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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Guggenheimer Health & Rehab Center | Doing Business As Name - Organization |
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 |
Street Address |
1902 GRACE ST |
City | LYNCHBURG |
State | VA |
Zip Code | 24504-3524 |
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 |
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 Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
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. |
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 |
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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.