COUNTRY DOCTOR, LTD (NPI# 1467654574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467654574 |
| Entity Type | Organization |
| Organization Name | COUNTRY DOCTOR, LTD |
| Practice Address |
35070 Germanna Heights Dr Ste A Locust Grove VA 22508-3108 |
| Practice Telephone | 5404231788 |
| Practice Fax Number | 5404231755 |
| Mailing Telephone | 5404231788 |
| Mailing Fax Number | 5404231755 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2014-09-25 |
| Authorized Official Name | MISS STEPHANIE H. CAMPAU (OFFICE MANAGER) |
| Authorized Official Telephone | 5404231788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
35070 GERMANNA HEIGHTS DR STE A |
| City | LOCUST GROVE |
| State | VA |
| Zip Code | 22508-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033647219 | Mancare Medical Transportation LLC | Psychologist | 108 Gold Valley Rd, Locust Grove, VA 22508 | 2017-05-31 |
| 1558705517 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 4122 Partnership Way, Locust Grove, VA 22508 | 2013-04-22 |
| 1932133568 | John M. Bush | Internal Medicine | 4376 Germanna Hwy, Locust Grove, VA 22508 | 2006-07-10 |
| 1760416309 | Herman G. Stubbe | Family Medicine | 4376 Germanna Hwy, Locust Grove, VA 22508 | 2006-07-10 |
| 1164486171 | Dawn Renee Alexander | Family Medicine | 4376 Germanna Hwy, Locust Grove, VA 22508-2008 | 2006-04-14 |
| 1295076388 | Andrea M Crawford | Physician Assistant | 4376 Germanna Hwy, Locust Grove, VA 22508-2008 | 2013-03-14 |
| 1497071260 | Adam H. Johnson | Pediatrics | 4376 Germanna Hwy, Locust Grove, VA 22508-2008 | 2010-04-19 |
| 1528179215 | Andrea M. Jackson | Obstetrics & Gynecology | 4376 Germanna Hwy, Locust Grove, VA 22508-2008 | 2006-08-31 |
| 1972553527 | Amy L. Hull | Physician Assistant | 4376 Germanna Hwy, Locust Grove, VA 22508-2008 | 2006-05-12 |
| 1497893507 | Betty S Gosnell | Counselor | 4448 Germanna Hwy Ste 7c, Locust Grove, VA 22508-2012 | 2007-02-01 |
| Find all providers in zip 22508 | ||||
| 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 |
|---|---|---|---|---|
| 1265567796 | Jameson Andrew Estes | Family Medicine | 3334 Highway 155, Locust Grove, GA 30248-3513 | 2007-02-23 |
| 1992802227 | Robert Hart Prasse II | Family Medicine | 35070-a Germanna Heights Dr, Locust Grove, VA 22508-3108 | 2006-09-20 |
| 1154371524 | Lora M Collier | Family Medicine | 609 E Main, Locust Grove, OK 74352 | 2006-05-10 |
| 1164486171 | Dawn Renee Alexander | Family Medicine | 4376 Germanna Hwy, Locust Grove, VA 22508-2008 | 2006-04-14 |
| 1720088511 | Shehnaz Makhani | Family Medicine | 3758 Highway 42, Locust Grove, GA 30248-3653 | 2005-07-22 |
| 1629074299 | Nimisha J Trivedi | Family Medicine | 3778 Highway 42, Locust Grove, GA 30248 | 2005-06-28 |
| 1851823520 | Regan Joy Frake | Family Medicine | 3758 Highway 42, Locust Grove, GA 30248-3653 | 2017-03-31 |
| 1265744759 | Jean Robert Ferdinand | Family Medicine | 3334 Highway 155, Locust Grove, GA 30248-3513 | 2010-07-13 |
| 1245554682 | Correctmed Locust Grove, LLC | Family Medicine | 4861 Bill Gardner Pkwy, Suite 100, Locust Grove, GA 30248-3644 | 2010-03-14 |
| 1871763011 | Chetan Sharma | Family Medicine | 3778 Highway 42, Locust Grove, GA 30248-3632 | 2008-03-04 |
| Find all providers in LOCUST GROVE | ||||
| City | LOCUST GROVE |
| Zip Code | 22508 |
Please comment or provide details below to improve the information on COUNTRY DOCTOR, LTD.
| 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.