TONY ROOSEVELT KING (NPI# 1851518831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851518831 |
| Entity Type | Individual |
| Full Name | TONY ROOSEVELT KING |
| Credential | M.D. |
| Practice Address |
13428 Queen St Disputanta VA 23842-6235 |
| Practice Telephone | 8049919101 |
| Mailing Telephone | 8049919101 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 48987 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 56-1868-1 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710015607 | Tony King | Psychiatry & Neurology | 22865 Lake Forest Dr, Lake Forest, CA 92630-1605 | 2007-03-01 |
| 1992232409 | Tony Leroy King | Substance Abuse Rehabilitation Facility | 400 S Swinton Ave, Delray Beach, FL 33444-3553 | 2017-05-15 |
| 1073838827 | Tony W King | Pharmacist | 2100 Brooks St, Missoula, MT 59801-6649 | 2010-04-05 |
| Street Address |
13428 QUEEN ST |
| City | DISPUTANTA |
| State | VA |
| Zip Code | 23842-6235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801166988 | Jacquelyn Perry Miller | Registered Nurse | 26317 West Washington Street, Building 66, Petersburg, VA 23842 | 2012-01-06 |
| 1417479239 | J&j Ambulette Services | Non-emergency Medical Transport (VAN) | #12266 Prince George Dr, Disputanta, VA 23842-2384 | 2017-07-13 |
| 1417409475 | J&j Ambulette Service, LLC | Non-emergency Medical Transport (VAN) | 12266 Prince George Dr, Disputanta, VA 23842-4404 | 2016-10-25 |
| 1215915640 | William Irving Clary | Licensed Practical Nurse | 5702 Spencer Ln, Disputanta, VA 23842-4416 | 2006-01-05 |
| 1972091353 | Kelli Brocks | Occupational Therapist | 13400 Prince George Dr, Disputanta, VA 23842-4437 | 2018-05-01 |
| 1548758923 | Sarah Foote | Speech-Language Pathologist | 13400 Prince George Dr, Disputanta, VA 23842-4437 | 2018-05-01 |
| 1063821866 | Katherine Hall Vickers | Occupational Therapist | 6001 Larchwood Dr, Disputanta, VA 23842-4446 | 2014-08-05 |
| 1447793286 | Odessa Marie Brittenum | Counselor | 11322 Walton Lake Rd, Disputanta, VA 23842-4509 | 2016-11-28 |
| 1184025439 | Ch Va Collaborative Care LLC | Internal Medicine | 4099 Basswood Rd, Disputanta, VA 23842-4517 | 2014-09-05 |
| 1942785167 | Tera N Moore | Nurse Practitioner | 4019 Cobblewood Dr, Disputanta, VA 23842-4518 | 2018-10-03 |
| Find all providers in zip 23842 | ||||
| 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. |
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| 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 | DISPUTANTA |
| Zip Code | 23842 |
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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.