DR. KAPPA M PEDDY (NPI# 1558315481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558315481 |
| Entity Type | Individual |
| Full Name | DR. KAPPA M PEDDY |
| Credential | M.D. |
| Practice Address |
1330 Oak Ln Suite 101 Lynchburg VA 24503 |
| Mailing Address |
1330 Oak Ln Suite 101 Lynchburg VA 24503-2513 |
| Practice Telephone | 4348476132 |
| Practice Fax Number | 4348454870 |
| Mailing Telephone | 4348476132 |
| Mailing Fax Number | 4348454870 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2018-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 0101225823 | VA | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
0101225823 | VA | Allopathic & Osteopathic Physicians |
| N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
0101225823 | VA | Allopathic & Osteopathic Physicians |
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
0101225823 | VA | Allopathic & Osteopathic Physicians |
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
0101225823 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 5901839 | 05 | |
| VA | CIGNA | 8152058 | 01 |
| VA | TAX ID | 541667390 | 01 |
| VA | SOUTHERN HEALTH | 310025 | 01 |
| VA | MEDICARE RAILROAD | 070015463 | 01 |
| VA | ANTHEM | 216440 | 01 |
| Street Address |
1330 OAK LN SUITE 101 |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035520 | Carole Stephens Read | Audiologist | 1330 Oak Ln, Suite 204, Lynchburg, VA 24503-2513 | 2005-06-30 |
| 1538584800 | Centra Medical Group, LLC | Plastic Surgery | 1330 Oak Ln, Suite 100, Lynchburg, VA 24503-2513 | 2014-02-24 |
| 1497919740 | Keith Dwayne Pitzer | Plastic Surgery | 1330 Oak Ln, Suite 100, Lynchburg, VA 24503-2513 | 2008-07-16 |
| 1831357979 | Centra Medical Group, LLC | Urology | 1330 Oak Ln, Suite 203, Lynchburg, VA 24503-2513 | 2008-05-27 |
| 1558496117 | Henry B Wilson | Specialist | 1330 Oak Ln, Suite 100, Lynchburg, VA 24503-2513 | 2007-02-23 |
| 1265572945 | Judith A. Perrotto | Radiology | 1330 Oak Ln, Lynchburg, VA 24503-2513 | 2007-02-08 |
| 1942376579 | Centra Health, Inc. | Radiology | 1330 Oak Ln, Lynchburg, VA 24503-2513 | 2006-11-27 |
| 1831272103 | Central Virginia Audiology Services Inc | Audiologist | 1330 Oak Ln, Suite 204, Lynchburg, VA 24503-2513 | 2006-10-23 |
| 1174614416 | Plastic Surgery Associates of Lynchburg, Inc. | Plastic Surgery | 1330 Oak Ln, Suite 100, Lynchburg, VA 24503-2513 | 2006-09-28 |
| 1558466201 | Mark Douglas Macgregor | Physician Assistant | 1330 Oak Ln, Ste 101, Lynchburg, VA 24503-2513 | 2006-09-14 |
| 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 |
| 1437606092 | Deborah Opsal | Speech-Language Pathologist | 3300 Rivermont Ave, Outpatient Rehab Administration, Lynchburg, VA 24503 | 2016-09-01 |
| Find all providers in zip 24503 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336697093 | Seven Hills Dermatology, LLC | Dermatology | 119 Tradewynd Dr Ste A, Lynchburg, VA 24502-5288 | 2016-09-12 |
| 1699904052 | Garrett Rynning Bohrnstedt | Dermatology | 119 Tradewynd Dr, Ste A, Lynchburg, VA 24502-5288 | 2009-07-07 |
| 1942254172 | Jason D Givan | Dermatology | 101 Candlewood Ct Ste 101, Lynchburg, VA 24502-2654 | 2006-05-20 |
| 1528039260 | Stuart W Brust | Dermatology | 2323 Atherholt Rd, Lynchburg, VA 24501 | 2006-01-31 |
| 1578181178 | K and C Cobb Mds LLC | Dermatology | 2007 Tate Springs Rd, Lynchburg, VA 24501-1111 | 2020-07-09 |
| 1063047033 | Victoria Pilgrim | Dermatology | 300 Monticello Ave, Lynchburg, VA 24501-5616 | 2020-03-10 |
| 1770732232 | Carrie Cobb | Dermatology | 2007 Tate Springs Rd, Lynchburg, VA 24501-1111 | 2008-09-09 |
| 1689875445 | Samantha Hill | Dermatology | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2007-05-30 |
| 1568478972 | Grace Ann Newton | Dermatology | 2007 Tate Springs Rd, Lynchburg, VA 24501-1111 | 2006-07-31 |
| 1649205774 | Dermatology Consultants, Inc. | Dermatology | 1330 Oak Ln, Suite 101, Lynchburg, VA 24503-2513 | 2006-07-11 |
| 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.