DOMINION MEDICAL HEALTH ASSOC


Address: 2232 Wilborn Ave, Suite D, South Boston, VA 24592
Phone: 4345173640

DOMINION MEDICAL HEALTH ASSOC (NPI# 1730455411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730455411
Entity Type Organization
Organization Name DOMINION MEDICAL HEALTH ASSOC
Other Organization Name SENTORA SOUTHSIDE HEMATOLOGY & ONCOLOGY
Practice Address 2232 Wilborn Ave
Suite D
South Boston
VA 24592
Mailing Address P.o. Box 860
South Boston
VA 24592
Practice Telephone 4345173640
Practice Fax Number 4345173887
Mailing Telephone 4345173513
Mailing Fax Number 4345173887
Enumeration Date 2012-03-28
Last Update Date 2015-02-10
Authorized Official Name CECIL F HAZELWOOD (MANAGER (SDHG))
Authorized Official Telephone 4345173515
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Sentora Southside Hematology & Oncology Doing Business As Name - Organization

Office Location

Street Address 2232 WILBORN AVE
SUITE D
City SOUTH BOSTON
State VA
Zip Code 24592

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700881885 Tessie Otero-truitt Internal Medicine 2232 Wilborn Ave, Ste B, South Boston, VA 24592-1662 2005-06-16
1225658206 Brandi S Thompson Nurse Practitioner 2232 Wilborn Ave, South Boston, VA 24592-1662 2020-04-20
1588189609 Allison Newbill Pope Nurse Practitioner 2232 Wilborn Ave, South Boston, VA 24592-1662 2017-08-09
1619370087 Anthony Wilkerson Nurse Practitioner 2232 Wilborn Ave, Suite A, South Boston, VA 24592-1662 2014-09-30
1962744508 Whitney A Myers Nurse Practitioner 2232 Wilborn Ave, South Boston, VA 24592-1662 2013-03-21
1285970236 Katherine Gambino Physician Assistant 2232 Wilborn Ave, Suite G, South Boston, VA 24592-1662 2012-12-19
1427306315 Dominion Health Medical Assoc Specialist 2232 Wilborn Ave, Suite F, South Boston, VA 24592 2012-08-27
1801175567 Dominion Health Medical Associates Clinic/Center 2232 Wilborn Ave, South Boston, VA 24592-1662 2011-08-12
1316267750 Gareth Murchison Titus Specialist 2232 Wilborn Ave, Suite A, South Boston, VA 24592-1662 2010-06-08
1598099376 Janardhan Srinivasan Internal Medicine 2232 Wilborn Ave, South Boston, VA 24592-1662 2009-09-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154966398 Transformations Center for Health Wellness LLC Counselor 2170 Sandy Beach Road, South Boston, VA 24592 2019-11-12
1740830215 Kirstyn Lokker Occupational Therapist 1 High School Circle, South Boston, South Boston, VA 24592 2019-09-17
1841764248 Nicole Ivey Occupational Therapy Assistant 103 Rosehil Rd, South Boston, VA 24592 2019-01-18
1841700960 Bio-medical Applications of Virginia, Inc. Clinic/Center 130 Aubreys Loop, South Boston, VA 24592 2017-10-03
1659828820 Family Preservation Services, Inc Community/Behavioral Health 1 High School Circle, South Boston, VA 24592 2016-09-06
1316222821 Family and Children Enrichment Services Inc. Health Maintenance Organization 220 Paradise Lane, South Boston, VA 24592 2011-10-15
1326365578 Brinda Howard Nurse's Aide 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 2010-04-28
1356513543 Betts Medical Supplies, LLC. Durable Medical Equipment & Medical Supplies 403 Factory Street, Suite B, South Boston, VA 24592 2008-03-27
1407051873 Dominion Health Medical Assoc Legal Medicine 101 Aubrey's Loop Rd, South Boston, VA 24592 2007-06-18
1437352945 Behavioral Health Associates, Inc. Non-emergency Medical Transport (VAN) 515 Yancey Ave, South Boston, VA 24592 2007-06-11
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295746931 Neil Schacht Md Hematology Oncology Practice of Southside Va PC Internal Medicine 2232 Wilborn Ave, Suite D, South Boston, VA 24592-1662 2006-08-10
1902840663 Neil Fredric Schacht Internal Medicine 2232 Wilborn Ave, Suite D, Hematology Oncology Practice of Southside Va, PC, South Boston, VA 24592-1662 2006-06-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093339764 Loudoun Medical Group . P.c Internal Medicine 19500 Sandridge Way Ste 400, Leesburg, VA 20176-3691 2020-05-29
1316566839 Stephen Smith Kennedy Internal Medicine 1108 Doe Mountain Rd, Goodview, VA 24095-2496 2020-04-14
1740640804 Virginia Hematology Oncology Physicians Inc Internal Medicine 2556 Fox Hound Ct, Herndon, VA 20171-2996 2016-03-02
1326423260 John J Welch Internal Medicine 2040 Antananarivo Pl, Dulles, VA 20189-2039 2015-07-21
1144637786 Toshihisa Satta Internal Medicine 1250 E Marshall St # 980509, Richmond, VA 23298-5051 2014-07-15
1366860496 Krista Isaac Internal Medicine 1215 Lee St - Box Number 800716, Charlottesville, VA 22908-0001 2014-04-05
1760800858 Sonia Esparza Hepburn Internal Medicine 500 Sentara Cir Ste 203, Williamsburg, VA 23188-5727 2014-04-04
1326485202 Kristopher Joel Hansen Internal Medicine 2600 Research Center Dr Ste A, Blacksburg, VA 24060 2013-05-31
1528326329 Rahul Singh Internal Medicine 8101 Hinson Farm Rd Ste 211, Alexandria, VA 22306 2012-04-30
1821363219 Oliver Alabaster Internal Medicine 4318 Adrienne Dr, Alexandria, VA 22309-2803 2012-03-19
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Competitor

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City SOUTH BOSTON
Zip Code 24592

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Dataset Information

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.

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