CENTRA HEALTH INC (NPI# 1205357506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205357506 |
| Entity Type | Organization |
| Organization Name | CENTRA HEALTH INC |
| Other Organization Name | CENTRA HEALTH PHYSICIAN PROVIDER GROUP |
| Practice Address |
3300 Rivermont Ave Lynchburg VA 24503-2030 |
| Mailing Address |
1204 Fenwick Dr Lynchburg VA 24502-2112 |
| Practice Telephone | 4342004758 |
| Mailing Telephone | 4342004758 |
| Mailing Fax Number | 4342004763 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Authorized Official Name | JOE Z KOONS (MANAGING DIRECTOR REVENUE CYCLE) |
| Authorized Official Telephone | 4342004758 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Centra Health Physician Provider Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790882181 | Centra Health Inc | Physical Therapist | 1204 Fenwick Dr, Lynchburg, VA 24502-2112 | 2006-09-20 |
| 1013011220 | Centra Health Inc | Nursing Facility/Intermediate Care Facility | 1300 Enterprise Dr, Lynchburg, VA 24502 | 2006-09-08 |
| 1831293042 | Centra Health Inc | Skilled Nursing Facility | 173 Brockman Pk Dr, Amherst, VA 24521 | 2006-09-08 |
| 1740384957 | Centra Health Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1410 Kentmoor Farm Rd, Madison Heights, VA 24572 | 2006-09-08 |
| 1114021326 | Centra Health Inc | Rehabilitation, Substance Use Disorder Unit | 3300 Rivermont Avenue, Lynchburg, VA 24505 | 2006-09-08 |
| 1578738225 | Centra Health Inc | Durable Medical Equipment & Medical Supplies | 1701 Thomson Dr, Lynchburg, VA 24501-1118 | 2008-04-24 |
| 1366635328 | Centra Health Inc | Ambulance | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2007-08-23 |
| 1669591178 | Centra Health Inc | Skilled Nursing Facility | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2007-03-28 |
| 1659414787 | Centra Health Inc | Clinic/Center | 121 Nationwide Dr, Lynchburg, VA 24502-4272 | 2007-02-15 |
| 1376619254 | Centra Health Inc | Radiology | 1900 Tate Springs Rd, Lynchburg, VA 24501-1122 | 2006-11-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Centra Health Inc. | 1920 Atherholt Rd, Lynchburg, Virginia 24501 |
| Street Address |
3300 RIVERMONT AVE |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24503-2030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384137 | James Cummings Dunstan Jr. | Orthopaedic Surgery | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2005-05-31 |
| 1649887175 | Bruce Slagle | Pharmacy Technician | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2020-09-29 |
| 1023622149 | Stephanie Lane Porter | Nurse Practitioner | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2020-09-04 |
| 1013532803 | Meredith Ryan Smith | Counselor | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2020-06-08 |
| 1326682980 | Centra Medical Group, LLC | Family Medicine | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-11-06 |
| 1831751809 | Elizabeth Ware | Speech-Language Pathologist | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-07-01 |
| 1730740788 | Rhandi Nichole Norman | Registered Nurse | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-06-20 |
| 1922668136 | Paula Deane Creekmore | Nurse Practitioner | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-06-19 |
| 1215401948 | Adam Russell Penrose | Nurse Anesthetist, Certified Registered | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-01-16 |
| 1891268199 | Donna C Schwarz | Nurse Anesthetist, Certified Registered | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661859 | Better Way Psychiatry Pllc | Psychiatry & Neurology | 4925 Boonsboro Road, Pmb 137, Lynchburg, VA 24503 | 2020-08-25 |
| 1164845632 | Andrew Joseph Anderson | Family Medicine | 4327 Boonsboro Rd Ste 5, Lynchburg, VA 24503 | 2014-02-03 |
| 1407139421 | William Carter Wingfield Sr. | Pharmacist | 5006 Old Boonsboro Rd, Lynchburg, VA 24503 | 2011-09-26 |
| 1912226382 | The Way Congregational Church | Voluntary or Charitable | 3305 Rivermont Avenue, Lynchburg, VA 24503 | 2010-05-25 |
| 1659549897 | Elizabeth Ann Bolton | Speech-Language Pathologist | 302 Rowland Dr., Lynchburg, VA 24503 | 2008-02-11 |
| 1821286485 | Mary Ayers Highton | Nurse Practitioner | 3300 Rivermont Ave., Lynchburg, VA 24503 | 2007-10-09 |
| 1588746044 | Presbyterian Homes and Family Services | Day Training, Developmentally Disabled Services | 150 Linden Avenue, Lynchburg, VA 24503 | 2006-10-20 |
| 1417043910 | Timothy Clinton | Counselor | 2811 Linkhorne Dr., Ste B, Lynchburg, VA 24503 | 2006-10-04 |
| 1730733288 | Joy Lois Knapton | Lactation Consultant, Non-RN | 150 Linden Ave, Lynchburg, VA 24503 | 2019-08-01 |
| 1346606845 | Julie Brown | Registered Nurse | 3300 Rivermont Ave., Virginia Baptist Hospital, Lynchburg, VA 24503 | 2016-01-13 |
| Find all providers in zip 24503 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465289 | Martine H Long | General Practice | 515 Cornerstone St, Lynchburg, VA 24502-5342 | 2020-07-28 |
| 1942396908 | Wiggington Road Family Practice Inc | General Practice | 113 Wiggington Road, Lynchburg, VA 24502 | 2006-10-05 |
| 1356366645 | Harb L Rank | General Practice | 113 Wiggington Rd, Lynchburg, VA 24502-4619 | 2006-07-13 |
| 1750848644 | Liberty University, Inc | General Practice | 1971 University Blvd, Lynchburg, VA 24515-0002 | 2019-02-27 |
| 1710345608 | David Barnes | General Practice | 3365 Lawyers Rd, Lynchburg, VA 24501-7166 | 2016-02-05 |
| 1205851581 | Alan M Podosek | General Practice | 113 Wiggington Rd, Lynchburg, VA 24502-4619 | 2006-07-13 |
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|---|---|---|---|---|
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| 1588275986 | Chs Virginia Medical P C | General Practice | 901 E Byrd St Ste 190, Richmond, VA 23219-4077 | 2020-08-11 |
| 1720617525 | Squadron Health Enterprises, LLC | General Practice | 10602 Allenwood Ln, Great Falls, VA 22066-3229 | 2020-04-03 |
| 1851929558 | Medical Care for Family LLC | General Practice | 6408k Seven Corners Pl Ste G, Falls Church, VA 22044-2007 | 2020-03-29 |
| 1104389337 | Bardia Nemati | General Practice | 731 Walker Rd # E1, Great Falls, VA 22066-2834 | 2019-04-14 |
| 1649733387 | Renaissance Medical Center | General Practice | 284 Blevins Blvd, Bristol, VA 24202-5977 | 2019-04-10 |
| 1174081707 | William Shannon | General Practice | 1751 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2019-03-02 |
| 1700367679 | Healthy Schools Virginia LLC | General Practice | 9603 Gayton Rd Ste 100, Richmond, VA 23238-4964 | 2018-08-28 |
| 1114414299 | Alliance Family Practice, Inc | General Practice | 119 W Brookland Park Blvd, Richmond, VA 23222-2633 | 2018-04-15 |
| 1093219131 | Virginia Advanced Medical LLC | General Practice | 300 Medical Pkwy Ste 306, Chesapeake, VA 23320-4985 | 2018-03-22 |
| 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.