STONEWALL PEDIATRICS (NPI# 1093922726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093922726 |
Entity Type | Organization |
Organization Name | STONEWALL PEDIATRICS |
Practice Address |
108 Houston St Suite E Lexington VA 24450-2455 |
Practice Telephone | 5404633162 |
Practice Fax Number | 5404633213 |
Mailing Telephone | 5404633162 |
Mailing Fax Number | 5404633213 |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. WILLIAM M JACOBS (PEDIATRICIAN - PRESIDENT) |
Authorized Official Telephone | 5404633162 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 0101030878 | VA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | NPI FOR PHYSICIAN ASST. | 1487706693 | 01 |
VA | 6737846 | 05 | |
VA | NPI | 1962587287 | 01 |
Street Address |
108 HOUSTON ST SUITE E |
City | LEXINGTON |
State | VA |
Zip Code | 24450-2455 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700871472 | Malcolm Lowell Cothran Jr. | Internal Medicine | 108 Houston St, Lexington, VA 24450-2455 | 2005-09-19 |
1780076265 | Carilion Stonewall Jackson Hospital | Clinic/Center | 108 Houston St, Suite A, Lexington, VA 24450-2455 | 2015-02-20 |
1720383680 | Marie D Nicely | Physician Assistant | 108 Houston St, Suite A, Lexington, VA 24450-2455 | 2011-01-24 |
1487706693 | Matthew Tyler Crance | Physician Assistant | 108 Houston St, Suite E, Lexington, VA 24450 | 2007-01-17 |
1588672323 | Gary C Jobin | Internal Medicine | 108 Houston St, Suite B, Lexington, VA 24450-2455 | 2006-08-04 |
1528025517 | Ralph Dunham Caldroney | Internal Medicine | 108 Houston St, Suite C, Lexington, VA 24450-2455 | 2006-04-26 |
1336103308 | Roberto P Santiesteban | Surgery | 108 Houston St, Lexington, VA 24450-2455 | 2006-04-14 |
1023078771 | Daniel E Shybunko | Psychologist | 108 Houston St, Suite D, Lexington, VA 24450-2455 | 2006-03-26 |
1689646804 | Sinclair J Harcus Jr. | Family Medicine | 108 Houston St, Suite C, Lexington, VA 24450-2455 | 2006-02-02 |
1366431256 | Karen A Lyons | Internal Medicine | 108 Houston St, Lexington, VA 24450-2455 | 2005-10-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912561887 | Molly Elizabeth Pallavicini | Counselor | Rockbridge Area Health Center, 25 Northridge Lane, Lexington, VA 24450 | 2019-04-26 |
1598213340 | Elizabeth Larock | Contractor | 712 N. Main Street, Lexington, VA 24450 | 2016-09-21 |
1861872343 | Dominique Boone Tarber | Psychologist | 309 Letcher Avenue, Virginia Military Institute, Lexington, VA 24450 | 2015-06-01 |
1407254147 | Americare Plus, LLC. | In Home Supportive Care | 155 South Main Street, Lexington, VA 24450 | 2014-12-11 |
1710242219 | Matthew Earle Bryant | Family Medicine | 146 S Main St Ste 3, Lexington, VA 24450 | 2012-07-10 |
1861778391 | Marco Giuliani | Specialist/Technologist | 508 Brooke Lane, Clarkson-mckenna Hall, Lexington, VA 24450 | 2011-10-28 |
1356668552 | Chad Joseph Kelland | Psychologist | 129 S Randolph St Ste 1, Lexington, VA 24450 | 2010-04-27 |
1972744779 | Kelly Lynne Mcmullen | Specialist/Technologist | 215 Cameron Hall, Virginia Military Institute, Lexington, VA 24450 | 2009-03-09 |
1669621835 | Rebecca Lowry | Specialist/Technologist | 200 Washington Ave, Lexington, VA 24450 | 2008-09-12 |
1205929114 | Scott Brian Dubit | Family Medicine | 650 N. Lee Highway, Suite 2, Lexington, VA 24450 | 2006-10-02 |
Find all providers in zip 24450 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225509979 | Karen Rae Digirolamo | Specialist | 800 Rose St Whitney-hendrickson Bldg 3rd Fl, Lexington, KY 40536-0093 | 2018-12-06 |
1043781792 | Jennifer Bradley | Specialist | 800 Rose Street Whitney-hendrickson Bldg 3rd Fl, Lexington, KY 40536-0093 | 2018-12-06 |
1215407242 | Ann Powell | Specialist | 800 Rose Street Whitney Hendrickson Suite 306, Lexington, KY 40536-0001 | 2018-12-03 |
1922578160 | Robert B Slocum | Specialist | Whitney-hendrickson Building 3rd Floor, Lexington, KY 40536-0001 | 2018-11-30 |
1225586761 | Bluegrass Technology Center | Specialist | 817 Winchester Rd, 200, Lexington, KY 40505-3752 | 2016-09-13 |
1861899031 | Hannah Wathen | Specialist | 2524 Langstane Ln, Lexington, KY 40511-9132 | 2014-12-03 |
1912336223 | Jennifer Werner | Specialist | 3886 Sugar Creek Dr, Lexington, KY 40517-2013 | 2013-11-06 |
1801134192 | Bryan Schnabel | Specialist | 1532 N Limestone, Unit 3185, Lexington, KY 40505-3247 | 2013-01-22 |
1427305671 | Kimberly Ann Sporing | Specialist | 2000 Family Cir, Suite D, Lexington, KY 40505-4143 | 2012-08-07 |
1497021869 | Living Well Pllc | Specialist | 771 Corporate Drive, Suite 610, Lexington, KY 40503-5440 | 2012-03-29 |
Find all providers in LEXINGTON |
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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.