ENCORE OB GYN CENTER OF SOUTHWEST VIRGINIA LLC (NPI# 1083064315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083064315 |
| Entity Type | Organization |
| Organization Name | ENCORE OB GYN CENTER OF SOUTHWEST VIRGINIA LLC |
| Practice Address |
825 Davis St Suite C Blacksburg VA 24060-7009 |
| Mailing Address |
Po Box 239 Lynchburg VA 24505-0239 |
| Practice Telephone | 5402510980 |
| Practice Fax Number | 5402510985 |
| Mailing Telephone | 8007790902 |
| Mailing Fax Number | 8005078011 |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-10-24 |
| Authorized Official Name | MARGARITA A ABRAMS (OWNER) |
| Authorized Official Telephone | 5402391981 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Street Address |
825 DAVIS ST SUITE C |
| City | BLACKSBURG |
| State | VA |
| Zip Code | 24060-7009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710983499 | Stuart Alexander Gardner | Legal Medicine | 825 Davis St, Suite A, Blacksburg, VA 24060-7009 | 2005-06-27 |
| 1194126045 | Matthew Gregory Yost | Physical Therapist | 825 Davis St, Suite B, Blacksburg, VA 24060-7009 | 2014-09-10 |
| 1821413311 | Physician Wellness, LLC | Anesthesiology | 825 Davis St, E, Blacksburg, VA 24060-7009 | 2014-02-20 |
| 1831438225 | Physicians Interventional Pain Center LLC | Pain Medicine | 825 Davis St, #e, Blacksburg, VA 24060-7013 | 2013-02-05 |
| 1871841775 | Kelly Lynn Wilson | Physical Therapist | 825 Davis St, Suite B, Blacksburg, VA 24060-7013 | 2012-08-27 |
| 1700102753 | Neurological Care Clinic PC | Specialist | 825 Davis St, Suite D, Blacksburg, VA 24060-7013 | 2010-04-15 |
| 1801129143 | Ana-maria Knackstedt | Physical Therapist | 825 Davis St, Ste B, Blacksburg, VA 24060-7009 | 2009-09-17 |
| 1417123118 | Bradley Michael Mccrady | Physical Medicine & Rehabilitation | 825 Davis St, Suite C, Blacksburg, VA 24060-7013 | 2008-05-02 |
| 1871763763 | Tilley Chiropractic and Sports Injury Clinic | Chiropractor | 825 Davis St, Suite B, Blacksburg, VA 24060-7013 | 2008-03-06 |
| 1922141456 | Gregory K Tilley | Chiropractor | 825 Davis St, Suite B, Blacksburg, VA 24060-7013 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789215 | Center for Cognition, Language & Speech, LLC | Speech-Language Pathologist | 1999 South Main St., Suite 303, Blacksburg, VA 24060 | 2019-03-18 |
| 1669945465 | Hannah Jacqueline Lower | Physical Therapy Assistant | Kroontje Healthcare Center, 100 Litton Lane, Blacksburg, VA 24060 | 2019-01-04 |
| 1720568637 | Amy Butler | Nurse Practitioner | Blue Ridge Cancer Center, 2955 Research Drive, Blacksburg, VA 24060 | 2018-08-20 |
| 1134615321 | Benjamin Toliver Matthews | Dentist | 1400 S. Main St, Ste 1, Blacksburg, VA 24060 | 2018-07-10 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1316333685 | Access and Mobility | Durable Medical Equipment & Medical Supplies | 2536 Blossom Trail West, Blackburg, VA 24060 | 2015-04-13 |
| 1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
| 1891038949 | Holly P. Martin | Physician Assistant | 3706 South Main Street, Suite D, Blacksburg, VA 24060 | 2013-03-27 |
| 1174875330 | Catawba Hospital | Chronic Disease Hospital | 1801 Glade Road, Blacksburg, VA 24060 | 2012-10-11 |
| 1083964316 | Karla Sue Soukup | Marriage & Family Therapist | 510 S. Main Street, Blackburg, VA 24060 | 2012-09-13 |
| Find all providers in zip 24060 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235308354 | Cathleen G Callahan | Obstetrics & Gynecology | 2265 Kraft Dr, Blacksburg, VA 24060-6360 | 2008-02-22 |
| 1922214527 | Carrie Lyn Champine | Obstetrics & Gynecology | 826 Davis Street, Blacksburg, VA 24060 | 2007-05-14 |
| 1033202742 | Laurie J Hudgins | Obstetrics & Gynecology | 826 Davis St, Blacksburg, VA 24060-7010 | 2006-10-02 |
| 1174504773 | Tamera L Howell | Obstetrics & Gynecology | 1997 S Main St, Blacksburg, VA 24060-6606 | 2005-11-10 |
| 1811376957 | New River Women's Health | Obstetrics & Gynecology | 210 Professional Park Dr Se, Suite 9, Blacksburg, VA 24060-6680 | 2015-05-21 |
| 1497048318 | Nikola Alexander Letham | Obstetrics & Gynecology | 826 Davis St, Blacksburg, VA 24060-7010 | 2011-05-25 |
| 1467593624 | Southwest Va Physicians for Women, Inc | Obstetrics & Gynecology | 826 Davis St, Blacksburg, VA 24060-7010 | 2007-02-09 |
| 1437249240 | David L Meincke | Obstetrics & Gynecology | 3708 S Main St, Suite B, Blacksburg, VA 24060-7007 | 2006-10-13 |
| 1750471579 | George T Zolovick | Obstetrics & Gynecology | 826 Davis St, Blacksburg, VA 24060 | 2006-10-13 |
| 1366531501 | Margarita Angela Abrams | Obstetrics & Gynecology | 825 Davis St, Ste C, Blacksburg, VA 24060-7009 | 2006-10-12 |
| Find all providers in BLACKSBURG | ||||
| City | BLACKSBURG |
| Zip Code | 24060 |
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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.