PIONEER HEALTH SERVICES OF PATRICK COUNTY, INC (NPI# 1366685018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366685018 |
| Entity Type | Organization |
| Organization Name | PIONEER HEALTH SERVICES OF PATRICK COUNTY, INC |
| Practice Address |
18688 Jeb Stuart Hwy Stuart VA 24171-1559 |
| Mailing Address |
301 8th Ave Sw Magee MS 39111-3967 |
| Practice Telephone | 2766948600 |
| Practice Fax Number | 2766948679 |
| Mailing Telephone | 6018496440 |
| Mailing Fax Number | 6018496443 |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-04-10 |
| Authorized Official Name | JOSEPH S MCNULTY III (CEO) |
| Authorized Official Telephone | 6018496440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | H1919 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1982858585 | 05 | |
| VA | BCBS ER | 362626 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639311749 | Pioneer Health Services of Patrick County, Inc | Medicare Defined Swing Bed Unit | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2009-04-03 |
| Street Address |
18688 JEB STUART HWY |
| City | STUART |
| State | VA |
| Zip Code | 24171-1559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955212 | Paul C Herger | Nurse Anesthetist, Certified Registered | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2005-07-14 |
| 1497170567 | Thomasina Engle | Specialist/Technologist | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2014-02-26 |
| 1639311749 | Pioneer Health Services of Patrick County, Inc | Medicare Defined Swing Bed Unit | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2009-04-03 |
| 1659513893 | Pioneer Health Services of Patrick County, Inc. | General Acute Care Hospital | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2009-04-02 |
| 1619121217 | Patrick Hospital, LLC | Clinical Medical Laboratory | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
| 1528212123 | Patrick Hospital, LLC | Clinic/Center | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
| 1346494945 | Patrick Hospital, LLC | Hospice Care, Community Based | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
| 1164676763 | Patrick Hospital, LLC | Clinic/Center | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
| 1073767679 | Patrick Hospital, LLC | Medicare Defined Swing Bed Unit | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
| 1982858585 | Patrick Hospital, LLC | Clinic/Center | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2008-11-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730678921 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 101 E. Blue Ridge Street, Stuart, VA 24171 | 2018-05-03 |
| 1366931776 | Shannon Smith Cockram | Speech-Language Pathologist | 104 Rucker St., Stuart, VA 24171 | 2018-05-02 |
| 1194177006 | Family Preservation Services, Inc | Community/Behavioral Health | 260 Spring Road, Stuart, VA 24171 | 2016-07-05 |
| 1396128948 | Rebecca Hawks | Physical Therapy Assistant | 817 Woodland Drive, Stuart, VA 24171 | 2015-07-01 |
| 1790168524 | Jim Best Jr. | Speech-Language Pathologist | 817 Woodland Dr., Stuart, VA 24171 | 2015-06-29 |
| 1205115524 | Thomas Ira Debusk IIi | Pharmacist | 140 South Main St., Rite Aid Pharmacy, Stuart, VA 24171 | 2011-08-04 |
| 1801191317 | Nmg Affiliate Practice I LLC | Internal Medicine | 110 East Blue Ridge Street, Stuart, VA 24171 | 2011-01-13 |
| 1174765408 | First Quality Nursing LLC | Home Health | 105 Landmark Drive, Stuart, VA 24171 | 2009-04-01 |
| 1033356449 | Anthony's Builders | Private Vehicle | 16128 Jeb Stuart Hwy, Stuart, VA 24171 | 2009-01-08 |
| 1033295092 | Team Nurse, Inc | Registered Nurse | 126 N. Main Street, Stuart, VA 24171 | 2006-10-31 |
| Find all providers in zip 24171 | ||||
| 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 |
|---|---|---|---|---|
| 1851734198 | Gerald Anthony Maddalozzo | Emergency Medicine | 200 Se Hospital Ave Fl 2346, Stuart, FL 34994-2346 | 2013-04-16 |
| 1255309878 | Francis Joseph Falbo IIi | Emergency Medicine | 2656 Lone Ivy Rd, Stuart, VA 24171-5370 | 2006-03-09 |
| 1710972534 | Mary Anne Buggia | Emergency Medicine | 6522 S Kanner Hwy, Medstat Urgent Care Center, Stuart, FL 34997-6396 | 2005-09-19 |
| 1407858723 | Anthony J Sorrentino | Emergency Medicine | 6522 S Kanner Highway, Stuart, FL 34997-6396 | 2005-06-01 |
| 1659663334 | Alexandra Terskiy | Emergency Medicine | 200 Se Hospital Ave, Martin Health System - Emergency Depertment, Stuart, FL 34994-2346 | 2011-05-12 |
| 1376736173 | Christopher Maguire | Emergency Medicine | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2007-08-24 |
| 1750587572 | Leonel Alejandro Lopez | Emergency Medicine | 200 Se Hospital Ave, Stuart, FL 34994 | 2007-06-27 |
| 1326178088 | Stuart Emergency Physicians | Emergency Medicine | 2100 Se Salerno Rd, Stuart, FL 34997-6503 | 2007-03-06 |
| 1346397304 | David Owen Lewis | Emergency Medicine | 18688 Jeb Stuart Hwy, Stuart, VA 24171-1559 | 2007-01-04 |
| 1063597771 | Sean David Dakshaw | Emergency Medicine | 200 Se Hospital Ave, Stuart, FL 34994-2346 | 2006-10-25 |
| Find all providers in STUART | ||||
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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.