INFINITY MEDICAL MANAGEMENT, LLC (NPI# 1336432962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336432962 |
| Entity Type | Organization |
| Organization Name | INFINITY MEDICAL MANAGEMENT, LLC |
| Other Organization Name | PARK AVENUE MEDICAL ASSOCIATES |
| Practice Address |
1761 Park Ave Sw Norton VA 24273-1608 |
| Mailing Address |
1761 Park Ave Sw Norton VA 24273-1618 |
| Practice Telephone | 2763250417 |
| Practice Fax Number | 2769266652 |
| Mailing Telephone | 2763250417 |
| Mailing Fax Number | 2763250394 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2012-05-24 |
| Authorized Official Name | MR. BERNARD P DHAS (PRACTICE MGR) |
| Authorized Official Telephone | 2769264516 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1336432962 | 05 |
| Other Name | Type Code |
|---|---|
| Park Avenue Medical Associates | Doing Business As Name - Organization |
| Street Address |
1761 PARK AVE SW |
| City | NORTON |
| State | VA |
| Zip Code | 24273-1608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134134539 | Arunachalam M Vedhanayakam | Pediatrics | 1761 Park Ave Sw, Norton, VA 24273-1626 | 2006-07-31 |
| 1134648918 | Heather R Sergent | Registered Nurse | 1761 Park Ave Sw, Norton, VA 24273-1608 | 2017-09-13 |
| 1437698321 | Sidney Ballard | Nurse Practitioner | 1761 Park Ave Sw, Norton, VA 24273 | 2017-02-13 |
| 1629473319 | Amelia Smith | Physician Assistant | 1761 Park Ave Sw, Norton, VA 24273 | 2014-10-24 |
| 1003059247 | Peachtree Inpatient Consulting LLC | Hospitalist | 1761 Park Ave Sw, Norton, VA 24273 | 2009-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457978751 | Donald Arthur Olson | Family Medicine | 1900 Holten Ave E, Big Stone Gap, VA 24273 | 2020-07-02 |
| 1528696440 | Kristi Matthews | Occupational Therapist | 22 10th St Nw, Norton, VA 24273 | 2020-03-27 |
| 1851929772 | Julie Ann Hoffer Mullins | Physical Therapist | 22 10th Street N.w., Norton, VA 24273 | 2020-03-27 |
| 1053839977 | Vijay Kumar PC | Family Medicine | 610 Park Avenue Nw, Norton, VA 24273 | 2017-08-30 |
| 1407376312 | Jacob A Nysather | Internal Medicine | 100 15th Street, N.w., Norton, VA 24273 | 2017-06-21 |
| 1154854248 | Family Preservation Services, Inc | Community/Behavioral Health | 5338 Esserville Road, Norton, VA 24273 | 2017-04-06 |
| 1245771757 | Blue Ridge Medical Management Corporation | Internal Medicine | 1410 Park Ave Nw, Norton, VA 24273 | 2017-03-16 |
| 1821548413 | William Luke Alls | Internal Medicine | 96 15th St., Suite 106, Norton, VA 24273 | 2016-10-07 |
| 1073978383 | Stephen Souther | Counselor | 515 Park Avenue Sw, Norton, VA 24273 | 2015-12-31 |
| 1306251889 | Rafaqat Rashid | Internal Medicine | 100 15th Street N.w, Norton Community Hospital, Internal Medicine Residency, Norton, VA 24273 | 2014-06-24 |
| Find all providers in zip 24273 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1093372567 | Rodolfo Javier Pena-ariet | Internal Medicine | 100 15th St Nw Ste 106, Norton, VA 24273-1616 | 2019-05-21 |
| 1750860466 | Mkrtich Patatanyan | Internal Medicine | 96 15th St Nw Ste 106, Norton, VA 24273-1625 | 2018-08-13 |
| 1407376312 | Jacob A Nysather | Internal Medicine | 100 15th Street, N.w., Norton, VA 24273 | 2017-06-21 |
| 1821548413 | William Luke Alls | Internal Medicine | 96 15th St., Suite 106, Norton, VA 24273 | 2016-10-07 |
| 1306251889 | Rafaqat Rashid | Internal Medicine | 100 15th Street N.w, Norton Community Hospital, Internal Medicine Residency, Norton, VA 24273 | 2014-06-24 |
| 1215205141 | Thelma Calo Villanueva | Internal Medicine | 408 W Crane St, Norton, KS 67654-1122 | 2011-12-07 |
| 1811142169 | Orson Go | Internal Medicine | 615 Commonwealth Dr, Norton, VA 24273-4053 | 2008-11-28 |
| 1629128640 | James Wesley Campbell | Internal Medicine | 388 Coeburn Ave Sw, Norton, VA 24273-1823 | 2007-01-11 |
| 1144283029 | Shahab M Ehtesham | Internal Medicine | 611 Trent St Ne, Norton, VA 24273-1533 | 2006-04-11 |
| 1083682983 | Jody B. Bentley | Internal Medicine | 96 15th St Nw, Suite 111, Norton, VA 24273-1625 | 2006-03-08 |
| Find all providers in NORTON | ||||
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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.