CHARLES JOSEPH DEVINE III


Address: 434 Washington St., Boydton, VA 23917
Phone: 4347386815

CHARLES JOSEPH DEVINE III (NPI# 1053454058) 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) 1053454058
Entity Type Individual
Full Name CHARLES JOSEPH DEVINE III
Credential MD
Practice Address 434 Washington St.
Boydton
VA 23917
Mailing Address 434 Washington St.
Po Box 560
Boydton
VA 23917
Practice Telephone 4347386815
Practice Fax Number 4347386295
Mailing Telephone 4347386815
Mailing Fax Number 4347386295
Enumeration Date 2007-02-15
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0901X Preventive Medicine
Specialization: Public Health & General Preventive Medicine
0101034518 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 5811007 05

Other Providers CHARLES DEVINE

NPI Name Taxonomy Address Enumeration
1881687663 Charles Durwood Devine Psychiatry & Neurology 336 E Bloomingdale Ave, Brandon, FL 33511-8155 2005-08-26

Office Location

Street Address 434 WASHINGTON ST.
City BOYDTON
State VA
Zip Code 23917

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194982595 Boydton Community Health Facility, Inc Clinic/Center 1321 Jefferson Street, Boydton, VA 23917 2008-05-22
1851579130 Moira R Hurley Internal Medicine 380 Washington St., Boydton, VA 23917 2008-02-08
1285726133 Robin H. Jennings Dental Hygienist 1329 Jefferson Street, Boydton, VA 23917 2006-09-29
1588678098 Angela Poythress Counselor 523 Madison St., Boydton, VA 23917 2006-07-28
1407860158 Jan Skibinski Pharmacist 390 Washington Street, Boydton, VA 23917 2006-07-28
1285652057 Jan L Hundley Counselor 1237 Jefferson St, Boydton, VA 23917 2006-07-18
1710938576 Commonwealth of Virginia State Board of Health Public Health or Welfare 969 Madison St, Boydton, VA 23917 2006-05-15
1104880582 Boydton Community Pharmacy Pharmacy 390 Washington St, Boydton, VA 23917 2006-04-13
1578526083 Elaine M Cole Social Worker 523 Madison Street, Boydton, VA 23917 2006-04-07
1457328767 Willoughby Shelton Hundley IIi Emergency Medicine 969 Madison Street, Suite/box 297, Boydton, VA 23917 2006-03-06
Find all providers in zip 23917

Taxonomy Information

Taxonomy Code 2083P0901X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Public Health & General Preventive Medicine

Taxonomy Definition

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1538792403 Elaine Stanek Perry Preventive Medicine 45201 Research Pl Ste 120, Ashburn, VA 20147-2416 2020-02-19
1629546379 Chang-i Wu Preventive Medicine 1530 Clarendon Blvd Apt 700, Arlington, VA 22209-4315 2018-11-09
1922541523 Gregory Burkhart Preventive Medicine 12224 Quorn Ln, Reston, VA 20191-2635 2016-11-30
1114380359 Sean C Mabey Preventive Medicine 2608 Nestlebrook Trl, Virginia Beach, VA 23456-8201 2016-04-04
1407269723 Kim Xuan Luk Preventive Medicine 4480 King St Fl 3, Alexandria, VA 22302-1300 2014-06-04
1225458581 Barbara Louise Johnson Preventive Medicine 412 W Stuart Dr, Galax, VA 24333-2737 2014-04-24
1811313943 Passport Health Holdings, LLC. Preventive Medicine 2812 Emerywood Parkway, #160, Richmond, VA 23294 2014-03-13
1518397405 Passport Health Holdings LLC Preventive Medicine 400 N Center Drive, Suite 108, Norfolk, VA 23502-0002 2013-11-14
1679827687 James J James Preventive Medicine 16422 Wanderers Port Lane, Onancock, VA 23417 2012-10-30
1851667091 Robert Peter Kadlec Preventive Medicine 2209 Traies Ct, Alexandria, VA 22306-2564 2012-03-31
Find all providers with the same taxonomy

Competitor

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City BOYDTON
Zip Code 23917

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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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