M CLINIC, LLC


Address: 406 Albemarle Square, Charlottesville, VA 22901
Phone: 4343215257

M CLINIC, LLC (NPI# 1043725336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043725336
Entity Type Organization
Organization Name M CLINIC, LLC
Practice Address 406 Albemarle Square
Charlottesville
VA 22901
Practice Telephone 4343215257
Practice Fax Number 4343215259
Mailing Telephone 4343215257
Mailing Fax Number 4343215259
Enumeration Date 2017-12-08
Last Update Date 2017-12-08
Authorized Official Name ZACHARY BUSH (DIRECTOR OF CLINICAL AFFAIRS)
Authorized Official Telephone 4343215257
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 0101239018 VA Allopathic & Osteopathic Physicians
N 207RH0002X Internal Medicine
Specialization: Hospice and Palliative Medicine
0101239018 VA Allopathic & Osteopathic Physicians
N 363LF0000X Nurse Practitioner
Specialization: Family
0024166491 VA Physician Assistants & Advanced Practice Nursing Providers
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
0101239018 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 406 ALBEMARLE SQUARE
City CHARLOTTESVILLE
State VA
Zip Code 22901

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1558855346 Dana Scott Counselor 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 2018-06-15
1033620380 Cheryl K Cottrell Counselor 875 East Rio Court, Charlottesville, VA 22901 2017-10-13
1114389640 Heather Lorin Broach Physical Therapist 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 2016-03-23
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1083988778 Melissa Stanley Nurse Practitioner 1356 River Rd, Charlottesville, VA 22901 2012-02-28
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1275802019 Joy Chernega Spiekermann Internal Medicine 1022 Tilman Road, Charlottesville, VA 22901 2011-12-23
Find all providers in zip 22901

Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316155047 Susan K Blank Internal Medicine 924 Rugby Rd, Charlottesville, VA 22903-1606 2007-05-18
1720290687 Margaret K. Crook Internal Medicine 183 Spotnap Rd Ste A, Charlottesville, VA 22911-8812 2007-05-04
1588707590 Susan E. Kirk Internal Medicine Uva Endocrinology, 415 Ray C. Hunt Drive, Charlottesville, VA 22903 2007-02-15
1891781373 Sandhya Chhabra Internal Medicine 600 Peter Jefferson Pkwy, Suite 200, Charlottesville, VA 22911-8835 2005-09-21
1790125102 William Benjamin Horton Internal Medicine 415 Ray C Hunt Dr Ste 2100, Charlottesville, VA 22903-2980 2013-06-29
1497011134 Meaghan Mccarthy Stumpf Internal Medicine 415 Ray C. Hunt Drive, Ste 2100, Charlottesville, VA 38163-0001 2012-04-06
1043531288 Blue Ridge Endocrinology and Diabetes Plc Internal Medicine 199 Spotnap Rd, Suite 2, Charlottesville, VA 22911-8827 2010-06-22
1992992895 Kara Brenn Hawkins Internal Medicine 500 Martha Jefferson Dr Fl 5, Charlottesville, VA 22911 2007-09-25
1598959348 Heather A Ferris Internal Medicine 183 Spotnap Rd Ste A, Charlottesville, VA 22911-8812 2007-09-04
1679778237 Jessicah S. Collins Internal Medicine 415 Ray C Hunt Dr, Charlottesville, VA 22903-2980 2007-06-15
Find all providers in CHARLOTTESVILLE

Competitor

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City CHARLOTTESVILLE
Zip Code 22901

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Dataset Information

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.

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