HOPE REGIONAL MEDICAL CLINIC (NPI# 1710448006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710448006 |
| Entity Type | Organization |
| Organization Name | HOPE REGIONAL MEDICAL CLINIC |
| Practice Address |
546 W Ridgeway St Warrenton NC 27589-1716 |
| Practice Telephone | 2522421010 |
| Mailing Telephone | 2522421010 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-06-10 |
| Authorized Official Name | DR. DEMAURA RUSSELL (OWNER) |
| Authorized Official Telephone | 2522041331 |
| 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 |
| Street Address |
546 W RIDGEWAY ST |
| City | WARRENTON |
| State | NC |
| Zip Code | 27589-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578858247 | Warren Community Health Clinic Inc. | Clinic/Center | 546 W Ridgeway St, Warrenton, NC 27589-1716 | 2011-06-10 |
| 1326420928 | Markiesha Edgerton | Nurse Practitioner | 546 W Ridgeway St, Warrenton, NC 27589-1716 | 2015-06-19 |
| 1275815698 | Deanne S. Edwards | Nurse Practitioner | 546 W Ridgeway St, Warrenton, NC 27589-1716 | 2011-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972154151 | Myia Pitt | Technician | 305 E Butte Street, Warrenton, NC 27589 | 2019-09-27 |
| 1326507260 | Alpha Magnolia Garden LLC | Assisted Living Facility | 930 Hwy. 158 Bus. East, Warrenton, NC 27589 | 2019-03-19 |
| 1780069096 | Anna D Ragonese | Occupational Therapist | 864 Hwy Business 158 West, Warrenton, NC 27589 | 2015-07-28 |
| 1225440480 | Reid Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 191 Railroad Lane, Warrenton, NC 27589 | 2014-05-22 |
| 1255759155 | Jocqueline Spencer | Occupational Therapist | 864 Us Highway 158, Business West, Warrenton, NC 27589 | 2014-03-29 |
| 1871914705 | Kimberlee Plyler | Occupational Therapy Assistant | 864 Us Hwy 158 Business, Warrenton, NC 27589 | 2013-12-19 |
| 1104251008 | Ilana Danielle Coffer | Speech-Language Pathologist | Us Hwy 158 Business W, Warrenton, NC 27589 | 2013-09-10 |
| 1134552722 | Derick Nathaniel Bayersdorfer | Occupational Therapy Assistant | 864 Us Hwy 158 Business West, Warrenton, NC 27589 | 2013-08-19 |
| 1144669979 | Goode Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 391 Snowhill Road, Warrenton, NC 27589 | 2013-06-14 |
| 1831532944 | Futrell Pharmacy Service, Inc | Pharmacy | 108b S. Main Street, Warrenton, NC 27589 | 2013-04-09 |
| Find all providers in zip 27589 | ||||
| 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 |
|---|---|---|---|---|
| 1275913790 | Todd Horstman | Family Medicine | 722 N State Highway 47 Ste B, Warrenton, MO 63383-1108 | 2015-06-01 |
| 1831577196 | Elizabeth Dietrich Erikson | Family Medicine | 1639 Se Ensign Ln Ste B103, Warrenton, OR 97146 | 2015-05-07 |
| 1164815262 | Carolina Medicorp Enterprises Inc | Family Medicine | 480 Fletcher Dr, Suite 3, Warrenton, VA 20186-2185 | 2015-03-13 |
| 1144665407 | Ahmad Babar | Family Medicine | 225 Oak Springs Dr Ste 101, Warrenton, VA 20186-2186 | 2013-04-30 |
| 1295048031 | Charles Patrick Coyne IIi | Family Medicine | 521 Anwijo Way, Warrenton, MO 63383-1388 | 2010-07-22 |
| 1225135965 | Liza A Cua | Family Medicine | 91400 N. Neacoxie Street, Bldg 7315, Warrenton, OR 97146 | 2006-09-17 |
| 1972606820 | Beckford Avenue Medical Center Inc | Family Medicine | 816 Us Hwy 158 W Suite 102, Warrenton, NC 27589 | 2006-09-06 |
| 1134142391 | Lillian Rae Horne | Family Medicine | 816 Us Hwy 158 Business West, Warrenton, NC 27589 | 2006-07-26 |
| 1346272739 | Alexander Gloria | Family Medicine | 171 S Highway 101, Warrenton, OR 97146 | 2006-07-07 |
| 1710915707 | Toni Kilyk | Family Medicine | 210 W Shirley Ave, Warrenton, VA 20186-3009 | 2006-06-29 |
| Find all providers in WARRENTON | ||||
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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.