ALAN STOCKARD PC (NPI# 1740360114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740360114 |
Entity Type | Organization |
Organization Name | ALAN STOCKARD PC |
Other Organization Name | ACADEMIC SPORTS CARE ASSOCIATES |
Practice Address |
101 Professional Park Dr Se Suite 3 Blacksburg VA 24060-6685 |
Mailing Address |
Po Box 1572 Radford VA 24143-1572 |
Practice Telephone | 5409514000 |
Practice Fax Number | 5406331524 |
Mailing Telephone | 5406396736 |
Mailing Fax Number | 5406331524 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. BEN WILLIAM CONROY (ACCOUNT MANAGER) |
Authorized Official Telephone | 5406331524 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Academic Sports Care Associates | Doing Business As Name - Organization |
Street Address |
101 PROFESSIONAL PARK DR SE SUITE 3 |
City | BLACKSBURG |
State | VA |
Zip Code | 24060-6685 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477633832 | Per Gunnar Brolinson | Neuromusculoskeletal Medicine, Sports Medicine | 101 Professional Park Dr Se, Suite 3, Blacksburg, VA 24060-6685 | 2006-10-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144789215 | Center for Cognition, Language & Speech, LLC | Speech-Language Pathologist | 1999 South Main St., Suite 303, Blacksburg, VA 24060 | 2019-03-18 |
1669945465 | Hannah Jacqueline Lower | Physical Therapy Assistant | Kroontje Healthcare Center, 100 Litton Lane, Blacksburg, VA 24060 | 2019-01-04 |
1720568637 | Amy Butler | Nurse Practitioner | Blue Ridge Cancer Center, 2955 Research Drive, Blacksburg, VA 24060 | 2018-08-20 |
1134615321 | Benjamin Toliver Matthews | Dentist | 1400 S. Main St, Ste 1, Blacksburg, VA 24060 | 2018-07-10 |
1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
1316333685 | Access and Mobility | Durable Medical Equipment & Medical Supplies | 2536 Blossom Trail West, Blackburg, VA 24060 | 2015-04-13 |
1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
1891038949 | Holly P. Martin | Physician Assistant | 3706 South Main Street, Suite D, Blacksburg, VA 24060 | 2013-03-27 |
1174875330 | Catawba Hospital | Chronic Disease Hospital | 1801 Glade Road, Blacksburg, VA 24060 | 2012-10-11 |
1083964316 | Karla Sue Soukup | Marriage & Family Therapist | 510 S. Main Street, Blackburg, VA 24060 | 2012-09-13 |
Find all providers in zip 24060 |
Taxonomy Code | 204C00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neuromusculoskeletal Medicine, Sports Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477633832 | Per Gunnar Brolinson | Neuromusculoskeletal Medicine, Sports Medicine | 101 Professional Park Dr Se, Suite 3, Blacksburg, VA 24060-6685 | 2006-10-17 |
1861453078 | Blue Ridge Academic Medical Group, Plc | Neuromusculoskeletal Medicine, Sports Medicine | 3700 S Main St, Blacksburg, VA 24060-7017 | 2006-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699846121 | Orthopaedic Associates of Virginia, Ltd | Neuromusculoskeletal Medicine, Sports Medicine | 953b West 21st St, Virginia Beach, VA 23517 | 2006-11-13 |
1003987819 | Orthopaedic Associates of Virginia, Ltd | Neuromusculoskeletal Medicine, Sports Medicine | 2020 General Booth Blvd, Suite 110, Virginia Beach, VA 23454-5875 | 2006-11-13 |
1386741742 | David Cole Wilson IIi | Neuromusculoskeletal Medicine, Sports Medicine | 1355 Richmond Rd., Staunton, VA 24402-4000 | 2006-09-20 |
1548367667 | Rebecca Webb Tanner | Neuromusculoskeletal Medicine, Sports Medicine | 4582 Franklin Rd Sw, Roanoke, VA 24014-5144 | 2006-09-20 |
1801991427 | Hopewell Orthopaedic Center, Inc | Neuromusculoskeletal Medicine, Sports Medicine | 2 E Hundred Rd, Chester, VA 23836-2609 | 2006-09-14 |
1750303962 | Stephen C Saddler | Neuromusculoskeletal Medicine, Sports Medicine | 8101 Hinson Farm Road, Suite 301, Alexandria, VA 22306 | 2006-07-24 |
1740255637 | Craig Ernest Bischoff | Neuromusculoskeletal Medicine, Sports Medicine | 620 John Paul Cirlce, Portsmouth, VA 23708-2197 | 2006-02-22 |
1558485474 | Tony Tsitos | Neuromusculoskeletal Medicine, Sports Medicine | 7501 Little River Tpke, Annandale, VA 22003-2923 | 2007-03-17 |
1770632606 | Neerada Rao | Neuromusculoskeletal Medicine, Sports Medicine | 1850 Cameron Glen Dr, Suite 600, Reston, VA 20190-3363 | 2007-01-09 |
1215099247 | Frederick Stephen Fogelson | Neuromusculoskeletal Medicine, Sports Medicine | 2221 Edward Holland Dr, Richmond, VA 23230-2518 | 2006-12-15 |
Find all providers with the same taxonomy |
City | BLACKSBURG |
Zip Code | 24060 |
Please comment or provide details below to improve the information on ALAN STOCKARD PC.
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.