COLUMBIA MEDICAL GROUP-SOUTHWEST VIRGINIA, IN (NPI# 1326082637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326082637 |
| Entity Type | Organization |
| Organization Name | COLUMBIA MEDICAL GROUP-SOUTHWEST VIRGINIA, IN |
| Other Organization Name | PULASKI PHYSICIANS |
| Practice Address |
2400 Lee Hwy N Pulaski VA 24301-2326 |
| Practice Telephone | 5409949443 |
| Practice Fax Number | 5409949330 |
| Mailing Telephone | 5409949443 |
| Mailing Fax Number | 5409949330 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2010-01-21 |
| Authorized Official Name | WILLIAM TEDRICK JOHNSON (VP) |
| Authorized Official Telephone | 8042377760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1326082637 | 05 |
| Other Name | Type Code |
|---|---|
| Pulaski Physicians | Doing Business As Name - Organization |
| Street Address |
2400 LEE HWY N |
| City | PULASKI |
| State | VA |
| Zip Code | 24301-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738839 | Alan Franklin Knull | Radiology | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2005-05-27 |
| 1588262976 | Molly Katalin Gardner | Nurse Practitioner | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2020-10-16 |
| 1659904068 | Kaitlyn Jean Rogers | Occupational Therapist | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2020-02-14 |
| 1477018893 | Pulaski Community Hospital, Inc. | Psychiatric Unit | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2019-02-11 |
| 1225519291 | Brandon Warren Johnson | Nurse Practitioner | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2018-08-27 |
| 1871088526 | Kingsford Physician Services, LLC | Physician Assistant | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2018-06-26 |
| 1336631480 | Kingsford Emergency Group, LLC | Physician Assistant | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2018-06-05 |
| 1659824332 | Michele Lee Keesling | Nurse Practitioner | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2016-07-28 |
| 1558714253 | Melanie Hudgins | Nurse Practitioner | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2016-07-18 |
| 1316334931 | David A Asher | Radiology | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2015-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932672532 | Pulaski County Public Schools | Speech-Language Pathologist | 202 North Washington Avenue, Pulaski, VA 24301 | 2019-01-07 |
| 1912490269 | Pulaski County Public Schools | Speech-Language Pathologist | 202 N. Washington Avenue, Pulaski, VA 24301 | 2018-06-12 |
| 1376966689 | Charles Martin | Registered Nurse | 8400 Lee Highway, Pulaski, VA 24301 | 2014-01-23 |
| 1366738817 | Rolf Alfred Koehler | Internal Medicine | 2524 Saddle Ridge Circle, Pulaski, VA 24301 | 2011-06-23 |
| 1558654335 | Kimberly Rena White | Pharmacist | 901 Memorial Drive, Walgreens, Pulaski, VA 24301 | 2011-05-26 |
| 1366677791 | Ehikioya Osamudiamen Osemobor | Internal Medicine | 2460 Lee Highway, Pulaski, VA 24301 | 2009-05-29 |
| 1154452555 | Ellis Home Oxygen and Medical Equipment | Durable Medical Equipment & Medical Supplies | 2460 Lee Hwy, Suite 7, Pulaski, VA 24301 | 2007-03-08 |
| 1437233087 | George Frederick Brame II | Nurse Anesthetist, Certified Registered | 2400 Lee Highway, Pulaski Community Hospital, Pulaski, VA 24301 | 2006-10-24 |
| 1801981337 | Windy Saunders Hundley | Nurse Practitioner | 101 1st Street Nw, Pulaski, VA 24301 | 2006-10-03 |
| 1881700250 | Cynthia Martin Southern | Dentist | 62 E Main Street, Pulaski, VA 24301 | 2006-08-21 |
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| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710105499 | Amg-hillside LLC | Orthopaedic Surgery | 204 Hillside Drive, Pulaski, TN 38478 | 2007-04-20 |
| 1295042976 | Derek Riley | Orthopaedic Surgery | 204 Hillside Dr, Pulaski, TN 38478-4566 | 2010-09-02 |
| 1972598845 | James M Lovelace | Orthopaedic Surgery | 2460 Lee Hwy N, Pulaski, VA 24301-2335 | 2005-09-15 |
| 1700879251 | Richard Clark Taylor | Orthopaedic Surgery | 204 Hillside Drive, Pulaski, TN 38478-4500 | 2005-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695059 | Central Virginia Orthopaedics & Sports Medicine | Orthopaedic Surgery | 450 Garrisonville Rd Ste 101, Stafford, VA 22554-1615 | 2020-09-30 |
| 1992318067 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw Ste 403, Leesburg, VA 20176-2704 | 2020-08-28 |
| 1093324378 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 19450 Deefield Avenue, Suite 200, Leesburg, VA 20176-2017 | 2020-07-23 |
| 1285242867 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 24430 Stone Springs Blvd Unit 100, Sterling, VA 20166-2269 | 2020-07-20 |
| 1750999892 | Loudoun Medical Group . P.c | Orthopaedic Surgery | 224d Cornwall St Nw Ste 230, Leesburg, VA 20176-2704 | 2020-07-15 |
| 1154946093 | Orthovirgina, Inc. | Orthopaedic Surgery | 1760 Old Meadow Rd Ste 500, Mc Lean, VA 22102-4306 | 2020-06-16 |
| 1144849100 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 1715 N George Mason Dr Ste 102, Arlington, VA 22205-3637 | 2020-04-10 |
| 1134748221 | Advanced Spine and Pain Pllc | Orthopaedic Surgery | 11230 Waples Mill Rd Ste 114c, Fairfax, VA 22030-5026 | 2020-04-09 |
| 1649810805 | Anderson Clinic Inc | Orthopaedic Surgery | 3299 Woodburn Rd Ste 480, Annandale, VA 22003-7333 | 2020-01-15 |
| 1871136622 | Orthovirginia Inc. | Orthopaedic Surgery | 24600 Millstream Dr Ste 380, Aldie, VA 20105-5686 | 2019-10-24 |
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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.