ULTRA HEALTH LLC (NPI# 1457891145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457891145 |
| Entity Type | Organization |
| Organization Name | ULTRA HEALTH LLC |
| Practice Address |
13401 Gov G C Peery Hwy Pounding Mill VA 24637-4010 |
| Mailing Address |
Po Box 489 Pounding Mill VA 24637-0489 |
| Practice Telephone | 2673851186 |
| Practice Fax Number | 9165501238 |
| Mailing Telephone | 2763851183 |
| Mailing Fax Number | 2762586492 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2018-10-05 |
| Authorized Official Name | JEFFERY H TAYLOR (OWNER) |
| Authorized Official Telephone | 2769710783 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1457891145 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1107 River Street, Grundy, VA 24614 | 2673851186 | |
| 1107 Riverview St, Grundy, VA 246149481 | 2673851186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285153072 | Ultra Health LLC | Internal Medicine | 1107 Riverview St, Grundy, VA 24614-9481 | 2017-09-13 |
| 1922469543 | Ultra Health LLC | Internal Medicine | 36 Pemberton Cv, Jackson, TN 38305 | 2016-03-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Ultra Health LLC | 112 River Road, Cedar Bluff, Virginia 24609 |
| Street Address |
13401 GOV G C PEERY HWY |
| City | POUNDING MILL |
| State | VA |
| Zip Code | 24637-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922609593 | Luke Aaron Richardson | Pharmacist | 13320 G.c. Peery Highway, Pounding Mill, VA 24637 | 2020-11-02 |
| 1356986137 | Anita Lynn Hicks | Technician | 462 Estates Drive, Pounding Mill, VA 24637 | 2019-11-15 |
| 1740741479 | Jess Owen Beavers | Pharmacist | 13320 G.c. Peery Hwy, Pounding Mill, VA 24637 | 2019-03-26 |
| 1184898777 | Shannon Rose Mcgraw | Pharmacist | 12252 Governor Gc Peery Highway, Pounding Mill, VA 24637 | 2008-04-15 |
| 1922177823 | Kerry Keith Cline | Optometrist | 113 Short Street, Pounding Mill, VA 24637 | 2006-11-06 |
| 1871694950 | Fred A Sayers Jr. | Chiropractor | 226 Clay Drive, Pounding Mill, VA 24637 | 2006-09-25 |
| 1003911884 | Claypool Hill Pharmacy | Pharmacy | 12252 Govenor George C Peery Hwy, Pounding Mill, VA 24637 | 2006-09-14 |
| 1548861115 | Jeffery A Miller | Pharmacist | 13320 G.c. Peery Hwy, Pounding Mill, VA 24637 | 2020-11-02 |
| 1275707705 | Jody Dow Fuller | Pharmacist | 12252 Governor Gc Peery Highway, Pounding Mill, VA 24637 | 2008-04-16 |
| 1811170350 | Sayers Chiropractic PC | Chiropractor | 226 Clay Drive, Pounding Mill, VA 24637 | 2007-12-06 |
| Find all providers in zip 24637 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1194360503 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 5899 Bremo Rd Ste 202, Richmond, VA 23226-1935 | 2019-11-08 |
| 1568954535 | Warren Memorial Hospital, Inc. | Internal Medicine | 120 N. Commerce Ave, Ste 203, 245, 255, Front Royal, VA 22630 | 2018-06-05 |
| 1720407851 | Cesar M. Plazas-guzman | Internal Medicine | 713 Volvo Pkwy Ste 100, Chesapeake, VA 23320-1614 | 2014-04-16 |
| 1639426497 | Miriam Hinaa Ahmad | Internal Medicine | 103 W Broad St Ste 120, Falls Church, VA 22046-4231 | 2012-08-11 |
| 1023372620 | Paul Sumner Strumph | Internal Medicine | 2350 Merriman Way Rd, Moneta, VA 24121-3186 | 2012-06-27 |
| 1811256381 | Silpa P.k. Joshi | Internal Medicine | 3201 Jermantown Rd Ste 250, Fairfax, VA 22030-2881 | 2012-05-03 |
| 1518244854 | Bon Secours St. Francis Medical Center Inc | Internal Medicine | 3660 Boulevard Ste G, Colonial Heights, VA 23834-1345 | 2011-11-15 |
| 1235427592 | Neeharika Repaka | Internal Medicine | 1830 Town Center Dr Ste 306, Reston, VA 20190-3217 | 2011-07-20 |
| 1851699227 | Sentara Medical Group | Internal Medicine | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2011-03-08 |
| 1366773046 | Don L. Conaway, M.d., P.C. | Internal Medicine | 1716 Sir William Osler Dr, Virginia Beach, VA 23454-3003 | 2010-01-20 |
| Find all providers with the same taxonomy | ||||
| City | POUNDING MILL |
| Zip Code | 24637 |
Please comment or provide details below to improve the information on ULTRA HEALTH LLC.
| 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.