SUSANNE NATALIE TRACHTENBERG (NPI# 1639424526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639424526 |
| Entity Type | Individual |
| Full Name | SUSANNE NATALIE TRACHTENBERG |
| Credential | M.D. |
| Practice Address |
828 Main St Suite 1702 Lynchburg VA 24504-1500 |
| Mailing Address |
828 Main Street Suite 1702 Lynchbur PA 24504 |
| Practice Telephone | 4345283263 |
| Practice Fax Number | 6178070958 |
| Mailing Telephone | 4345283263 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD 428966 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
828 MAIN ST SUITE 1702 |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24504-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770516148 | Blue Ridge Residential Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 828 Main St, Suite 1103, Lynchburg, VA 24504-1500 | 2006-07-09 |
| 1437304151 | Blue Ridge Support Services, LLC | Community/Behavioral Health | 828 Main St, Suite 1103, Lynchburg, VA 24504-1500 | 2008-11-21 |
| 1083821730 | Blue Ridge Home Health Services, LLC | Home Health | 828 Main St, Suite 1103, Lynchburg, VA 24504-1500 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881230928 | Lewis Medical Transport LLC | Non-emergency Medical Transport (VAN) | 108 Carnell Lane, Lynchburg, VA 24504 | 2019-11-25 |
| 1477048973 | Ptc Wellness Centers Bwxt | Family Medicine | 1570 Mt. Athos Rd., Lynchburg, VA 24504 | 2018-06-27 |
| 1942702824 | Esther Charles Jacob | Pharmacist | 800 Fifth Street, Lynchburg, VA 24504 | 2018-03-06 |
| 1295241123 | Denise Marie Ditto | Counselor | 1900 Tate Springs Rd Suite 3, Lynchburg, VA 24504 | 2017-12-14 |
| 1689103426 | Central Virginia Alliance for Community Living, Inc. | Registered Nurse | 501 12th Street, Suite A, Lynchburg, VA 24504 | 2017-06-06 |
| 1780058628 | Community Access Network | Clinic/Center | 800 5th Street Suite A, Lynchburg, VA 24504 | 2015-11-16 |
| 1053716233 | Danielle Kelly Foltz | Nurse Practitioner | Johnson Health Center, 320 Federal Street, Lynchburg, VA 24504 | 2014-10-30 |
| 1013215441 | Erika Gioia Theodorides | Counselor | 1000 Jefferson St., Suite 2c, Lynchburg, VA 24504 | 2011-03-09 |
| 1326211616 | Jesse Calloway's Family Services | Exclusive Provider Organization | 1129 Cosby St, Lynchburg, VA 24504 | 2008-04-08 |
| 1366624108 | Lynchburg Dept Social Svs | Social Worker | 99 9th Street, Lynchburg, VA 24504 | 2007-12-04 |
| Find all providers in zip 24504 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164659025 | Fritz Johanne Policard | Psychiatry & Neurology | 2025 Tate Springs Rd Ste B1, Lynchburg, VA 24501-1116 | 2009-06-18 |
| 1477635647 | Carl R. Hoegerl | Psychiatry & Neurology | 2025 Tate Springs Rd, Lynchburg, VA 24501-1116 | 2006-10-19 |
| 1578580320 | Octavio Demarchena | Psychiatry & Neurology | 1933 Thomson Dr, Lynchburg, VA 24501-1008 | 2006-07-17 |
| 1720463821 | Centra Medical Group, LLC | Psychiatry & Neurology | 1933 Thomson Dr, Lynchburg, VA 24501-1008 | 2015-07-30 |
| 1457779506 | Rahul Guha | Psychiatry & Neurology | 2025 Tate Springs Rd, Lynchburg, VA 24501-1116 | 2014-04-04 |
| 1306938014 | Neurology Associates of Lynchburg, Inc | Psychiatry & Neurology | 1933 Thomson Dr, Lynchburg, VA 24501-1008 | 2006-09-29 |
| 1285649673 | Peter L. Konieczny | Psychiatry & Neurology | 1933 Thomson Dr, Lynchburg, VA 24501-1008 | 2006-07-31 |
| 1770504342 | William Miles Wallace | Psychiatry & Neurology | 1933 Thomson Dr, Lynchburg, VA 24501-1008 | 2006-07-21 |
| 1972520476 | Charles R Joseph | Psychiatry & Neurology | 1933 Thomson Dr, Lynchburg, VA 24501-1008 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
| 1790342285 | Neural Network Pllc | Psychiatry & Neurology | 4660 Kenmore Ave Ste 408, Alexandria, VA 22304-1306 | 2019-05-21 |
| 1497226021 | Virginia Beach Neurology Ltd | Psychiatry & Neurology | 968 First Colonial Rd Ste 103, Virginia Beach, VA 23454-3171 | 2018-12-07 |
| 1750870556 | Evergreen Neurology and Sleep Center | Psychiatry & Neurology | 8609 Sudley Rd Ste 204, Manassas, VA 20110-4500 | 2018-05-07 |
| 1669976221 | Fairfax Family Life Behavioral Health, LLC | Psychiatry & Neurology | Fairfaxpark Office Plaza, 9512 B Lee Highway, Fairfax, VA 22031 | 2018-03-20 |
| 1821599234 | John H. Seok, M.d., P.C. | Psychiatry & Neurology | 3919 Old Lee Hwy Ste 81a, Fairfax, VA 22030-2430 | 2018-02-22 |
| 1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
| 1023533718 | Riverside Physician Services Inc. | Psychiatry & Neurology | 659 Hospital Rd Ste 101, Tappahannock, VA 22560-7000 | 2017-08-03 |
| 1407306442 | Virginia Hospital Center Physician Group LLC | Psychiatry & Neurology | 1715 N George Mason Dr Ste 409, Arlington, VA 22205-3665 | 2016-10-13 |
| 1144676701 | Andrew Keith Worthington | Psychiatry & Neurology | 4200 Sulgrave Rd, Richmond, VA 23221-3255 | 2016-05-12 |
| Find all providers with the same taxonomy | ||||
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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.