PATRICK COUNTY FAMILY PRACTICE,PC (NPI# 1053322495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053322495 |
| Entity Type | Organization |
| Organization Name | PATRICK COUNTY FAMILY PRACTICE,PC |
| Practice Address |
18877 Jeb Stuart Highway Stuart VA 24171-1019 |
| Mailing Address |
Po Box 1019 Stuart VA 24171-1019 |
| Practice Telephone | 2766944466 |
| Practice Fax Number | 2766942909 |
| Mailing Telephone | 2766944466 |
| Mailing Fax Number | 2766942909 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2008-04-16 |
| Authorized Official Name | MRS. RICHARD CLAUDE COLE (PRESIDENT) |
| Authorized Official Telephone | 2766944466 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PATRICK COUNTY FAMILY PRACTICE,PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 0101 237621 | VA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 0101 036915 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 005657342 | 05 | |
| NC | BLUE CROSS BLUE SHIELD | 0232E | 01 |
| NC | 7902459 | 05 | |
| VA | 006211313 | 05 | |
| VA | ANTHEM BCBS GROUP # | 097029 | 01 |
| VA | 010181861 | 05 |
| Street Address |
18877 JEB STUART HIGHWAY |
| City | STUART |
| State | VA |
| Zip Code | 24171-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871590562 | Kimberly Dillon Compton | Physician Assistant | 18877 Jeb Stuart Highway, Highway 58, Stuart, VA 24171-1019 | 2005-07-07 |
| 1184863771 | Jaime Elizabeth Few Whitlow | Physician Assistant | 18877 Jeb Stuart Highway, Stuart, VA 24171-1019 | 2009-02-05 |
| 1063589448 | Patrick County Family Practice PC | Family Medicine | 18877 Jeb Stuart Highway, Stuart, VA 24171-1019 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730678921 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 101 E. Blue Ridge Street, Stuart, VA 24171 | 2018-05-03 |
| 1366931776 | Shannon Smith Cockram | Speech-Language Pathologist | 104 Rucker St., Stuart, VA 24171 | 2018-05-02 |
| 1194177006 | Family Preservation Services, Inc | Community/Behavioral Health | 260 Spring Road, Stuart, VA 24171 | 2016-07-05 |
| 1396128948 | Rebecca Hawks | Physical Therapy Assistant | 817 Woodland Drive, Stuart, VA 24171 | 2015-07-01 |
| 1790168524 | Jim Best Jr. | Speech-Language Pathologist | 817 Woodland Dr., Stuart, VA 24171 | 2015-06-29 |
| 1205115524 | Thomas Ira Debusk IIi | Pharmacist | 140 South Main St., Rite Aid Pharmacy, Stuart, VA 24171 | 2011-08-04 |
| 1801191317 | Nmg Affiliate Practice I LLC | Internal Medicine | 110 East Blue Ridge Street, Stuart, VA 24171 | 2011-01-13 |
| 1174765408 | First Quality Nursing LLC | Home Health | 105 Landmark Drive, Stuart, VA 24171 | 2009-04-01 |
| 1033356449 | Anthony's Builders | Private Vehicle | 16128 Jeb Stuart Hwy, Stuart, VA 24171 | 2009-01-08 |
| 1033295092 | Team Nurse, Inc | Registered Nurse | 126 N. Main Street, Stuart, VA 24171 | 2006-10-31 |
| Find all providers in zip 24171 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861854671 | Tony Nguyen | Family Medicine | 1980 Se Ocean Blvd, Stuart, FL 34996-3302 | 2016-03-22 |
| 1679964555 | Metcare of Florida, Inc. | Family Medicine | 1233 Se Indian St, Suite 103, Stuart, FL 34997-5689 | 2015-02-12 |
| 1992045140 | Comprehensive Medical Care of The Treasure Coast, LLC | Family Medicine | 6658 Se Woodmill Pond Ln, Stuart, FL 34997-8710 | 2013-02-26 |
| 1710295514 | Sandcastles Pediatric Records Services | Family Medicine | 506 S.w. Federal Highway, Suite 101, Stuart, FL 34994 | 2010-09-15 |
| 1336388750 | Jon F. Wubbena Md, Pa | Family Medicine | 3291 Se Court Dr, Stuart, FL 34997-6009 | 2009-02-09 |
| 1669649505 | Robert Isaac Levy | Family Medicine | 2099 Nw Pine Tree Way, Stuart, FL 34994-8829 | 2008-05-09 |
| 1053503789 | Melanie E Purres | Family Medicine | 2400 Se Monterey Rd Ste 300, Stuart, FL 34996-3351 | 2007-08-16 |
| 1033318217 | Greater Sandhills Family Healthcare, PC | Family Medicine | 110 W 2nd Street, Stuart, NE 68780-1701 | 2007-07-17 |
| 1891863981 | Cheryl H Jordan | Family Medicine | 900 Se Ocean Blvd # 215b, Stuart, FL 34994-2471 | 2006-11-30 |
| 1720181480 | Jaime Castellanos | Family Medicine | 1320 Se Palm Beach Rd, Stuart, FL 34994-4053 | 2006-09-07 |
| Find all providers in STUART | ||||
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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.