HASTINGS HEALTHCARE, LLC (NPI# 1225637242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225637242 |
| Entity Type | Organization |
| Organization Name | HASTINGS HEALTHCARE, LLC |
| Practice Address |
Hastings Medical Clinic of Bridgewater 110 North Main Street Suite A Bridgewater VA 22812 |
| Mailing Address |
1164 Sharpes Dr Harrisonburg VA 22801-1508 |
| Practice Telephone | 5407468278 |
| Mailing Telephone | 5407468278 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Authorized Official Name | MR. JONATHAN ANTHONY SHOMO (OWNER/AGENT) |
| Authorized Official Telephone | 5407468278 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Heastings Medical Clinic of Bridgewater | Doing Business As Name - Organization |
| Street Address |
HASTINGS MEDICAL CLINIC OF BRIDGEWATER 110 NORTH MAIN STREET SUITE A |
| City | BRIDGEWATER |
| State | VA |
| Zip Code | 22812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316469687 | Jasmine Taylor Pinder | Specialist/Technologist | 402 East College Street, Bridgewater, VA 22812 | 2017-07-08 |
| 1548643547 | Gail E. Reese | Behavioral Analyst | 5630 Glade View Drive, Bridgewater, VA 22812 | 2015-07-08 |
| 1992915557 | Richard M. Smith | Dentist | 100 Parkside Drive, Bridgewater, VA 22812 | 2007-05-23 |
| 1003914144 | Donald Richard Bell | Chiropractor | 102 E College St, Bridgewater, VA 22812 | 2006-09-20 |
| 1871534933 | Jonathan David Moss | Family Medicine | 100 Health Center Dr, Bridgewater, VA 22812 | 2006-06-09 |
| 1104472869 | Ke'ara Denae Tucker | Student in an Organized Health Care Education/Training Program | 402 E College St, Bridgewater, VA 22812 | 2019-08-16 |
| 1265957864 | Shelby Paige Gregory | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812 | 2017-08-04 |
| 1104341841 | Maria Rector | Specialist/Technologist | 402 E College St, Bridgewater, VA 22812 | 2017-08-03 |
| 1225112402 | Bridgewater Chiropractic Center | Chiropractor | 102 E College St, Bridgewater, VA 22812 | 2006-10-25 |
| 1669847471 | Barbara Dotson-brooner | Student in an Organized Health Care Education/Training Program | 109 Nover Dr, Bridgewater, VA 22812-1012 | 2015-12-04 |
| Find all providers in zip 22812 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | BRIDGEWATER |
| Zip Code | 22812 |
Please comment or provide details below to improve the information on HASTINGS HEALTHCARE, LLC.
| 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.