PHYSICIAN WELLNESS, LLC (NPI# 1821413311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821413311 |
| Entity Type | Organization |
| Organization Name | PHYSICIAN WELLNESS, LLC |
| Practice Address |
825 Davis St E Blacksburg VA 24060-7009 |
| Practice Telephone | 5409533300 |
| Mailing Telephone | 5409533300 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |
| Authorized Official Name | KONRAD H KAEDING (OWNER) |
| Authorized Official Telephone | 3025935904 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
0101059231 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
825 DAVIS ST E |
| City | BLACKSBURG |
| State | VA |
| Zip Code | 24060-7009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710983499 | Stuart Alexander Gardner | Legal Medicine | 825 Davis St, Suite A, Blacksburg, VA 24060-7009 | 2005-06-27 |
| 1083064315 | Encore Ob Gyn Center of Southwest Virginia LLC | Obstetrics & Gynecology | 825 Davis St, Suite C, Blacksburg, VA 24060-7009 | 2016-06-17 |
| 1194126045 | Matthew Gregory Yost | Physical Therapist | 825 Davis St, Suite B, Blacksburg, VA 24060-7009 | 2014-09-10 |
| 1831438225 | Physicians Interventional Pain Center LLC | Pain Medicine | 825 Davis St, #e, Blacksburg, VA 24060-7013 | 2013-02-05 |
| 1871841775 | Kelly Lynn Wilson | Physical Therapist | 825 Davis St, Suite B, Blacksburg, VA 24060-7013 | 2012-08-27 |
| 1700102753 | Neurological Care Clinic PC | Specialist | 825 Davis St, Suite D, Blacksburg, VA 24060-7013 | 2010-04-15 |
| 1801129143 | Ana-maria Knackstedt | Physical Therapist | 825 Davis St, Ste B, Blacksburg, VA 24060-7009 | 2009-09-17 |
| 1417123118 | Bradley Michael Mccrady | Physical Medicine & Rehabilitation | 825 Davis St, Suite C, Blacksburg, VA 24060-7013 | 2008-05-02 |
| 1871763763 | Tilley Chiropractic and Sports Injury Clinic | Chiropractor | 825 Davis St, Suite B, Blacksburg, VA 24060-7013 | 2008-03-06 |
| 1922141456 | Gregory K Tilley | Chiropractor | 825 Davis St, Suite B, Blacksburg, VA 24060-7013 | 2007-02-15 |
| Find all providers in the same location | ||||
| 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 | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285919472 | Pca Pain Care Center of Virigina, Inc | Anesthesiology | 825 Davis St # E, Blacksburg, VA 24060-7013 | 2011-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568821221 | Virginia Innovative Pain and Spine | Anesthesiology | 2532 Mill Rd, Powhatan, VA 23139-5203 | 2016-02-23 |
| 1659667327 | Parviz Navidi | Anesthesiology | 899 Chinquapin Rd, Mc Lean, VA 22102-1039 | 2011-06-21 |
| 1013165331 | Cody Rowan | Anesthesiology | 575 Ray C Hunt Dr, Charlottesville, VA 22903 | 2008-08-28 |
| 1619149648 | Professional Anesthesia Group, LLC | Anesthesiology | 1500 Dixon St Ste 101, Fredericksburg, VA 22401-7231 | 2008-03-31 |
| 1881875920 | Memorial Anesthesia, LLC | Anesthesiology | 8262 Atlee Rd., Mob 3 #100, Mechanicsville, VA 23116 | 2007-11-16 |
| 1073708566 | Joseph Kevin Statkus | Anesthesiology | 106 Keswick Ct, Winchester, VA 22602-7807 | 2007-09-08 |
| 1043403504 | Nova Pain Clinic Inc | Anesthesiology | 6151 Fuller Ct, Alexandria, VA 22310-2541 | 2007-08-19 |
| 1144340514 | John C. Rowlingson | Anesthesiology | 2nd Hospital Dr, Charlottesville, VA 22908-0001 | 2007-03-30 |
| 1356469522 | Chheany Walter Ung | Anesthesiology | 3800 Electric Rd, Suite 307, Roanoke, VA 24018-4569 | 2007-03-27 |
| 1912069139 | Dania C. Chastain | Anesthesiology | 515 Ray C. Hunt Drive, Uva Pain Management, Charlottesville, VA 22903 | 2006-12-14 |
| Find all providers with the same taxonomy | ||||
| City | BLACKSBURG |
| Zip Code | 24060 |
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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.