SPECTRUM MEDICAL INC (NPI# 1861597072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861597072 |
| Entity Type | Organization |
| Organization Name | SPECTRUM MEDICAL INC |
| Practice Address |
109 Bridge St Ste 300 Danville VA 24541-1222 |
| Practice Telephone | 4347934711 |
| Practice Fax Number | 4347972514 |
| Mailing Telephone | 4347934711 |
| Mailing Fax Number | 4347972514 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-06-10 |
| Authorized Official Name | DR. MARK C HERMANN (PHYSICIAN) |
| Authorized Official Telephone | 4347934711 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
0128376 1 | VA | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
0128376 1 | VA | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
0128376 1 | VA | Allopathic & Osteopathic Physicians |
| N | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
VA | Allopathic & Osteopathic Physicians | |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
0128376 1 | VA | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 0128376 1 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BC OF VA | 034487 | 01 |
| NC | 8901398 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326208604 | Spectrum Medical Inc | Physical Therapist | 109 Bridge St Ste 300, Danville, VA 24541-1222 | 2008-06-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Spectrum Medical Inc. | 109 Bridge Street, Suite 300, Danville, Virginia 24541 |
| Street Address |
109 BRIDGE ST STE 300 |
| City | DANVILLE |
| State | VA |
| Zip Code | 24541-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649245309 | Kelly L. Sparks | Physician Assistant | 109 Bridge St Ste 300, Danville, VA 24541-1222 | 2006-02-17 |
| 1396344156 | Heath Hylton | Physical Therapy Assistant | 109 Bridge St Ste 300, Danville, VA 24541-1222 | 2020-10-22 |
| 1467950709 | Rachel N Gunnell | Physical Therapist | 109 Bridge St Ste 300, Danville, VA 24541-1222 | 2018-01-31 |
| 1265861389 | John Ross Wilkinson | Physical Therapist | 109 Bridge St Ste 300, Danville, VA 24541-1222 | 2013-11-08 |
| 1063760569 | Patti Pierce Snead | Physical Therapist | 109 Bridge St Ste 300, Danville, VA 24541-1222 | 2012-08-15 |
| 1720308471 | James Adam Dailey | Physical Medicine & Rehabilitation | 109 Bridge St Ste 300, Danville, VA 24541-1222 | 2010-06-04 |
| 1245562073 | Leslie Coleman Lovelace | Physical Therapist | 109 Bridge St Ste 300, Danville, VA 24541-1222 | 2010-02-04 |
| 1174767537 | Jennifer Davis | Physical Therapist | 109 Bridge St Ste 300, Danville, VA 24541-1222 | 2009-04-28 |
| 1801045356 | Stephan H Jannach | Family Medicine | 109 Bridge St Ste 300, Danville, VA 24541-1222 | 2008-09-09 |
| 1326208604 | Spectrum Medical Inc | Physical Therapist | 109 Bridge St Ste 300, Danville, VA 24541-1222 | 2008-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303551 | Damon Lee Simpson | Occupational Therapy Assistant | 1616 Maple Dr, Danville, VA 24541 | 2018-07-27 |
| 1578065041 | Strategic Therapy Associates, Inc. | Transportation Broker | 1225 W Main Street, Danville, VA 24541 | 2018-03-01 |
| 1790291078 | Vicente T Falgui Md PC | Internal Medicine | 990 Main Street, Suite 204, Danville, VT 24541 | 2017-12-21 |
| 1558884270 | Focus Point Mental Health, LLC | Community/Behavioral Health | 116 Magnolia Drive, Danville, VA 24541 | 2017-07-25 |
| 1073045522 | Brittney Paige Throckmorton-samples | Physical Therapist | 174 Executive Drive, Danville, VA 24541 | 2017-04-03 |
| 1114378106 | Laurie Rich Taylor | Nurse Practitioner | 541 Bridge Street, Suite 1, Danville, VA 24541 | 2016-06-30 |
| 1285085779 | Larry Keller | Counselor | 1555 Meadowview Dr Ste 5, Danville, VA 24541 | 2016-06-25 |
| 1952617474 | Joshua Home Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 223 Randolph Street, Danville, VA 24541 | 2010-08-21 |
| 1922274661 | Blankenship & Davis Opticians Inc | Eyewear Supplier (Equipment, not the service) | 625 West Main Street, Danville, VA 24541 | 2008-05-02 |
| 1750588307 | Tiffany Devon Clark | Physical Therapy Assistant | 432 Hermitage Dr., Danville, VA 24541 | 2007-06-28 |
| Find all providers in zip 24541 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710008297 | Tyler Joel Beckley | Orthopaedic Surgery | 100 Hospital Ln Ste 300, Danville, IN 46122-2000 | 2007-04-03 |
| 1972695237 | Orthopaedic Indianapolis PC | Orthopaedic Surgery | 252 Meadow Dr, Danville, IN 46122-1416 | 2006-09-28 |
| 1245298678 | Lawrence F Cohen | Orthopaedic Surgery | 150 W Main St, Danville, VA 24541-2823 | 2006-05-03 |
| 1578544912 | John S Mahoney | Orthopaedic Surgery | 109 Bridge Street Suite 300, Danville, VA 24541-1222 | 2005-11-11 |
| 1093718041 | Joseph L Lukins | Orthopaedic Surgery | 333 S 3rd St, Ste B, Danville, KY 40422-2016 | 2005-05-23 |
| 1033614649 | Matthew Rae | Orthopaedic Surgery | 100 N Academy Ave, Danville, PA 17822 | 2018-03-26 |
| 1508392093 | Cassandra Anne Ricketts | Orthopaedic Surgery | Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 17822-0001 | 2017-05-03 |
| 1689106270 | Jordan Nester | Orthopaedic Surgery | Geisinger Medical Center 100 North Academy Ave, Danville, PA 17822-0001 | 2017-04-01 |
| 1134581200 | Hui Zhang | Orthopaedic Surgery | Geisinger Medical Center 100 North Academy Ave, Danville, PA 17822-0001 | 2016-03-28 |
| 1518329739 | Matthew Gregory Fanelli | Orthopaedic Surgery | Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 17822-0001 | 2016-03-26 |
| Find all providers in DANVILLE | ||||
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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.