BRISTOL SURGICAL ASSOCIATES, PC (NPI# 1215351861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215351861 |
| Entity Type | Organization |
| Organization Name | BRISTOL SURGICAL ASSOCIATES, PC |
| Practice Address |
24530 Falcon Place Blvd Ste 200 Abingdon VA 24211-7665 |
| Mailing Address |
1 Medical Park Blvd 250 West Bristol TN 37620-7430 |
| Practice Telephone | 2766230203 |
| Mailing Telephone | 4238446620 |
| Mailing Fax Number | 4238446626 |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |
| Authorized Official Name | JOHNNA BORDERS (OFFFICE COORDINATOR) |
| Authorized Official Telephone | 4238446620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
24530 FALCON PLACE BLVD STE 200 |
| City | ABINGDON |
| State | VA |
| Zip Code | 24211-7665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952305609 | Dane Lee | Family Medicine | 24530 Falcon Place Blvd, Abingdon, VA 24211-7657 | 2005-06-10 |
| 1639537525 | Wellmont Medical Associates, Inc. | Clinic/Center | 24530 Falcon Place Blvd, Suite 100, Abingdon, VA 24211-7665 | 2016-02-05 |
| 1124486626 | Deana J. Duffield | Registered Nurse | 24530 Falcon Place Blvd, Suite 100, Abingdon, VA 24211-7665 | 2016-01-29 |
| 1548647787 | Judy C Umstott | Nurse Practitioner | 24530 Falcon Place Blvd, Suite 100, Abingdon, VA 24211-7665 | 2015-04-27 |
| 1003238940 | Jacquelyn Burt | Family Medicine | 24530 Falcon Place Blvd, Suite 100, Abingdon, VA 24211-7665 | 2014-01-13 |
| 1316368814 | Charise Nadine Battel | Nurse Practitioner | 24530 Falcon Place Blvd, Suite 201, Abingdon, VA 24211-7665 | 2013-12-30 |
| 1376973578 | Barret Blevins | Physical Therapist | 24530 Falcon Place Blvd, Suite 203, Abingdon, VA 24211-7665 | 2013-11-25 |
| 1740563220 | Appalachian Orthopaedic Associates, PC | Orthopaedic Surgery | 24530 Falcon Place Blvd, 2nd Floor Suite 1, Abingdon, VA 24211-7657 | 2011-09-21 |
| 1730488875 | Christina K Hammonds | Nurse Practitioner | 24530 Falcon Place Blvd, Suite 100, Abingdon, VA 24211-7665 | 2011-03-15 |
| 1104053891 | Kellie Miranda Smith Blackwell | Family Medicine | 24530 Falcon Place Blvd, Suite 201, Abingdon, VA 24211-7657 | 2009-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386087245 | Abingdon Apothecary, Inc. | Pharmacy | 26100 Lee Highway, Abingdon, VA 24211 | 2013-04-10 |
| 1255671152 | Mac's Medical Equipment and Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 26102 Lee Highway, Abingdon, VA 24211 | 2013-03-01 |
| 1316290737 | Falcon Pharmacy | Pharmacy | 795 Cummings Street, Abingdon, VA 24211 | 2012-10-23 |
| 1407027402 | Carla M. Keene, D.d.s. | Dentist | 15189 Porterfield Highway, Abingdon, VA 24211 | 2008-03-18 |
| 1215001045 | Bernard A Tisdale Md PC | Radiology | 26079 Lee Highway, Abingdon, VA 24211 | 2006-11-20 |
| 1982670048 | Jeffrey Allen Mccraw | Anesthesiology | 351 North Court St, Abingdon, VA 24211 | 2006-02-27 |
| 1356320881 | Joseph A Brown | Internal Medicine | 16000 Johnston Memorial Drive, Suite 304, Abingdon, VA 24211 | 2006-01-12 |
| 1922667435 | Saman Saeed | Student in an Organized Health Care Education/Training Program | 16000 Johnston Memorial Drive, Abingdon, VA 24211 | 2019-06-08 |
| 1487140562 | Joshua Aaron Hess | Nurse Practitioner | 16000 Johnston Memorial Dr, Abingdon, VA 24211 | 2018-07-02 |
| 1073005989 | Carl Thurman Harrison Jr. | Nurse Practitioner | 16000 Johnston Memorial Dr, Abingdon, VA 24211 | 2018-06-06 |
| Find all providers in zip 24211 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417136078 | James Baisden Osborne Jr. | Surgery | 16000 Johnston Memorial Drive, Suite 101, Abingdon, VA 24211 | 2007-10-31 |
| 1649477209 | Matthew Carlton Dorn | Surgery | 16000 Johnston Memorial Dr, Suite 101, Abingdon, VA 24211-7664 | 2007-06-28 |
| 1609971605 | Patrick Tate Maddox | Surgery | 176 Valley St Nw, Abingdon, VA 24210-2836 | 2006-09-14 |
| 1265483184 | William T Cummins | Surgery | 16000 Johnston Memorial Dr, Suite 101, Abingdon, VA 24211-7659 | 2006-05-15 |
| 1033190905 | David Hunt Smith | Surgery | 16000 Johnston Memorial Dr, Suite 101, Abingdon, VA 24211-7664 | 2005-11-08 |
| 1871574053 | Paul C Armstrong | Surgery | 16000 Johnston Memorial Dr, Suite 101, Abingdon, VA 24211-7659 | 2005-11-07 |
| 1962483131 | Abingdon Physician Partners | Surgery | 16000 Johnston Memorial Dr Ste 101, Abingdon, VA 24211-7664 | 2005-11-07 |
| 1104818103 | Giovanni Agostino Ferrante | Surgery | 16000 Johnston Memorial Dr, Suite 212c, Abingdon, VA 24211-7664 | 2005-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819911 | Charles W Hurt | Surgery | 195 Riverbend Dr Ste 1, Charlottesville, VA 22911-8708 | 2020-04-08 |
| 1720616261 | Katherine Maria Barrows | Surgery | 3300 Gallows Rd, Dept of Surgery, Falls Church, VA 22042-3307 | 2020-03-30 |
| 1891202412 | Valley Physician Enterprise, Inc. | Surgery | 1870 Amherst St Ste 2a, Winchester, VA 22601-2841 | 2018-01-04 |
| 1508388554 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Surgery | 5875 Bremo Rd Ste 110, Richmond, VA 23226-1934 | 2017-07-12 |
| 1457729048 | Donnarose Klemovitch | Surgery | 11226 Goldflower Ct, Fairfax Station, VA 22039-2026 | 2015-09-13 |
| 1114303922 | Loudoun Medical Group PC | Surgery | 19415 Deerfield Ave Ste 213, Lansdowne, VA 20176-8471 | 2015-08-04 |
| 1255728374 | Malinda Lyon | Surgery | 8150 Shore Drive, #522, Norfolk, VA 23518 | 2015-04-16 |
| 1760877377 | Caleb Luke Cutherell | Surgery | 2900 Lamb Cir Ste 302, Christiansburg, VA 24073-6341 | 2015-03-31 |
| 1457745143 | Dwayne North | Surgery | 7554 Hospital Dr Ste D303, Gloucester, VA 23061-4178 | 2015-03-20 |
| 1720479504 | Affinity Healthcare Group LLC | Surgery | 3356 Western Branch Blvd, #f, Chesapeake, VA 23321-5138 | 2015-02-14 |
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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.