MR. GREGORY S DEACON (NPI# 1639365273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639365273 |
| Entity Type | Individual |
| Full Name | MR. GREGORY S DEACON |
| Credential | CP |
| Practice Address |
315 Hospital Dr Suite 104 Martinsville VA 24112-1945 |
| Mailing Address |
4338 Williamson Rd Nw Roanoke VA 24012-2821 |
| Practice Telephone | 2766345690 |
| Practice Fax Number | 2766345691 |
| Mailing Telephone | 5403668287 |
| Mailing Fax Number | 5403663050 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2014-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7795211 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689740078 | Gregory Scot Deacon | Psychologist | 201 Sheldon Blvd Se, Grand Rapids, MI 49503-4513 | 2006-11-28 |
| Street Address |
315 HOSPITAL DR SUITE 104 |
| City | MARTINSVILLE |
| State | VA |
| Zip Code | 24112-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790786481 | Paul Alfred Holyfield | Obstetrics & Gynecology | 315 Hospital Dr, Suite 201, Martinsville, VA 24112-1945 | 2005-08-03 |
| 1154860310 | Compassionate Care Pediatrics, LLC | Allergy & Immunology | 315 Hospital Dr, Ste 101, Martinsville, VA 24112-1945 | 2017-02-20 |
| 1235547134 | Integrative Centers Science and Medicine | Obstetrics & Gynecology | 315 Hospital Dr, Suite 206, Martinsville, VA 24112-1945 | 2014-07-24 |
| 1982890521 | Todd A Gerl | Specialist | 315 Hospital Dr, Suite 104, Martinsville, VA 24112-1945 | 2007-09-18 |
| 1194921833 | William C Earles | Orthotic Fitter | 315 Hospital Dr, Suite 104, Martinsville, VA 24112-1945 | 2007-06-21 |
| 1891990099 | Free Medical Clinic of Martinsville & Henry County | Voluntary or Charitable | 315 Hospital Dr, Suite 203, Martinsville, VA 24112-1945 | 2007-06-18 |
| 1922202829 | Isis Women's Care LLC | Obstetrics & Gynecology | 315 Hospital Dr, Suite 105, Martinsville, VA 24112-1945 | 2007-06-13 |
| 1033329438 | Jeannie Marie Tatum | Physical Therapist | 315 Hospital Dr, Martinsville, VA 24112-1945 | 2007-05-23 |
| 1710197744 | Kimberly L Matchett | Obstetrics & Gynecology | 315 Hospital Dr, Sutie 105, Martinsville, VA 24112-1945 | 2007-05-22 |
| 1780758797 | Sprinkle Medical | Otolaryngology | 315 Hospital Dr, Suite 108, Martinsville, VA 24112-1945 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
| 1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
| 1780184523 | Susan Fullerton | Speech-Language Pathologist | 288 Lancer Lane, Martinsville, VA 24112 | 2018-02-19 |
| 1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
| 1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
| 1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
| 1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
| 1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
| 1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
| 1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
| Find all providers in zip 24112 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275976326 | Sheree L. Dandridge | Prosthetist | 538 S Memorial Blvd., Martinsville, VA 24112 | 2013-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455595 | Maree Antonette Newby-sanders | Prosthetist | 10019 Jefferson Ave, Newport News, VA 23605-1044 | 2020-10-20 |
| 1578181590 | Kenneth James Tallada Garcia | Prosthetist | 100 Emancipation Dr Prosthetics Dept, Hampton, VA 23667-0001 | 2020-07-07 |
| 1508480351 | Chanetta Meredith | Prosthetist | 5849 Courthouse Rd, Prince George, VA 23875-2516 | 2020-06-07 |
| 1871147504 | Akyra Roane | Prosthetist | 1453 George Washington Memorial Hwy, Gloucester Point, VA 23062-2028 | 2019-07-31 |
| 1083268197 | Virginia Prosthetics Inc | Prosthetist | 10710 Midlothian Tpke Ste 116, North Chesterfield, VA 23235-4766 | 2019-07-26 |
| 1619536760 | Image Maker Hair Salon and Wig Studio | Prosthetist | 1033a Claymont Dr, Lynchburg, VA 24502-4481 | 2019-06-12 |
| 1790349868 | Sylvia Silver | Prosthetist | 5209 Art Ave, Henrico, VA 23231-3962 | 2019-04-24 |
| 1205308210 | Clover Charles | Prosthetist | 476 Oakley Ave, Lynchburg, VA 24501-3647 | 2019-01-02 |
| 1699266254 | Alisha Treadwell | Prosthetist | 22181 Lake Jordan Dr, North Dinwiddie, VA 23803-6553 | 2018-05-18 |
| 1942719893 | Lydia Green | Prosthetist | 3204 Scarborough Way, Virginia Beach, VA 23453-3055 | 2017-09-22 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSVILLE |
| Zip Code | 24112 |
Please comment or provide details below to improve the information on MR. GREGORY S DEACON.
| 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.