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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
Street Address |
125 NATIONWIDE DR |
City | LYNCHBURG |
State | VA |
Zip Code | 24502-4272 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 24502 |
Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
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. |
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 |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on CENTRA MEDICAL GROUP ENDOCRINOLOGY.
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.