JENNIFER N BOHANON (NPI# 1316954597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316954597 |
| Entity Type | Individual |
| Full Name | JENNIFER N BOHANON |
| Practice Address |
2232 Wilborn Ave Suite A South Boston VA 24592-1662 |
| Mailing Address |
Po Box 1115 South Boston VA 24592-1115 |
| Practice Telephone | 4345728977 |
| Practice Fax Number | 4345722510 |
| Mailing Telephone | 4345173515 |
| Mailing Fax Number | 4345724549 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2016-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 0110001842 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | P00167510 | 05 |
| Street Address |
2232 WILBORN AVE SUITE A |
| City | SOUTH BOSTON |
| State | VA |
| Zip Code | 24592-1662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700881885 | Tessie Otero-truitt | Internal Medicine | 2232 Wilborn Ave, Ste B, South Boston, VA 24592-1662 | 2005-06-16 |
| 1225658206 | Brandi S Thompson | Nurse Practitioner | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2020-04-20 |
| 1588189609 | Allison Newbill Pope | Nurse Practitioner | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2017-08-09 |
| 1619370087 | Anthony Wilkerson | Nurse Practitioner | 2232 Wilborn Ave, Suite A, South Boston, VA 24592-1662 | 2014-09-30 |
| 1962744508 | Whitney A Myers | Nurse Practitioner | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2013-03-21 |
| 1285970236 | Katherine Gambino | Physician Assistant | 2232 Wilborn Ave, Suite G, South Boston, VA 24592-1662 | 2012-12-19 |
| 1427306315 | Dominion Health Medical Assoc | Specialist | 2232 Wilborn Ave, Suite F, South Boston, VA 24592 | 2012-08-27 |
| 1730455411 | Dominion Medical Health Assoc | Internal Medicine | 2232 Wilborn Ave, Suite D, South Boston, VA 24592 | 2012-03-28 |
| 1801175567 | Dominion Health Medical Associates | Clinic/Center | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2011-08-12 |
| 1316267750 | Gareth Murchison Titus | Specialist | 2232 Wilborn Ave, Suite A, South Boston, VA 24592-1662 | 2010-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966398 | Transformations Center for Health Wellness LLC | Counselor | 2170 Sandy Beach Road, South Boston, VA 24592 | 2019-11-12 |
| 1740830215 | Kirstyn Lokker | Occupational Therapist | 1 High School Circle, South Boston, South Boston, VA 24592 | 2019-09-17 |
| 1841764248 | Nicole Ivey | Occupational Therapy Assistant | 103 Rosehil Rd, South Boston, VA 24592 | 2019-01-18 |
| 1841700960 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 130 Aubreys Loop, South Boston, VA 24592 | 2017-10-03 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| 1316222821 | Family and Children Enrichment Services Inc. | Health Maintenance Organization | 220 Paradise Lane, South Boston, VA 24592 | 2011-10-15 |
| 1326365578 | Brinda Howard | Nurse's Aide | 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 | 2010-04-28 |
| 1356513543 | Betts Medical Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 403 Factory Street, Suite B, South Boston, VA 24592 | 2008-03-27 |
| 1407051873 | Dominion Health Medical Assoc | Legal Medicine | 101 Aubrey's Loop Rd, South Boston, VA 24592 | 2007-06-18 |
| 1437352945 | Behavioral Health Associates, Inc. | Non-emergency Medical Transport (VAN) | 515 Yancey Ave, South Boston, VA 24592 | 2007-06-11 |
| Find all providers in zip 24592 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255655825 | Michael Weston Mcdowell | Emergency Medicine | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2010-03-25 |
| 1609980895 | Victor Mihal | Emergency Medicine | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2006-08-18 |
| 1205843489 | Dan A Williams Jr. | Emergency Medicine | 2232 Wilborn Ave, South Boston, VA 24592 | 2006-08-01 |
| 1255378089 | Rebecca Mae Kirsch | Emergency Medicine | 2204 Wilborn Ave, South Boston, VA 24592-1645 | 2006-06-01 |
| 1568447688 | Charles Spencer Bibbs | Emergency Medicine | 2100 Wilborn Ave, South Boston, VA 24592-1628 | 2005-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134734437 | Nh Digital Health Services, LLC | Emergency Medicine | 8650 Sudley Rd Ste 411, Manassas, VA 20110-4416 | 2020-09-14 |
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1073020194 | Colonial Heights Physicians, LLC | Emergency Medicine | 60 East Roslyn Court, Colonial Heights, VA 23834 | 2018-01-10 |
| 1265950372 | True North Health Navigation LLC | Emergency Medicine | 301 Virginia St Unit 609, Richmond, VA 23219-4172 | 2017-09-08 |
| 1780102608 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 105 Cameron Rd, Forest, VA 24551-1342 | 2017-08-30 |
| 1346763604 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 1330 Armory Drive, Franklin, VA 23851-2420 | 2017-07-19 |
| 1528581063 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 1583 N Main St Ste A, Marion, VA 24354-4317 | 2017-07-17 |
| 1245765247 | John Coles Wiggins IIi | Emergency Medicine | Emergency Medicine (division of Ultrasound), 1250 E Marshall St, Richmond, VA 23298-5051 | 2017-04-27 |
| 1225563679 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 4903 Nine Mile Rd, Richmond, VA 23223-5738 | 2017-04-24 |
| 1639602345 | Vishal Kant Goswami | Emergency Medicine | 4320 Seminary Rd Dept Of, Alexandria, VA 22304-1535 | 2017-04-10 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BOSTON |
| Zip Code | 24592 |
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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.