DR. JOHN WILLIAM TRACY (NPI# 1265409288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265409288 |
| Entity Type | Individual |
| Full Name | DR. JOHN WILLIAM TRACY |
| Credential | MD |
| Practice Address |
1661 Turner Spur Rd Fancy Gap VA 24328-4365 |
| Practice Telephone | 2767287212 |
| Practice Fax Number | 2767285348 |
| Mailing Telephone | 2767287212 |
| Mailing Fax Number | 2767285348 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2008-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101236128 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | LICENSE | 0101236128 | 01 |
| VA | 010137551 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063829901 | John Robert Tracy | Social Worker | 500 Willow Ave Ste 210, Council Bluffs, IA 51503-0827 | 2014-07-11 |
| 1730411471 | John M Tracy | Speech-Language Pathologist | 525 N. Santiam Highway, Lebanon, OR 97355-0739 | 2010-02-05 |
| 1477547735 | John Joseph Tracy | Optometrist | 2655 Cleveland Ave, Suite A, Santa Rosa, CA 95403-2779 | 2005-09-01 |
| 1265935456 | John Tracy IIi | Registered Nurse | 1139 S Main St, Galax, VA 24333-4409 | 2018-03-14 |
| 1437650330 | John Mccreary Tracy | Psychologist | 93 Magnate Dr, Lafayette, LA 70508-3890 | 2018-02-26 |
| 1255608444 | John W Tracy | Pharmacist | 1802 Galvin Rd S, Bellevue, NE 68005-3813 | 2011-11-16 |
| 1003145020 | John Michael Tracy Sr. | Pharmacist | 38 Locke Rd, Suite 3, Concord, NH 03301-5422 | 2009-12-22 |
| 1134342066 | John Tracy | Registered Nurse | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-04-10 |
| 1447297098 | John Timothy Tracy | Emergency Medicine | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2006-06-01 |
| Street Address |
1661 TURNER SPUR RD |
| City | FANCY GAP |
| State | VA |
| Zip Code | 24328-4365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376940643 | Fancy Gap Internal Medicine | Internal Medicine | 1661 Turner Spur Rd, Fancy Gap, VA 24328-4365 | 2014-12-02 |
| 1730453283 | Susan Tracy Roberts | Family Medicine | 1661 Turner Spur Rd, Fancy Gap, VA 24328-4365 | 2012-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962877894 | Allison Mitchell | Specialist/Technologist | 2118 Reedside Dr, Fancy Gap, VA 24328-2594 | 2015-12-03 |
| 1992936587 | Family Preservation Services, Inc. | Community/Behavioral Health | 63 Winding Ridge Rd, Fancy Gap, VA 24328-2822 | 2009-07-31 |
| 1265671077 | H & S Enterprises, Inc. | Contractor | 37 Pottery Dr, Fancy Gap, VA 24328-2875 | 2009-02-18 |
| 1427515725 | Susan Lee Jones | Physical Therapy Assistant | 397 Arrowhead Rd, Fancy Gap, VA 24328-4254 | 2019-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515725 | Susan Lee Jones | Physical Therapy Assistant | 397 Arrowhead Rd, Fancy Gap, VA 24328-4254 | 2019-02-23 |
| 1962877894 | Allison Mitchell | Specialist/Technologist | 2118 Reedside Dr, Fancy Gap, VA 24328-2594 | 2015-12-03 |
| 1992936587 | Family Preservation Services, Inc. | Community/Behavioral Health | 63 Winding Ridge Rd, Fancy Gap, VA 24328-2822 | 2009-07-31 |
| 1265671077 | H & S Enterprises, Inc. | Contractor | 37 Pottery Dr, Fancy Gap, VA 24328-2875 | 2009-02-18 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356554 | Sarah Keaton | Family Medicine | 380 Maple Rd, Callands, VA 24530-2538 | 2020-11-05 |
| 1306443684 | Montage Health and Wellness Corp | Family Medicine | 305 E Market St Ste O, Leesburg, VA 20176-4169 | 2020-10-08 |
| 1770190191 | First Care Collaborative | Family Medicine | 4053 Taylor Rd Ste K, Chesapeake, VA 23321-5526 | 2020-09-29 |
| 1326652900 | Liliana Kim | Family Medicine | 2908 Pepperlin Dr, Virginia Beach, VA 23456-3524 | 2020-09-01 |
| 1609489483 | Thompson Md LLC | Family Medicine | 7906 Andrus Rd Ste 8, Alexandria, VA 22306-3169 | 2020-08-31 |
| 1811509599 | Crystal Dawn Lowder-tibbs | Family Medicine | 1054 Boones Mill Rd, Boones Mill, VA 24065-4318 | 2020-08-23 |
| 1578173837 | Ohio Valley Physicians Inc | Family Medicine | 1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975 | 2020-08-03 |
| 1346859188 | Cprpm, Pllc | Family Medicine | 113 Cold Branch Rd, Forest, VA 24551-2111 | 2020-07-28 |
| 1134737265 | Joshua Fleming | Family Medicine | 1125 Old Graves Mill Rd Apt 316, Lynchburg, VA 24502-4312 | 2020-07-15 |
| 1457978751 | Donald Arthur Olson | Family Medicine | 1900 Holten Ave E, Big Stone Gap, VA 24273 | 2020-07-02 |
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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.