CENTRA HEALTH PROFESSIONAL SERVICES (NPI# 1528002060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528002060 |
| Entity Type | Organization |
| Organization Name | CENTRA HEALTH PROFESSIONAL SERVICES |
| Other Organization Name | CENTRA HEALTH NEURO REHABILITATIVE SERVICES |
| Practice Address |
3300 Rivermont Ave Lynchburg VA 24503-2030 |
| Mailing Address |
1204 Fenwick Dr Lynchburg VA 24502-2112 |
| Practice Telephone | 4345282528 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | TAMMY TWEEDY (DIRECTOR) |
| Authorized Official Telephone | 4349475047 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRA HEALTH PROFESSIONAL SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Centra Health Neuro Rehabilitative Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487696076 | Centra Health Professional Services | Psychiatry & Neurology | 810 Blue Ridge Ave, Suite A, Bedford, VA 24523-2433 | 2006-06-11 |
| 1629009147 | Centra Health Professional Services | Family Medicine | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2006-07-05 |
| Street Address |
3300 RIVERMONT AVE |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24503-2030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384137 | James Cummings Dunstan Jr. | Orthopaedic Surgery | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2005-05-31 |
| 1649887175 | Bruce Slagle | Pharmacy Technician | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2020-09-29 |
| 1023622149 | Stephanie Lane Porter | Nurse Practitioner | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2020-09-04 |
| 1013532803 | Meredith Ryan Smith | Counselor | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2020-06-08 |
| 1326682980 | Centra Medical Group, LLC | Family Medicine | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-11-06 |
| 1831751809 | Elizabeth Ware | Speech-Language Pathologist | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-07-01 |
| 1730740788 | Rhandi Nichole Norman | Registered Nurse | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-06-20 |
| 1922668136 | Paula Deane Creekmore | Nurse Practitioner | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-06-19 |
| 1215401948 | Adam Russell Penrose | Nurse Anesthetist, Certified Registered | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-01-16 |
| 1891268199 | Donna C Schwarz | Nurse Anesthetist, Certified Registered | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661859 | Better Way Psychiatry Pllc | Psychiatry & Neurology | 4925 Boonsboro Road, Pmb 137, Lynchburg, VA 24503 | 2020-08-25 |
| 1164845632 | Andrew Joseph Anderson | Family Medicine | 4327 Boonsboro Rd Ste 5, Lynchburg, VA 24503 | 2014-02-03 |
| 1407139421 | William Carter Wingfield Sr. | Pharmacist | 5006 Old Boonsboro Rd, Lynchburg, VA 24503 | 2011-09-26 |
| 1912226382 | The Way Congregational Church | Voluntary or Charitable | 3305 Rivermont Avenue, Lynchburg, VA 24503 | 2010-05-25 |
| 1659549897 | Elizabeth Ann Bolton | Speech-Language Pathologist | 302 Rowland Dr., Lynchburg, VA 24503 | 2008-02-11 |
| 1821286485 | Mary Ayers Highton | Nurse Practitioner | 3300 Rivermont Ave., Lynchburg, VA 24503 | 2007-10-09 |
| 1588746044 | Presbyterian Homes and Family Services | Day Training, Developmentally Disabled Services | 150 Linden Avenue, Lynchburg, VA 24503 | 2006-10-20 |
| 1417043910 | Timothy Clinton | Counselor | 2811 Linkhorne Dr., Ste B, Lynchburg, VA 24503 | 2006-10-04 |
| 1730733288 | Joy Lois Knapton | Lactation Consultant, Non-RN | 150 Linden Ave, Lynchburg, VA 24503 | 2019-08-01 |
| 1346606845 | Julie Brown | Registered Nurse | 3300 Rivermont Ave., Virginia Baptist Hospital, Lynchburg, VA 24503 | 2016-01-13 |
| Find all providers in zip 24503 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768772 | George Adams Hurt | Neurological Surgery | 2138 Langhorne Rd, Lynchburg, VA 24501-1424 | 2005-05-23 |
| 1710370374 | Ward Stevens Jr. | Neurological Surgery | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2015-03-06 |
| 1801202262 | Cvnl One, PC | Neurological Surgery | 2138 Langhorne Rd, Lynchburg, VA 24501-1400 | 2014-07-07 |
| 1588081236 | Centra Medical Group, LLC | Neurological Surgery | 2025 Tate Springs Rd, Lynchburg, VA 24501-1116 | 2014-03-19 |
| 1023308368 | Jordan Joseph Synkowski | Neurological Surgery | 2138 Langhorne Rd, Lynchburg, VA 24501-1400 | 2011-04-07 |
| 1730483488 | Centra Health Professional Services,llc | Neurological Surgery | 2138 Langhorne Rd, Lynchburg, VA 24501-1400 | 2011-01-10 |
| 1679747315 | General Business Concerns, Inc. | Neurological Surgery | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2008-04-14 |
| 1043483027 | General Business Concerns, Inc. | Neurological Surgery | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2008-04-10 |
| 1689602534 | General Business Concerns, Inc. | Neurological Surgery | 2138 Langhorne Rd, Lynchburg, VA 24501-1424 | 2006-06-29 |
| 1790733558 | General Business Concerns, Inc. | Neurological Surgery | 2138 Langhorne Rd, Lynchburg, VA 24501-1424 | 2006-05-04 |
| 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.