DR. KIRBY D SOUTHALL (NPI# 1750358750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750358750 |
| Entity Type | Individual |
| Full Name | DR. KIRBY D SOUTHALL |
| Credential | M.D. |
| Practice Address |
5609 Claiborne Rd Sutherland VA 23885-9303 |
| Practice Telephone | 8042655211 |
| Practice Fax Number | 8042652707 |
| Mailing Telephone | 8042655211 |
| Mailing Fax Number | 8042652707 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2009-02-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101039352 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 100629 | 01 |
| VA | AETNA | 577244 | 01 |
| VA | OPT CHOICE | 828665 | 01 |
| VA | QUALCHOICE | 080642 | 01 |
| VA | VA. PREMIER | 5697727 | 01 |
| VA | SENTARA | 45882 | 01 |
| VA | SOUTHERN HEALTH | 815042 | 01 |
| VA | 5697727 | 05 |
| Street Address |
5609 CLAIBORNE RD |
| City | SUTHERLAND |
| State | VA |
| Zip Code | 23885-9303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285601260 | William James Phipps Jr. | Family Medicine | 5609 Claiborne Rd, Sutherland, VA 23885-9303 | 2006-03-08 |
| 1245781590 | Leigh Wall | Family Medicine | 5609 Claiborne Rd, Sutherland, VA 23885-9303 | 2016-10-21 |
| 1699869487 | Sutherland Family Practice Inc. | Family Medicine | 5609 Claiborne Rd, Sutherland, VA 23885-9303 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013257187 | Happy Home Counseling Services, LLC | Community/Behavioral Health | 6395 Cliaborne Rd, Sutherland, VA 23885 | 2013-02-26 |
| 1841643566 | Sarah Parker | Case Manager/Care Coordinator | 9405 Dabney Dr, Sutherland, VA 23885-9278 | 2016-07-18 |
| 1922451566 | Parker Family Services | Case Management | 9405 Dabney Dr, Sutherland, VA 23885-9278 | 2016-07-19 |
| 1376624734 | Heath A Marshall | Pharmacist | 5607 Claiborne Rd, Sutherland, VA 23885-9303 | 2006-10-18 |
| 1760442073 | Howard Baranker | Dentist | 5611 Claiborne Rd, Sutherland, VA 23885-9303 | 2006-03-23 |
| 1316089824 | Sutherland Pharmacy,inc | Pharmacy | 5607 Claiborne Rd, Sutherland, VA 23885-9303 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841643566 | Sarah Parker | Case Manager/Care Coordinator | 9405 Dabney Dr, Sutherland, VA 23885-9278 | 2016-07-18 |
| 1013257187 | Happy Home Counseling Services, LLC | Community/Behavioral Health | 6395 Cliaborne Rd, Sutherland, VA 23885 | 2013-02-26 |
| 1801187356 | Family First Health Center PC | Family Medicine | 333 Maple St Ste 105, Sutherland, NE 69165-3000 | 2011-05-02 |
| 1386935690 | Patricia Michele Davis | Registered Nurse | 741 Walnut Street, Sutherland, NE 69165-0724 | 2011-04-21 |
| 1487977351 | Melissa Marie Johnson | Occupational Therapist | 333 Maple St., Sutherland, NE 69165 | 2010-03-08 |
| 1508053729 | Alan D Mills | Contractor | 510 Pine St, Sutherland, IA 51058-7624 | 2007-10-02 |
| 1962560789 | Village of Sutherland | Ambulance | 150 Maple Street, Sutherland, NE 69165-0277 | 2006-12-05 |
| 1699780007 | Faylene Rae Dancer | Nurse Practitioner | 333 N Maple, Suite 105, Sutherland, NE 69165 | 2006-07-31 |
| 1851305247 | Brian J Vineyard | Dentist | 333 Maple Street, Sutherland, NE 69165 | 2006-07-28 |
| 1639125032 | Five Star Quality Care-ne LLC | Skilled Nursing Facility | 333 Maple St, Sutherland, NE 69165-3000 | 2006-05-26 |
| Find all providers in SUTHERLAND | ||||
| 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 |
|---|---|---|---|---|
| 1801187356 | Family First Health Center PC | Family Medicine | 333 Maple St Ste 105, Sutherland, NE 69165-3000 | 2011-05-02 |
| 1285601260 | William James Phipps Jr. | Family Medicine | 5609 Claiborne Rd, Sutherland, VA 23885-9303 | 2006-03-08 |
| 1245781590 | Leigh Wall | Family Medicine | 5609 Claiborne Rd, Sutherland, VA 23885-9303 | 2016-10-21 |
| 1699869487 | Sutherland Family Practice Inc. | Family Medicine | 5609 Claiborne Rd, Sutherland, VA 23885-9303 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356554 | Sarah Keaton | Family Medicine | 380 Maple Rd, Callands, VA 24530-2538 | 2020-11-05 |
| 1306443684 | Montage Health and Wellness Corp | Family Medicine | 305 E Market St Ste O, Leesburg, VA 20176-4169 | 2020-10-08 |
| 1770190191 | First Care Collaborative | Family Medicine | 4053 Taylor Rd Ste K, Chesapeake, VA 23321-5526 | 2020-09-29 |
| 1326652900 | Liliana Kim | Family Medicine | 2908 Pepperlin Dr, Virginia Beach, VA 23456-3524 | 2020-09-01 |
| 1609489483 | Thompson Md LLC | Family Medicine | 7906 Andrus Rd Ste 8, Alexandria, VA 22306-3169 | 2020-08-31 |
| 1811509599 | Crystal Dawn Lowder-tibbs | Family Medicine | 1054 Boones Mill Rd, Boones Mill, VA 24065-4318 | 2020-08-23 |
| 1578173837 | Ohio Valley Physicians Inc | Family Medicine | 1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975 | 2020-08-03 |
| 1346859188 | Cprpm, Pllc | Family Medicine | 113 Cold Branch Rd, Forest, VA 24551-2111 | 2020-07-28 |
| 1134737265 | Joshua Fleming | Family Medicine | 1125 Old Graves Mill Rd Apt 316, Lynchburg, VA 24502-4312 | 2020-07-15 |
| 1457978751 | Donald Arthur Olson | Family Medicine | 1900 Holten Ave E, Big Stone Gap, VA 24273 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
| City | SUTHERLAND |
| Zip Code | 23885 |
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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.