MORNING STAR FAMILY MEDICINE PC (NPI# 1588621650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588621650 |
| Entity Type | Organization |
| Organization Name | MORNING STAR FAMILY MEDICINE PC |
| Practice Address |
109 Deer Run Rd Danville VA 24540-2863 |
| Practice Telephone | 4347910306 |
| Practice Fax Number | 4347910310 |
| Mailing Telephone | 4347910306 |
| Mailing Fax Number | 4347910310 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2015-11-30 |
| Authorized Official Name | DR. EDWIN FUENTES (PHYSICIAN) |
| Authorized Official Telephone | 4347910306 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 49D0965836 | VA | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 005641870 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629442785 | Morning Star Family Medicine PC | Clinical Medical Laboratory | 99 N San Antonio Ave, Suite 330, Upland, CA 91786-4575 | 2015-11-30 |
| Street Address |
109 DEER RUN RD |
| City | DANVILLE |
| State | VA |
| Zip Code | 24540-2863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851776462 | Erin Kosich | Nurse Practitioner | 109 Deer Run Rd, Danville, VA 24540-2863 | 2015-07-24 |
| 1932159647 | Julia Patsell | Nurse Practitioner | 109 Deer Run Rd, Danville, VA 24540-2863 | 2006-05-11 |
| 1053360966 | Edwin L Fuentes | Family Medicine | 109 Deer Run Rd, Danville, VA 24540-2863 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174981 | Sherry K Hardison | Pharmacist | Walmart, 515 Mount Cross Road, Danville, VA 24540 | 2020-11-03 |
| 1285256412 | Terri Patrice Alston | In Home Supportive Care | 220 Riverside Drive Suite C, Danville, VA 24540 | 2020-05-11 |
| 1619514312 | Glory Days Support Service, LLC | Counselor | 625 Piney Forest Rd, Suite 302c, Same, Danville, VA 24540 | 2019-12-02 |
| 1376189613 | Camilla Petty | Counselor | 265 Piney Forest Road Suite 302 C, Danville, VA 24540 | 2019-11-21 |
| 1891201513 | Jeffrey Langan | Occupational Therapy Assistant | 625 Piney Forest Rd., Danville, VA 24540 | 2017-12-18 |
| 1952822041 | H and G Transportation, LLC | Non-emergency Medical Transport (VAN) | 661 Arnett Blvd., Suite A, Danville, VA 24540 | 2017-06-29 |
| 1518316769 | Precious Nursing LLC | Home Health | 924 Arnett Bvld., Danville, VA 24540 | 2016-06-08 |
| 1487090841 | Hope Family Services LLC | Social Worker | 620 Piney Forest Road Suite, 304-a, Danville, VA 24540 | 2013-05-13 |
| 1336494764 | Jodi Leigh Davis | Speech-Language Pathologist | Center for Pediatric Therapies, 175 Deer Run Road, Danville, VA 24540 | 2012-07-23 |
| 1154618445 | Said Elfayar | Clinical Medical Laboratory | 140 West Parker Rd, Suite A, Danville, VA 24540 | 2011-07-07 |
| Find all providers in zip 24540 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756525 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 109 Bridge St Ste 101, Danville, VA 24541-1222 | 2020-10-02 |
| 1780001859 | Vista Clinical Diagnostics LLC | Clinical Medical Laboratory | 3303 U S Highway 29, Danville, VA 24540-1413 | 2014-03-26 |
| 1003166224 | Recovery Laboratory LLC | Clinical Medical Laboratory | 461 S 4th St, Danville, KY 40422-2053 | 2012-09-14 |
| 1154618445 | Said Elfayar | Clinical Medical Laboratory | 140 West Parker Rd, Suite A, Danville, VA 24540 | 2011-07-07 |
| 1427389931 | Accurate Medical Lab Inc | Clinical Medical Laboratory | 140 Parker Rd W Ste A, Danville, VA 24540-7425 | 2010-01-22 |
| 1144551862 | Ehab Elsayed | Clinical Medical Laboratory | 5016 Riverside Dr Ste A, Danville, VA 24541-5641 | 2010-01-20 |
| 1245598614 | Piedmont Labs, Inc | Clinical Medical Laboratory | 115 Mall Dr, Danville, VA 24540-4069 | 2012-04-24 |
| 1952680308 | Danville Pathologists, Inc | Clinical Medical Laboratory | 212 S Main St, Suite 4, Danville, VA 24541-2943 | 2011-08-16 |
| 1205124674 | Premiertox 2.0 Inc | Clinical Medical Laboratory | 128 Daniel Dr, Danville, KY 40422-2527 | 2011-07-19 |
| 1679861678 | Nexus Lab 2.0 LLC | Clinical Medical Laboratory | 128 Daniel Dr, Danville, KY 40422-2527 | 2011-07-12 |
| Find all providers in DANVILLE | ||||
Please comment or provide details below to improve the information on MORNING STAR FAMILY MEDICINE PC.
| 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.