CASSANDRA MARIE MCCOY (NPI# 1780066837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780066837 |
| Entity Type | Individual |
| Full Name | CASSANDRA MARIE MCCOY |
| Credential | D.O. |
| Practice Address |
430 Boxwood Ln Pearisburg VA 24134 |
| Mailing Address |
430 Boxwood Ln Pearisburg VA 24134-1168 |
| Practice Telephone | 5409216110 |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2020-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0102205799 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OT017386 | PA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 Locust Ave Ext, Mount Morris, PA 153491355 | 7243249001 | 7243249005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144887290 | Cassandra Mccoy | Registered Nurse | 2471 Centennial Dr, Washington, IL 61571-1066 | 2019-05-23 |
| 1528598232 | Cassandra Evon Mccoy | Specialist/Technologist | 6475 S Yale Ave Ste 301, Tulsa, OK 74136-7815 | 2017-06-14 |
| 1467795559 | Cassandra Lee Mccoy | Behavioral Analyst | 85 Old Eagle School Rd, Strafford, PA 19087-2556 | 2013-03-27 |
| Street Address |
430 BOXWOOD LN |
| City | PEARISBURG |
| State | VA |
| Zip Code | 24134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396733580 | Shirley Dols Petreye | Nurse Practitioner | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2005-10-11 |
| 1104474618 | Brittany Taylor Baskette | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2019-08-28 |
| 1558853457 | Jocelyn Elyse Gibson | Physician Assistant | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2018-06-06 |
| 1548799273 | Katherine Elizabeth Martiniuk | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2017-06-06 |
| 1952791600 | Carilion Giles Community Hospital | Clinic/Center | 430 Boxwood Ln, Pearisburg, VA 24134-2471 | 2015-02-03 |
| 1235418302 | Angela Renae Lilly | Nurse Practitioner | 430 Boxwood Ln, Pearisburg, VA 24134 | 2011-08-08 |
| 1336375955 | Julia Marie Mitchell Sargent | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2009-06-10 |
| 1578570743 | Lisa Shea Kennedy | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2006-08-01 |
| 1699746677 | Frederick Swartzendruber | Surgery | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2006-01-30 |
| 1689652406 | Richard D Grube | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2006-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447239348 | James Robert Smith | Emergency Medicine | 6 Taylor Ave., Pearisburg, VA 24134 | 2006-01-10 |
| 1386124386 | Jessica Lee Furrow | Nurse Practitioner | 159 Hartley Way, Pearisburg, VA 24134 | 2018-08-19 |
| 1326387754 | Clarity Eye Care, Plc | Optometrist | 122 Tazewell St, Pearisburg, VA 24134 | 2013-02-05 |
| 1316238546 | Be Active Physical Therapy Inc | Physical Therapist | 203 North Main St, Pearisburg, VA 24134 | 2011-04-21 |
| 1073816278 | Jonathan M Marshall | Nurse Anesthetist, Certified Registered | 159 Hartley Way, Pearisburg, VA 24134 | 2010-12-09 |
| 1972788610 | Helen Jacqueline Clark | Optometrist | 122 Tazewell St, Pearisburg, VA 24134 | 2007-12-31 |
| 1740478403 | Nickolas Wilson Clark | Optometrist | 122 Tazewell St, Pearisburg, VA 24134 | 2007-10-09 |
| 1962460477 | Darla Gay Whitehead | Physical Therapist | 203 North Main Street, Pearisburg, VA 24134 | 2006-05-03 |
| 1528040060 | Douglas Scott Hayes | Emergency Medicine | 1 Taylor Ave, Pearisburg, VA 24134 | 2005-11-18 |
| 1053659474 | Rye Dialysis, LLC | Clinic/Center | 377 Boxwood Ln, Pearisburg, VA 24134-1166 | 2013-01-18 |
| Find all providers in zip 24134 | ||||
| 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 |
|---|---|---|---|---|
| 1104474618 | Brittany Taylor Baskette | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2019-08-28 |
| 1023663267 | Carilion Giles Community Hospital | Family Medicine | 159 Hartley Way, Pearisburg, VA 24134-2471 | 2019-08-05 |
| 1164076634 | Carilion Giles Community Hospital | Family Medicine | 159 Hartley Way, Pearisburg, VA 24134-2471 | 2019-08-01 |
| 1548799273 | Katherine Elizabeth Martiniuk | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2017-06-06 |
| 1639608367 | Ryan Kent Martiniuk | Family Medicine | 159 Hartley Way, Pearisburg, VA 24134-2471 | 2017-06-06 |
| 1912228404 | Tyler H Jenkins | Family Medicine | 159 Hartley Way, Pearisburg, VA 24134-2471 | 2010-06-18 |
| 1336375955 | Julia Marie Mitchell Sargent | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2009-06-10 |
| 1578570743 | Lisa Shea Kennedy | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2006-08-01 |
| 1689652406 | Richard D Grube | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2006-01-03 |
| 1649253451 | Robert F. Devereaux | Family Medicine | 430 Boxwood Ln, Pearisburg, VA 24134-1168 | 2005-11-25 |
| Find all providers in PEARISBURG | ||||
| City | PEARISBURG |
| Zip Code | 24134 |
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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.