CENTRA HEALTH PROFESSIONAL SERVICES, LLC (NPI# 1639462286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639462286 |
| Entity Type | Organization |
| Organization Name | CENTRA HEALTH PROFESSIONAL SERVICES, LLC |
| Other Organization Name | CENTER FOR INFECTIOUS DISEASE |
| Practice Address |
4500 Riverside Dr Suite B Danville VA 24541-5167 |
| Mailing Address |
1204 Fenwick Dr Lynchburg VA 24502-2112 |
| Practice Telephone | 4347925506 |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |
| Authorized Official Name | ARTHUR LEAVITT (VP PHYSICIAN PRACTICE MANAGEMENT) |
| Authorized Official Telephone | 4342003656 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRA HEALTH PROFESSIONAL SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Center for Infectious Disease | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043662828 | Centra Health Professional Services, LLC | Internal Medicine | 414 Park Avenue, Danville, VA 24541-9998 | 2016-07-06 |
| 1760776447 | Centra Health Professional Services, LLC | Family Medicine | 10961 Lee Jackson Highway, Big Island, VA 24526 | 2011-05-31 |
| 1811135593 | Centra Health Professional Services, LLC | Physical Medicine & Rehabilitation | 404 Airport Dr, Suite C, Danville, VA 24540-5196 | 2009-02-03 |
| 1346486560 | Centra Health Professional Services, LLC | Family Medicine | 1902 Grace St, Lynchburg, VA 24504-3524 | 2008-12-17 |
| 1497900047 | Centra Health Professional Services, LLC | Urology | 1039 Mayberry Crossing Drive, Moneta, VA 24121 | 2008-11-24 |
| 1538101969 | Centra Health Professional Services, LLC | Physical Medicine & Rehabilitation | 1900 Tate Springs Rd, Suite 16, Lynchburg, VA 24501-1122 | 2006-06-11 |
| 1235480351 | Centra Health Professional Services, LLC | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2012-09-28 |
| 1316298433 | Centra Health Professional Services, LLC | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2012-09-28 |
| 1033471438 | Centra Health Professional Services, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1701 Thomson Dr, Lynchburg, VA 24501-1118 | 2012-06-12 |
| 1770840654 | Centra Health Professional Services, LLC | Orthopaedic Surgery | 1613 Oakwood St, Suite 101, Bedford, VA 24523-1213 | 2012-04-18 |
| Street Address |
4500 RIVERSIDE DR SUITE B |
| City | DANVILLE |
| State | VA |
| Zip Code | 24541-5167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205860681 | Pamela Jocelyn Adrienne Heath | Family Medicine | 4500 Riverside Dr, Suite B, Danville, VA 24541-5167 | 2006-07-10 |
| 1427362730 | Total Family Care Pllc | Family Medicine | 4500 Riverside Dr, Suite B, Danville, VA 24541-5167 | 2010-07-28 |
| 1003933953 | Patricia Ann Duprey | Dermatology | 4500 Riverside Dr, Suite A, Danville, VA 24541-5167 | 2007-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303551 | Damon Lee Simpson | Occupational Therapy Assistant | 1616 Maple Dr, Danville, VA 24541 | 2018-07-27 |
| 1578065041 | Strategic Therapy Associates, Inc. | Transportation Broker | 1225 W Main Street, Danville, VA 24541 | 2018-03-01 |
| 1790291078 | Vicente T Falgui Md PC | Internal Medicine | 990 Main Street, Suite 204, Danville, VT 24541 | 2017-12-21 |
| 1558884270 | Focus Point Mental Health, LLC | Community/Behavioral Health | 116 Magnolia Drive, Danville, VA 24541 | 2017-07-25 |
| 1073045522 | Brittney Paige Throckmorton-samples | Physical Therapist | 174 Executive Drive, Danville, VA 24541 | 2017-04-03 |
| 1114378106 | Laurie Rich Taylor | Nurse Practitioner | 541 Bridge Street, Suite 1, Danville, VA 24541 | 2016-06-30 |
| 1285085779 | Larry Keller | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541 | 2016-06-25 |
| 1952617474 | Joshua Home Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 223 Randolph Street, Danville, VA 24541 | 2010-08-21 |
| 1922274661 | Blankenship & Davis Opticians Inc | Eyewear Supplier (Equipment, not the service) | 625 West Main Street, Danville, VA 24541 | 2008-05-02 |
| 1750588307 | Tiffany Devon Clark | Physical Therapy Assistant | 432 Hermitage Dr., Danville, VA 24541 | 2007-06-28 |
| Find all providers in zip 24541 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932385028 | Balaji Desai | Internal Medicine | 159 Executive Dr Ste K, Danville, VA 24541-4160 | 2008-01-18 |
| 1215942081 | Mitchell D Krathwohl Md PC | Internal Medicine | 2255 E Main St, Danville, IN 46122-8465 | 2006-07-30 |
| 1194701482 | Bruce H. Hamory | Internal Medicine | 100 N Academy Ave., Danville, PA 17822-1341 | 2005-12-19 |
| 1356349799 | Inwha Kim | Internal Medicine | 1900 E Main St, Danville, IL 61832-5100 | 2005-07-11 |
| 1730691841 | Hendricks County Hospital | Internal Medicine | 112 Hospital Ln Ste 110, Danville, IN 46122-2600 | 2017-10-30 |
| 1508127069 | Darrell Andre Mcbride II | Internal Medicine | 100 N Academy Ave, Danville, PA 17822-9800 | 2012-05-31 |
| 1386969160 | Taesung Kwon | Internal Medicine | 100 N Academy Ave, Danville, PA 17822-1341 | 2010-04-05 |
| 1407099567 | Carlos Mario Jaramillo | Internal Medicine | 100 N Academy Ave, Danville, PA 17822-6007 | 2009-04-18 |
| 1043225873 | Comprehensive Infectious Disease of Indiana P C | Internal Medicine | 2255 E Main St, Danville, IN 46122-8465 | 2006-07-30 |
| 1326079849 | Geisinger Clinic | Internal Medicine | 100 N Academy Ave, Danville, PA 17822 | 2006-07-05 |
| Find all providers in DANVILLE | ||||
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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.