EMDEE CLINICA, PLLC (NPI# 1154462117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154462117 |
| Entity Type | Organization |
| Organization Name | EMDEE CLINICA, PLLC |
| Other Organization Name | EMDEE CLINICA |
| Practice Address |
23164 Kestrel Dr Bristol VA 24202 |
| Mailing Address |
23164 Kestrel Dr Bristol VA 24202-5070 |
| Practice Telephone | 4233413040 |
| Mailing Telephone | 4233413040 |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2018-07-23 |
| Authorized Official Name | DR. DEBRA LYNN HARMAN (FOUNDER/PHYSICIAN) |
| Authorized Official Telephone | 4233413040 |
| Authorized Official Credential | MD, FAAFP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
37264 | TN | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0101052898 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM, BC/BS OF VIRGINIA | 386590 | 01 |
| VA | RAILROAD MEDICARE | P00042666 | 01 |
| Other Name | Type Code |
|---|---|
| eMDee Clinica | Doing Business As Name - Organization |
| Street Address |
23164 KESTREL DR |
| City | BRISTOL |
| State | VA |
| Zip Code | 24202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568977940 | Renaissance Medical Care | Family Medicine | 284 Blevins Boulevard, Bristol, VA 24202 | 2017-12-07 |
| 1467725879 | Leighton W Wood Dds Ms P.C. | Dentist | 103 Linden Square Drive, Bristol, VA 24202 | 2012-02-15 |
| 1285828640 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 13249 Lee Highway, Bristol, VA 24202 | 2007-08-29 |
| 1053355859 | Commonweatlh of Virginia State Board of Health | Public Health or Welfare | 15068 Lee Highway, Suite 1000, Bristol, VA 24202 | 2006-06-15 |
| 1891775193 | William Daryl Wilson | Dentist | 15068 Lee Hwy, Ste 1000 Washington Co Health Dept, Bristol, VA 24202 | 2006-01-20 |
| 1457832123 | Justin Scott Pennington | Physical Therapist | 136 Bristol East Rd, Bristol, VA 24202 | 2018-08-22 |
| 1588104335 | Timothy G. Mcgarry, Md, Pllc | Orthopaedic Surgery | 21371 Forsythe Rd, Bristol, VA 24202 | 2017-02-27 |
| 1669532560 | Washington Co Health Dept Dental Clinic | Dentist | 15068 Lee Highway, Suite 1000, Bristol, VA 24202 | 2006-12-11 |
| 1437568946 | Family Preservation Services, Inc | Community/Behavioral Health | 7741 Rich Valley Rd, Bristol, VA 24202-0439 | 2014-08-08 |
| 1669948519 | Jessica P. Brown | Speech-Language Pathologist | 4350 Gate City Hwy, Bristol, VA 24202-1204 | 2018-10-18 |
| Find all providers in zip 24202 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114063286 | Bucks County Family Care, P. C. | Clinic/Center | 236 Mill St, Box 569, Bristol, PA 19007-4809 | 2007-01-29 |
| 1407293954 | Grace Family Medicine Clinic | Clinic/Center | 300 Moore St, Suite A, Bristol, VA 24201-4495 | 2013-05-23 |
| 1043463466 | Finch Family Medical Care. Pllc | Clinic/Center | 1318 Euclid Ave, Suite 2-3, Bristol, VA 24201-3830 | 2008-10-29 |
| 1295920015 | Pediatric Associates, LLC | Clinic/Center | 10 N Main St, Bristol, CT 06010-8102 | 2007-09-14 |
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| 1376161745 | Susan Minter Dnp Aprn LLC | Clinic/Center | 1234 Ridout Rd, La Crosse, VA 23950-2808 | 2020-07-11 |
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| 1962022392 | Gladeview Medical LLC | Clinic/Center | 279 Gladeview Dr, Fries, VA 24330-3936 | 2020-04-27 |
| 1578182986 | Libertas Leadership | Clinic/Center | 405 Sperryville Pike, Culpeper, VA 22701-2151 | 2020-04-15 |
| 1497395768 | Holistic Health and Healing Inc | Clinic/Center | 3690 Greensboro Road, Ridgeway, VA 24148 | 2020-01-14 |
| 1700426244 | Quad/med, LLC | Clinic/Center | 366 Draft Avenue, Stuarts Draft, VA 24477-2941 | 2020-01-13 |
| 1114560653 | Amy Beyer LLC | Clinic/Center | 2611 Thomas Jefferson Pkwy, Palmyra, VA 22963-5000 | 2019-10-28 |
| Find all providers with the same taxonomy | ||||
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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.