CENTRA MEDICAL GROUP, LLC (NPI# 1609278357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609278357 |
| Entity Type | Organization |
| Organization Name | CENTRA MEDICAL GROUP, LLC |
| Other Organization Name | CENTRA MEDICAL GROUP AMHERST |
| Practice Address |
124 Ambriar Court Amherst VA 24521-4751 |
| Mailing Address |
2010 Atherholt Rd Lynchburg VA 24501-1106 |
| Practice Telephone | 4349469565 |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-26 |
| Authorized Official Name | LEWIS ADDISON (SR, VP, CFO) |
| Authorized Official Telephone | 4342005047 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRA MEDICAL GROUP, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Centra Medical Group Amherst | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682980 | Centra Medical Group, LLC | Family Medicine | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2019-11-06 |
| 1144880782 | Centra Medical Group, LLC | Surgery | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-06-17 |
| 1932685526 | Centra Medical Group, LLC | Anesthesiology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2018-07-17 |
| 1548750052 | Centra Medical Group, LLC | Family Medicine | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2018-05-10 |
| 1376033886 | Centra Medical Group, LLC | Family Medicine | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2018-05-10 |
| 1912434663 | Centra Medical Group, LLC | Family Medicine | 2010 Atherholt Rd, Lynchburg, VA 24501-1106 | 2017-05-12 |
| 1518315902 | Centra Medical Group, LLC | Clinic/Center | 125 Nationwide Drive, Lynchburg, VA 24502-9998 | 2016-05-26 |
| 1649624164 | Centra Medical Group, LLC | Psychologist | 2010 Atherholt Rd, Lynchburg, VA 24501-1106 | 2016-04-21 |
| 1003260522 | Centra Medical Group, LLC | Anesthesiology | 2010 Atherholt Rd, Lynchburg, VA 24501-1106 | 2016-04-21 |
| 1295104347 | Centra Medical Group, LLC | Internal Medicine | 1613 Oakwood St, Suite 201, Bedford, VA 24523-1213 | 2015-09-18 |
| Street Address |
124 AMBRIAR COURT |
| City | AMHERST |
| State | VA |
| Zip Code | 24521-4751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679542328 | Priya Kohli | Family Medicine | 124 Ambriar Court, Amherst, VA 24521 | 2006-03-15 |
| 1154419638 | Amherst Family Physicians, Inc | Clinic/Center | 124 Ambriar Court, Amherst, VA 24521 | 2006-10-10 |
| 1245209972 | Dudley Allen Raine Jr. | Family Medicine | 124 Ambriar Court, Amherst, VA 24521 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020826 | Amherst County Public Schools | Case Management | 153 Washington Street, Amherst, VA 24521 | 2020-07-08 |
| 1154712420 | Leeann Gonzalez | Physical Therapist | 115 Ambriar Ct, Amherst, VA 24521 | 2015-02-09 |
| 1457642514 | Gena Smith | Occupational Therapy Assistant | 738 N Coolwell Rd, Amherst, VA 24521 | 2011-04-25 |
| 1891922399 | Deborah K. Bowman | Family Medicine | 124 Ambriar Ct, Amherst, VA 24521 | 2009-06-11 |
| 1083883300 | Rosa Mae Garner | Licensed Practical Nurse | 454 Mansion Way, Amherst, VA 24521 | 2008-02-21 |
| 1497849947 | Ryan Webb | Physical Therapist | 115 Ambriar Court, Amherst, VA 24521 | 2006-10-02 |
| 1831293042 | Centra Health Inc | Skilled Nursing Facility | 173 Brockman Pk Dr, Amherst, VA 24521 | 2006-09-08 |
| 1558478958 | Harman Eye Center of Amherst and Associates Plc | Optometrist | 204 Ambriar Plaza, Amherst, VA 24521 | 2006-08-23 |
| 1689624637 | Amherst County Board of Supervisors | Ambulance | 119 Taylor St, Amherst, VA 24521 | 2006-05-11 |
| 1881643815 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 224 2nd Street, Amherst, VA 24521 | 2006-05-08 |
| Find all providers in zip 24521 | ||||
| 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 |
|---|---|---|---|---|
| 1619472719 | Rapha Family Medical Wellness PC | Family Medicine | 3610 Main Street, Amherst, NY 14226 | 2018-03-29 |
| 1558810804 | Michele Ann Spirko | Family Medicine | 53 Concord Way, Amherst, MA 01002-9778 | 2016-09-28 |
| 1033520341 | Adnaan Fuad Sheriff | Family Medicine | 6000 N Bailey Ave Ste 1d, Amherst, NY 14226-5138 | 2014-05-09 |
| 1811334899 | Gretel Alyce Spitzer | Family Medicine | 124 Ambriar Plz, Amherst, VA 24521-4751 | 2013-05-30 |
| 1225396823 | Christina Ann Zarate Kolp | Family Medicine | 254 Cleveland St, Suite 101, Amherst, OH 44001 | 2012-05-02 |
| 1609107531 | Dr. Jennifer Madden's Family Practice Pllc | Family Medicine | 3 Northern Blvd Ste A3, Amherst, NH 03031-2329 | 2010-01-15 |
| 1891922399 | Deborah K. Bowman | Family Medicine | 124 Ambriar Ct, Amherst, VA 24521 | 2009-06-11 |
| 1467643932 | Mary K. Engel | Family Medicine | 199 Route 101, Meeting Place Plaza, Amherst, NH 03031-1735 | 2007-08-08 |
| 1629291216 | Danielle A Degaetano | Family Medicine | 1 John James Audubon Pkwy, Amherst, NY 14228-1143 | 2007-04-11 |
| 1063561736 | Daniel E Clapp | Family Medicine | 40 Blackberry Ln, Amherst, MA 01002-1517 | 2007-01-10 |
| Find all providers in AMHERST | ||||
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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.