CRJ PHYSICIAN SERVICES (NPI# 1588747562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588747562 |
| Entity Type | Organization |
| Organization Name | CRJ PHYSICIAN SERVICES |
| Practice Address |
700 Randolph St Radford VA 24141-2430 |
| Mailing Address |
408 4th St Radford VA 24141-1412 |
| Practice Telephone | 5406396533 |
| Mailing Telephone | 5406395300 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | CHARLES R JUDY (PRESIDENT) |
| Authorized Official Telephone | 5406395300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 101050262 | VA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | CRJ Physician Services LLC | 408 4th St, Radford, Virginia 24141 |
| Street Address |
700 RANDOLPH ST |
| City | RADFORD |
| State | VA |
| Zip Code | 24141-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881663771 | Nrv Health Care LLC | Skilled Nursing Facility | 700 Randolph St, Radford, VA 24141-2430 | 2006-03-14 |
| 1255991121 | Holly Craft | Speech-Language Pathologist | 700 Randolph St, Radford, VA 24141-2430 | 2019-06-13 |
| 1396201919 | Jeannie Mcfall Grant | Physical Therapist | 700 Randolph St, Radford, VA 24141-2430 | 2019-02-19 |
| 1861989154 | Erica Peters | Speech-Language Pathologist | 700 Randolph St, Radford, VA 24141-2430 | 2018-04-23 |
| 1801300033 | Margaret Bola Kolajo | Occupational Therapist | 700 Randolph St, Radford, VA 24141-2430 | 2017-11-27 |
| 1851824734 | Taylor Elizabeth Whitaker | Speech-Language Pathologist | 700 Randolph St, Radford, VA 24141-2430 | 2017-04-06 |
| 1164871968 | Peter Schultz | Speech-Language Pathologist | 700 Randolph St, Radford, VA 24141-2430 | 2016-06-13 |
| 1215386412 | Mary Elizabeth Cook | Speech-Language Pathologist | 700 Randolph St, Radford, VA 24141-2430 | 2016-06-08 |
| 1912363516 | Johanna Agustin | Occupational Therapist | 700 Randolph St, Radford, VA 24141-2430 | 2016-01-12 |
| 1790152296 | Brittni Johnson | Physical Therapist | 700 Randolph St, Radford, VA 24141-2430 | 2015-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952948242 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 1701 Tyler Avenue, Radford, VA 24141 | 2019-12-05 |
| 1922412055 | Jeremy Gronos | Physical Therapist | 600-a East Main Street, Suite A, Radford, VA 24141 | 2014-06-17 |
| 1104188994 | Thu Lenguyen | Occupational Therapy Assistant | 700 Randolph St., Radford, VA 24141 | 2012-06-08 |
| 1316220833 | Susan Ranee' Fisher | Nurse Practitioner | 31 West Main Street, Radford, VA 24141 | 2011-09-21 |
| 1174817571 | Natalie Moore Irvine | Social Worker | 409 A East Main Street, Dublin, VA 24141 | 2011-06-02 |
| 1265628440 | Camelot of Virginia, LLC | Community Based Residential Treatment Facility, Mental Illness | 5978 Belsprings Rd., Radford, VA 24141 | 2007-09-20 |
| 1285762229 | Goodwill Industries of The Valleys - Radford | Day Training, Developmentally Disabled Services | 103 Duncan Lane, Radford, VA 24141 | 2007-03-01 |
| 1154480697 | Kathryn E. Ganhewa | Counselor | 409 East Main St., Suite A, Radford, VA 24141 | 2006-12-08 |
| 1487759957 | Professional Rehab Associates, Inc | Physical Therapist | 1200 Tyler Ave, Radford, VA 24141 | 2006-09-13 |
| 1437183969 | Scott Irwin | Nurse Practitioner | 2900 Lambs Circle Rd, Radford, VA 24141 | 2006-07-10 |
| Find all providers in zip 24141 | ||||
| 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 |
|---|---|---|---|---|
| 1447286265 | Thomas Fritz Knisely | Family Medicine | 514 Adams St, Radford, VA 24142-6899 | 2006-06-23 |
| 1326095100 | Rania Bajwa Rosborough | Family Medicine | 614 E Main St Ste B, Radford, VA 24141-1818 | 2006-05-27 |
| 1922089556 | Daniel R Kelly | Family Medicine | 701 Randolph St Ste 120, Radford, VA 24141-3047 | 2005-11-10 |
| 1962496018 | Stephen A. Beese | Family Medicine | 110 7th St, Radford University Student Health Center, Radford, VA 24141-2410 | 2005-09-06 |
| 1720085392 | Charles Raeburn Judy | Family Medicine | 600 Randolph St, Radford, VA 24141-2428 | 2005-06-28 |
| 1861888927 | Benjamin Henry Morgan | Family Medicine | 701 Randolph St Ste 120, Radford, VA 24141 | 2015-04-15 |
| 1386802031 | Radford Family Medicine LLC | Family Medicine | 600 E Main St, Suite D, Radford, VA 24141-1826 | 2008-05-29 |
| 1740393891 | Family Health Clinic, Inc. | Family Medicine | 600 Randolph St, Radford, VA 24141-2428 | 2006-08-15 |
| 1760463301 | Scott A Kincaid | Family Medicine | 701 Randolph St, Suite 120, Radford, VA 24141-3047 | 2005-11-10 |
| 1780665331 | Thaddeus C Lee | Family Medicine | 701 Randolph St, Suite 120, Radford, VA 24141-3047 | 2005-11-10 |
| Find all providers in RADFORD | ||||
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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.