PRINCE SQUIRE MEDICAL CENTER PC (NPI# 1669496030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669496030 |
| Entity Type | Organization |
| Organization Name | PRINCE SQUIRE MEDICAL CENTER PC |
| Practice Address |
219 Weaver Avenue Emporia VA 23847 |
| Practice Telephone | 4346344148 |
| Practice Fax Number | 4346346963 |
| Mailing Telephone | 4346344148 |
| Mailing Fax Number | 4346346963 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PETER WEAVER SQUIRE (VICE PRESIDENT) |
| Authorized Official Telephone | 4346344148 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5903779 | 05 |
| Street Address |
219 WEAVER AVENUE |
| City | EMPORIA |
| State | VA |
| Zip Code | 23847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518981976 | Peter W Squire | Family Medicine | 219 Weaver Avenue, Emporia, VA 23847 | 2006-07-27 |
| 1912921396 | John Stuart Prince Sr. | General Practice | 219 Weaver Avenue, Emporia, VA 23847 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689454 | Laniesha Stephens Dunn | Social Worker | 407 Halifax St Ste 3, Emporia, VA 23847 | 2018-05-18 |
| 1073016382 | Audrey O Brown | Private Vehicle | 2926 Slagles Road, Emporia, VA 23847 | 2018-03-13 |
| 1598280844 | Daisy's Transportation LLC | Driver | 710 N. Main Street, Emporia, VA 23847 | 2017-08-08 |
| 1336486836 | From Start 2 Finish Counseling Services, Inc | Community/Behavioral Health | 425d South Main Street, Emporia, VA 23847 | 2013-01-03 |
| 1316245681 | William Robert Shannonhouse Jr. | Pharmacist | 220 Market Drive, Emporia, VA 23847 | 2011-03-10 |
| 1669791984 | District 19 Community Services Board | Nursing Care | 502 Sadler Dr, Emporia, VA 23847 | 2010-05-26 |
| 1740310143 | Harold J Neal, Jr. Dds, PC | Dentist | 508 Belfield Dr., Emporia, VA 23847 | 2007-03-06 |
| 1376637504 | Charles V Omick | Nurse Anesthetist, Certified Registered | 727 North Main Street, Emporia, VA 23847 | 2006-10-03 |
| 1003838442 | Marcelin Medical Center | Clinic/Center | 137 Baker Sreet, Emporia, VA 23847 | 2006-07-24 |
| 1790740132 | John Michael Griffin | Psychologist | 307 B Dogwood Lane, Emporia, VA 23847 | 2006-04-19 |
| Find all providers in zip 23847 | ||||
| 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 |
|---|---|---|---|---|
| 1457511321 | Amanda Lee Ruxton | Family Medicine | 1301 W 12th Ave Ste 101, Emporia, KS 66801 | 2008-06-13 |
| 1619990918 | Kimberly K Schmid | Family Medicine | 1301 W 12th Avenue, # 101, Emporia, KS 66801 | 2006-07-26 |
| 1538102819 | Michael S Anderson | Family Medicine | 6 Doctors Dr, Emporia Medical Associates PC, Emporia, VA 23847-1240 | 2006-06-14 |
| 1730129545 | Adolph V Flowers | Family Medicine | 6 Doctors Drive, Emporia Medical Associates PC, Emporia, VA 23847-1240 | 2006-06-08 |
| 1407856172 | Spencer G Feldmann | Family Medicine | 511 Belfield Dr, Emporia, VA 23847-1217 | 2005-07-26 |
| 1265094973 | Jennifer Robinson Watson | Family Medicine | 6 Doctors Dr, Emporia, VA 23847-1240 | 2019-07-02 |
| 1841782661 | Franklin Clinic Corp | Family Medicine | 6 Doctors Dr, Emporia, VA 23847-1240 | 2018-06-06 |
| 1912498296 | Integrity Medical, LLC | Family Medicine | 1301 W 12th Ave Ste 101, Emporia, KS 66801 | 2018-05-23 |
| 1114382876 | Newman Medical Partners, LLC | Family Medicine | 1301 W 12th Ave, Ste. 301, Emporia, KS 66801 | 2015-12-23 |
| 1407175573 | Anna Lasota | Family Medicine | 1301 W 12th Ave Ste 301, Emporia, KS 66801-2590 | 2010-05-27 |
| Find all providers in EMPORIA | ||||
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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.