | 2017-09-26 |
| 1447774518 | Restoring Peace Counseling Services | Clinic/Center | 3311 Old Forest Rd Ste 101, Lynchburg, VA 24501 | 2017-08-01 |
| 1427578335 | Vinh Thinh T Huynh | Family Medicine | 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 | 2017-06-21 |
| 1811436769 | Jordan Legendre | Student in an Organized Health Care Education/Training Program | 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 | 2017-02-13 |
| 1114465861 | Shanika Harris | Specialist/Technologist | 1501 Lakeside Drive, Lynchburg, VA 24501 | 2017-02-02 |
| Find all providers in zip 24501 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255312609 | Kenneth E Saum | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2005-11-10 |
| 1528065091 | David W. Frantz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2410 Atherholt Road, Lynchburg, VA 24501-1111 | 2005-06-30 |
| 1184964124 | Centra Medical Group, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2013-02-28 |
| 1255456364 | Houman Tavaf-motamen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2007-03-20 |
| 1407884448 | Centra Health Professional Services, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181309 | Quantia Shenae Williford | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 902 Summitt Ln Apt 4d, Newport News, VA 23601-2474 | 2018-10-24 |
| 1841733193 | Virginia Hospital Center Physician Group LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1625 N George Mason Dr Ste 288, Arlington, VA 22205-3683 | 2016-11-18 |
| 1356772461 | John Parker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 656 Lynn Shores Dr, Virginia Beach, VA 23452-2645 | 2013-11-29 |
| 1841574597 | Miguel H Gonzalez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 44112 Riverpoint Dr, Leesburg, VA 20176-8206 | 2011-09-29 |
| 1003107467 | Katherine Marie Klein | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1250 E Marshall St # 980645, Richmond, VA 23298-5051 | 2011-04-20 |
| 1235456757 | Metropolitan Cardiac Surgical Associates LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4123 N Ridgeview Rd, Mc Lean, VA 22101-5803 | 2010-04-23 |
| 1205168812 | Allen Pois | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1300 Deep Run Rd, Cartersville, VA 23027-9786 | 2010-02-06 |
| 1366699894 | Thomas M. Daniel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1822 Westview Road, Charlottesville, VA 22903 | 2008-08-27 |
| 1285841288 | Leo M Gazoni | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7101 Jahnke Rd Ste 500, Richmond, VA 23225-4017 | 2007-05-17 |
| 1730213349 | Ivan K. Crosby | Thoracic Surgery (Cardiothoracic Vascular Surgery) | The Heart Center Uva Hospital, Lee Street, 2nd Floor, Charlottesville, VA 22908-0001 | 2007-03-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.