CENTRA HEALTH PROFESSIONAL SERVICES, LLC (NPI# 1790729234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790729234 |
| Entity Type | Organization |
| Organization Name | CENTRA HEALTH PROFESSIONAL SERVICES, LLC |
| Other Organization Name | CENTER FOR INFECTIOUS DISEASE |
| Practice Address |
2215 Landover Pl Lynchburg VA 24501-2115 |
| Mailing Address |
1204 Fenwick Dr Lynchburg VA 24502-2112 |
| Practice Telephone | 4349473945 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | TAMMY TWEEDY (DIRECTOR) |
| Authorized Official Telephone | 4349475047 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRA HEALTH PROFESSIONAL SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Center for Infectious Disease | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043662828 | Centra Health Professional Services, LLC | Internal Medicine | 414 Park Avenue, Danville, VA 24541-9998 | 2016-07-06 |
| 1760776447 | Centra Health Professional Services, LLC | Family Medicine | 10961 Lee Jackson Highway, Big Island, VA 24526 | 2011-05-31 |
| 1811135593 | Centra Health Professional Services, LLC | Physical Medicine & Rehabilitation | 404 Airport Dr, Suite C, Danville, VA 24540-5196 | 2009-02-03 |
| 1346486560 | Centra Health Professional Services, LLC | Family Medicine | 1902 Grace St, Lynchburg, VA 24504-3524 | 2008-12-17 |
| 1497900047 | Centra Health Professional Services, LLC | Urology | 1039 Mayberry Crossing Drive, Moneta, VA 24121 | 2008-11-24 |
| 1538101969 | Centra Health Professional Services, LLC | Physical Medicine & Rehabilitation | 1900 Tate Springs Rd, Suite 16, Lynchburg, VA 24501-1122 | 2006-06-11 |
| 1235480351 | Centra Health Professional Services, LLC | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2012-09-28 |
| 1316298433 | Centra Health Professional Services, LLC | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2012-09-28 |
| 1033471438 | Centra Health Professional Services, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1701 Thomson Dr, Lynchburg, VA 24501-1118 | 2012-06-12 |
| 1770840654 | Centra Health Professional Services, LLC | Orthopaedic Surgery | 1613 Oakwood St, Suite 101, Bedford, VA 24523-1213 | 2012-04-18 |
| Street Address |
2215 LANDOVER PL |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243649 | Johanna Paola Brown | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2005-05-31 |
| 1427574615 | Jamie A Gray | Nurse Practitioner | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2017-08-18 |
| 1841741089 | Infectious Disease Associates of Central Virginia, LLC | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2016-10-24 |
| 1578925558 | Luis Calvo Fragachan | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2016-03-28 |
| 1518328533 | Amy Mckinney | Physician Assistant | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2016-03-18 |
| 1710370374 | Ward Stevens Jr. | Neurological Surgery | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2015-03-06 |
| 1518355726 | Michelle Dawson | Nurse Practitioner | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2014-12-23 |
| 1497151047 | Armand Mcgibbon | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2014-11-10 |
| 1396088092 | Joanne Hosni | Family Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2013-04-01 |
| 1356683957 | Brian W Mandeville Jr. | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2013-03-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606957 | Evidence Based Counseling Solutions | Speech-Language Pathologist | 302 Oakley Ave, Lynchburg, VA 24501 | 2020-07-14 |
| 1740805506 | Ryan Buschmann | Physical Therapist | 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 | 2020-06-08 |
| 1528525276 | Julia M Mcauley-gonzalez | Nurse Practitioner | Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 | 2019-02-28 |
| 1548732795 | Morgan Rose Nails | Chiropractor | 3012 Forest Hills Circle, Lynchburg, VA 24501 | 2018-12-28 |
| 1407346935 | Belva Shelor | Psychologist | 1201 Floyd Street, Lynchburg, VA 24501 | 2018-05-10 |
| 1770092447 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 3204 Old Forest Rd, Lynchburg, VA 24501 | 2017-09-26 |
| 1447774518 | Restoring Peace Counseling Services | Clinic/Center | 3311 Old Forest Rd Ste 101, Lynchburg, VA 24501 | 2017-08-01 |
| 1427578335 | Vinh Thinh T Huynh | Family Medicine | 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 | 2017-06-21 |
| 1811436769 | Jordan Legendre | Student in an Organized Health Care Education/Training Program | 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 | 2017-02-13 |
| 1114465861 | Shanika Harris | Specialist/Technologist | 1501 Lakeside Drive, Lynchburg, VA 24501 | 2017-02-02 |
| Find all providers in zip 24501 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243649 | Johanna Paola Brown | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2005-05-31 |
| 1841741089 | Infectious Disease Associates of Central Virginia, LLC | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2016-10-24 |
| 1285902890 | Intravene LLC | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2011-12-09 |
| 1407054745 | Kensley Nichols | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2007-07-09 |
| 1619196557 | Sarah Klizas West | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2007-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952812364 | Virginia Id Doctors LLC | Internal Medicine | 4437 Brookfield Corporate Dr Ste 101, Chantilly, VA 20151-2122 | 2017-10-12 |
| 1841749272 | Lawrence Daniel Mullany | Internal Medicine | 12272 Declaration Ave, Chester, VA 23836-3057 | 2016-09-27 |
| 1790172724 | Sana Attar | Internal Medicine | 8220 Meadowbridge Rd Ste 203, Mechanicsville, VA 23116-2339 | 2015-04-16 |
| 1811395205 | W. Robert Lange | Internal Medicine | 835 Gangplank Rd Unit 110, Moneta, VA 24121-2499 | 2014-12-17 |
| 1063835304 | Juan Weiss | Internal Medicine | 9335 Amaryllis Ave., Manassas, VA 20110 | 2014-01-22 |
| 1104165034 | Derek Thomas Larson | Internal Medicine | 133 Green Meadow Dr, Portsmouth, VA 23701-1522 | 2013-02-13 |
| 1023361086 | Valerie Riddle | Internal Medicine | 185 Tara Woods Dr, Bumpass, VA 23024-4934 | 2012-10-16 |
| 1053676858 | Mir Akbar Ali | Internal Medicine | 4720 Puddledock Rd Ste 120, Prince George, VA 23875-1275 | 2012-07-08 |
| 1841560273 | Donald Gray Heppner Jr. | Internal Medicine | 1041 Half Mile Branch Rd, Crozet, VA 22932-3306 | 2012-01-02 |
| 1790075901 | Jillian Eileen Raybould | Internal Medicine | 1000 E Marshall St, Vmi Building, Suite 2015, Richmond, VA 23298-1901 | 2011-04-10 |
| Find all providers with the same taxonomy | ||||
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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.