DR. THOMAS FRITZ KNISELY (NPI# 1447286265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447286265 |
| Entity Type | Individual |
| Full Name | DR. THOMAS FRITZ KNISELY |
| Credential | DO |
| Practice Address |
514 Adams St Radford VA 24142-6899 |
| Mailing Address |
Cmr 446 Unit 26610 Box 291 Apo AE 09244 |
| Practice Telephone | 5408316667 |
| Practice Fax Number | 5408316638 |
| Mailing Telephone | 011499314655209 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2011-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0102201867 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | BK9752507 | 01 | |
| VA | 010280770 | 05 | |
| VA | 010280745 | 05 |
| Street Address |
514 ADAMS ST |
| City | RADFORD |
| State | VA |
| Zip Code | 24142-6899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003459496 | Margaret Anne Burton | Specialist/Technologist | 501 Stockton Street, Radford, VA 24142 | 2019-10-18 |
| 1912176090 | Mary Hope Gibson | Nurse Practitioner | Moffett Hall Adams Street, Radford University Student Health, Radford, VA 24142 | 2008-02-22 |
| 1437147055 | Judith A Collins-cox | Nurse Practitioner | Ru Station 6899, Adams & Tyler Streets, Radford, VA 24142 | 2005-10-07 |
| 1629587456 | Radford University | Early Intervention Provider Agency | 801 East Main Street, Radford, VA 24142 | 2017-09-25 |
| 1285678417 | Sudesh Tayal | Family Medicine | 128 Jefferson St, Waldron Hall - Radford University Clinics, Radford, VA 24142 | 2006-06-16 |
| 1447249024 | Megan Mckewan | Registered Nurse | Ru Station 6899, Adams & Tyler Streets, Radford, VA 24142 | 2005-10-17 |
| 1184612798 | Stephen D. Sylvester | Physician Assistant | Ru Station 6899, Adams & Tyler Streets, Radford, VA 24142 | 2005-10-07 |
| 1730682857 | Lambros Dallas | Occupational Therapist | 801 E Main St, Radford, VA 24142-0001 | 2018-03-15 |
| 1528414927 | Jonathan Arvelo | Specialist/Technologist | 801 E Main St, Radford, VA 24142-0001 | 2016-05-04 |
| 1194182824 | Meredith Epperley Peters | Physician Assistant | 801 E Main St, Radford, VA 24142-0001 | 2016-01-26 |
| Find all providers in zip 24142 | ||||
| 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 |
|---|---|---|---|---|
| 1326095100 | Rania Bajwa Rosborough | Family Medicine | 614 E Main St Ste B, Radford, VA 24141-1818 | 2006-05-27 |
| 1922089556 | Daniel R Kelly | Family Medicine | 701 Randolph St Ste 120, Radford, VA 24141-3047 | 2005-11-10 |
| 1962496018 | Stephen A. Beese | Family Medicine | 110 7th St, Radford University Student Health Center, Radford, VA 24141-2410 | 2005-09-06 |
| 1720085392 | Charles Raeburn Judy | Family Medicine | 600 Randolph St, Radford, VA 24141-2428 | 2005-06-28 |
| 1861888927 | Benjamin Henry Morgan | Family Medicine | 701 Randolph St Ste 120, Radford, VA 24141 | 2015-04-15 |
| 1386802031 | Radford Family Medicine LLC | Family Medicine | 600 E Main St, Suite D, Radford, VA 24141-1826 | 2008-05-29 |
| 1588747562 | Crj Physician Services | Family Medicine | 700 Randolph St, Radford, VA 24141-2430 | 2006-10-23 |
| 1740393891 | Family Health Clinic, Inc. | Family Medicine | 600 Randolph St, Radford, VA 24141-2428 | 2006-08-15 |
| 1760463301 | Scott A Kincaid | Family Medicine | 701 Randolph St, Suite 120, Radford, VA 24141-3047 | 2005-11-10 |
| 1780665331 | Thaddeus C Lee | Family Medicine | 701 Randolph St, Suite 120, Radford, VA 24141-3047 | 2005-11-10 |
| Find all providers in RADFORD | ||||
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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.