CENTRA MEDICAL GROUP ENDOCRINOLOGY


Address: 125 Nationwide Dr, Lynchburg, VA 24502-4272
Phone: 4342004422

CENTRA MEDICAL GROUP ENDOCRINOLOGY (NPI# 1306453675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306453675
Entity Type Organization
Organization Name CENTRA MEDICAL GROUP ENDOCRINOLOGY
Practice Address 125 Nationwide Dr
Lynchburg
VA 24502-4272
Mailing Address 1937 Thomson Dr
Lynchburg
VA 24501-1008
Practice Telephone 4342004422
Enumeration Date 2020-09-30
Last Update Date 2020-09-30
Authorized Official Name SONYA R T DAVIS (DIRECTOR)
Authorized Official Telephone 4342006942
Is Organization Subpart Y
Parent Organization Name CENTRA MEDICAL GROUP, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
Allopathic & Osteopathic Physicians

Office Location

Street Address 125 NATIONWIDE DR
City LYNCHBURG
State VA
Zip Code 24502-4272

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679562441 Duncan G. Hughes Family Medicine 125 Nationwide Dr, Lynchburg, VA 24502-4272 2005-10-14
1275132391 Olena Z Mahne Nurse Practitioner 125 Nationwide Dr, Lynchburg, VA 24502-4272 2020-10-20
1871110353 Christopher Trent Smith Physical Therapist 125 Nationwide Dr, Lynchburg, VA 24502-4272 2020-06-30
1629609359 Jessica Pack Nurse Practitioner 125 Nationwide Dr, Lynchburg, VA 24502-4272 2020-01-31
1720593965 Matthew Paul Neumann Internal Medicine 125 Nationwide Dr, Lynchburg, VA 24502-4272 2017-12-11
1336651504 Michelle Angus Nurse Practitioner 125 Nationwide Dr, Lynchburg, VA 24502-4272 2017-10-27
1730699596 Christian Ann Bowlin Physician Assistant 125 Nationwide Dr, Lynchburg, VA 24502-4272 2017-10-06
1588180939 Hollie Lacy Physical Therapist 125 Nationwide Dr, Lynchburg, VA 24502-4272 2017-08-17
1336688456 John Daniel Ruck Nurse Practitioner 125 Nationwide Dr, Lynchburg, VA 24502-4272 2017-02-22
1528502713 Stacey Evans Harris Dietitian, Registered 125 Nationwide Dr, Lynchburg, VA 24502-4272 2016-12-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811523038 Vivian Tran Student in an Organized Health Care Education/Training Program Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 2020-03-19
1669005468 Beth Elaine Hammond Nurse Practitioner 132 Frederick Drive, Lynchburg, VA 24502 2020-02-20
1225672348 Pearlren-aye Elizabeth Taylor Case Management 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 2019-10-31
1821553868 Shavonne D Joyner Behavioral Analyst 18697 Forest Road, Lynchburg, VA 24502 2019-02-04
1043794415 Robert Patrick Thomas Private Vehicle 44 Point Drive, Apt 30, Lynchburg, VA 24502 2018-09-20
1023503521 Ptc Wellness Centers PC Family Medicine 2832 Candlers Mtn Rd, Lynchburg, VA 24502 2018-06-27
1548750722 Raymond W Andrews IIi Speech-Language Pathologist 3101 Wards Ferry Road, Lynchburg, VA 24502 2018-05-14
1932697596 Barbara J Frost Nurse Practitioner 906 Westview Dr, Lynchburg, VA 24502 2018-04-28
1619476983 Benjamin Aaron Galley Specialist/Technologist 1971 University Blvd., Lynchburg, VA 24502 2018-02-01
1477076180 Candice Cage Home Health 1002 Wexford Place, Lynchburg, VA 24502 2017-07-25
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Taxonomy Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912970260 Medical Associates of Central Virginia, Inc. Internal Medicine 2215 Landover Pl, Lynchburg, VA 24501-2115 2006-02-08
1336123660 Lisa Wisniewski Internal Medicine 2215 Landover Pl, Lynchburg, VA 24501-2115 2005-11-30
1093799322 Alan Kauppi Internal Medicine 2215 Landover Pl, Lynchburg, VA 24501-2115 2005-11-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194360503 Bon Secours-st. Mary's Hospital of Richmond, Inc. Internal Medicine 5899 Bremo Rd Ste 202, Richmond, VA 23226-1935 2019-11-08
1568954535 Warren Memorial Hospital, Inc. Internal Medicine 120 N. Commerce Ave, Ste 203, 245, 255, Front Royal, VA 22630 2018-06-05
1457891145 Ultra Health LLC Internal Medicine 13401 Gov G C Peery Hwy, Pounding Mill, VA 24637-4010 2017-03-01
1720407851 Cesar M. Plazas-guzman Internal Medicine 713 Volvo Pkwy Ste 100, Chesapeake, VA 23320-1614 2014-04-16
1639426497 Miriam Hinaa Ahmad Internal Medicine 103 W Broad St Ste 120, Falls Church, VA 22046-4231 2012-08-11
1023372620 Paul Sumner Strumph Internal Medicine 2350 Merriman Way Rd, Moneta, VA 24121-3186 2012-06-27
1811256381 Silpa P.k. Joshi Internal Medicine 3201 Jermantown Rd Ste 250, Fairfax, VA 22030-2881 2012-05-03
1518244854 Bon Secours St. Francis Medical Center Inc Internal Medicine 3660 Boulevard Ste G, Colonial Heights, VA 23834-1345 2011-11-15
1235427592 Neeharika Repaka Internal Medicine 1830 Town Center Dr Ste 306, Reston, VA 20190-3217 2011-07-20
1851699227 Sentara Medical Group Internal Medicine 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 2011-03-08
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Competitor

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City LYNCHBURG
Zip Code 24502

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Dataset Information

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.

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