CENTRA HEALTH PROFESSIONAL SERVICES, LLC


Address: 1902 Grace St, Lynchburg, VA 24504-3524
Phone: 4342005100

CENTRA HEALTH PROFESSIONAL SERVICES, LLC (NPI# 1346486560) 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) 1346486560
Entity Type Organization
Organization Name CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Other Organization Name GUGGENHEIMER HEALTH & REHAB CENTER
Practice Address 1902 Grace St
Lynchburg
VA 24504-3524
Mailing Address 1204 Fenwick Dr
Lynchburg
VA 24502-2112
Practice Telephone 4342005100
Enumeration Date 2008-12-17
Last Update Date 2008-12-17
Authorized Official Name TAMMY TWEEDY (DIRECTOR)
Authorized Official Telephone 4342003656
Is Organization Subpart Y
Parent Organization Name CENTRA HEALTH PROFESSIONAL SERVICES, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Guggenheimer Health & Rehab Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1043662828 Centra Health Professional Services, LLC Internal Medicine 414 Park Avenue, Danville, VA 24541-9998 2016-07-06
1760776447 Centra Health Professional Services, LLC Family Medicine 10961 Lee Jackson Highway, Big Island, VA 24526 2011-05-31
1811135593 Centra Health Professional Services, LLC Physical Medicine & Rehabilitation 404 Airport Dr, Suite C, Danville, VA 24540-5196 2009-02-03
1497900047 Centra Health Professional Services, LLC Urology 1039 Mayberry Crossing Drive, Moneta, VA 24121 2008-11-24
1538101969 Centra Health Professional Services, LLC Physical Medicine & Rehabilitation 1900 Tate Springs Rd, Suite 16, Lynchburg, VA 24501-1122 2006-06-11
1235480351 Centra Health Professional Services, LLC Psychiatry & Neurology 3300 Rivermont Ave, Lynchburg, VA 24503-2030 2012-09-28
1316298433 Centra Health Professional Services, LLC Psychiatry & Neurology 3300 Rivermont Ave, Lynchburg, VA 24503-2030 2012-09-28
1033471438 Centra Health Professional Services, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 1701 Thomson Dr, Lynchburg, VA 24501-1118 2012-06-12
1770840654 Centra Health Professional Services, LLC Orthopaedic Surgery 1613 Oakwood St, Suite 101, Bedford, VA 24523-1213 2012-04-18
1881979342 Centra Health Professional Services, LLC Psychiatry & Neurology 3300 Rivermont Ave, Lynchburg, VA 24503-2030 2011-10-17

Office Location

Street Address 1902 GRACE ST
City LYNCHBURG
State VA
Zip Code 24504-3524

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962926881 April Day Branham Nurse Practitioner 1902 Grace St, Lynchburg, VA 24504-3524 2017-08-02
1619355518 Whitney Talley Physical Therapist 1902 Grace St, Lynchburg, VA 24504-3524 2015-05-12
1790196111 Sheri Denise Moore Registered Nurse 1902 Grace St, Lynchburg, VA 24504-3524 2014-05-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881230928 Lewis Medical Transport LLC Non-emergency Medical Transport (VAN) 108 Carnell Lane, Lynchburg, VA 24504 2019-11-25
1477048973 Ptc Wellness Centers Bwxt Family Medicine 1570 Mt. Athos Rd., Lynchburg, VA 24504 2018-06-27
1942702824 Esther Charles Jacob Pharmacist 800 Fifth Street, Lynchburg, VA 24504 2018-03-06
1295241123 Denise Marie Ditto Counselor 1900 Tate Springs Rd Suite 3, Lynchburg, VA 24504 2017-12-14
1689103426 Central Virginia Alliance for Community Living, Inc. Registered Nurse 501 12th Street, Suite A, Lynchburg, VA 24504 2017-06-06
1780058628 Community Access Network Clinic/Center 800 5th Street Suite A, Lynchburg, VA 24504 2015-11-16
1053716233 Danielle Kelly Foltz Nurse Practitioner Johnson Health Center, 320 Federal Street, Lynchburg, VA 24504 2014-10-30
1013215441 Erika Gioia Theodorides Counselor 1000 Jefferson St., Suite 2c, Lynchburg, VA 24504 2011-03-09
1326211616 Jesse Calloway's Family Services Exclusive Provider Organization 1129 Cosby St, Lynchburg, VA 24504 2008-04-08
1366624108 Lynchburg Dept Social Svs Social Worker 99 9th Street, Lynchburg, VA 24504 2007-12-04
Find all providers in zip 24504

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134737265 Joshua Fleming Family Medicine 1125 Old Graves Mill Rd Apt 316, Lynchburg, VA 24502-4312 2020-07-15
1124640529 Deborah Armstrong Md PC Family Medicine 300 Two Creek Dr, Lynchburg, VA 24502-5140 2020-05-08
1477048973 Ptc Wellness Centers Bwxt Family Medicine 1570 Mt. Athos Rd., Lynchburg, VA 24504 2018-06-27
1023503521 Ptc Wellness Centers PC Family Medicine 2832 Candlers Mtn Rd, Lynchburg, VA 24502 2018-06-27
1427578335 Vinh Thinh T Huynh Family Medicine 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 2017-06-21
1164845632 Andrew Joseph Anderson Family Medicine 4327 Boonsboro Rd Ste 5, Lynchburg, VA 24503 2014-02-03
1013356542 Anoop Singh Kochar Family Medicine 2323 Memorial Avenue Suite #10, Lynchburg Family Medicine Residency, Lynchburg, VA 24501 2013-06-18
1669610986 Central Virginia Family Physicians, Inc Family Medicine 14005 Wards Rd, #a, Lynchburg, VA 24501-7127 2009-01-23
1376732818 Rafal Piotr Kaczynski Family Medicine 1900 Weeping Willow Dr Apt J, Lynchburg, VA 24501-3966 2007-10-22
1174699433 Pamela Herbert Minkler Family Medicine 119a Tradewynd Dr, Lynchburg, VA 24502-3112 2006-11-28
Find all providers in LYNCHBURG

Competitor

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City LYNCHBURG
Zip Code 24504

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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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