CENTRA HEALTH PROFESSIONAL SERVICES, LLC


Address: 3300 Rivermont Ave, Lynchburg, VA 24503-2030
Phone: 4349477477

CENTRA HEALTH PROFESSIONAL SERVICES, LLC (NPI# 1902834948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902834948
Entity Type Organization
Organization Name CENTRA HEALTH PROFESSIONAL SERVICES, LLC
Other Organization Name THE WOUND CARE CENTER
Practice Address 3300 Rivermont Ave
Lynchburg
VA 24503-2030
Mailing Address 1204 Fenwick Dr
Lynchburg
VA 24502-2112
Practice Telephone 4349477477
Enumeration Date 2006-06-29
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2083P0011X Preventive Medicine
Specialization: Undersea and Hyperbaric Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
The Wound Care Center Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 3300 RIVERMONT AVE
City LYNCHBURG
State VA
Zip Code 24503-2030

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750384137 James Cummings Dunstan Jr. Orthopaedic Surgery 3300 Rivermont Ave, Lynchburg, VA 24503-2030 2005-05-31
1649887175 Bruce Slagle Pharmacy Technician 3300 Rivermont Ave, Lynchburg, VA 24503-2030 2020-09-29
1023622149 Stephanie Lane Porter Nurse Practitioner 3300 Rivermont Ave, Lynchburg, VA 24503-2030 2020-09-04
1013532803 Meredith Ryan Smith Counselor 3300 Rivermont Ave, Lynchburg, VA 24503-2030 2020-06-08
1326682980 Centra Medical Group, LLC Family Medicine 3300 Rivermont Ave, Lynchburg, VA 24503-2030 2019-11-06
1831751809 Elizabeth Ware Speech-Language Pathologist 3300 Rivermont Ave, Lynchburg, VA 24503-2030 2019-07-01
1730740788 Rhandi Nichole Norman Registered Nurse 3300 Rivermont Ave, Lynchburg, VA 24503-2030 2019-06-20
1922668136 Paula Deane Creekmore Nurse Practitioner 3300 Rivermont Ave, Lynchburg, VA 24503-2030 2019-06-19
1215401948 Adam Russell Penrose Nurse Anesthetist, Certified Registered 3300 Rivermont Ave, Lynchburg, VA 24503-2030 2019-01-16
1891268199 Donna C Schwarz Nurse Anesthetist, Certified Registered 3300 Rivermont Ave, Lynchburg, VA 24503-2030 2019-01-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427661859 Better Way Psychiatry Pllc Psychiatry & Neurology 4925 Boonsboro Road, Pmb 137, Lynchburg, VA 24503 2020-08-25
1164845632 Andrew Joseph Anderson Family Medicine 4327 Boonsboro Rd Ste 5, Lynchburg, VA 24503 2014-02-03
1407139421 William Carter Wingfield Sr. Pharmacist 5006 Old Boonsboro Rd, Lynchburg, VA 24503 2011-09-26
1912226382 The Way Congregational Church Voluntary or Charitable 3305 Rivermont Avenue, Lynchburg, VA 24503 2010-05-25
1659549897 Elizabeth Ann Bolton Speech-Language Pathologist 302 Rowland Dr., Lynchburg, VA 24503 2008-02-11
1821286485 Mary Ayers Highton Nurse Practitioner 3300 Rivermont Ave., Lynchburg, VA 24503 2007-10-09
1588746044 Presbyterian Homes and Family Services Day Training, Developmentally Disabled Services 150 Linden Avenue, Lynchburg, VA 24503 2006-10-20
1417043910 Timothy Clinton Counselor 2811 Linkhorne Dr., Ste B, Lynchburg, VA 24503 2006-10-04
1730733288 Joy Lois Knapton Lactation Consultant, Non-RN 150 Linden Ave, Lynchburg, VA 24503 2019-08-01
1346606845 Julie Brown Registered Nurse 3300 Rivermont Ave., Virginia Baptist Hospital, Lynchburg, VA 24503 2016-01-13
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Taxonomy Information

Taxonomy Code 2083P0011X
Grouping Allopathic & Osteopathic Physicians
Classification Preventive Medicine
Specialization Undersea and Hyperbaric Medicine

Taxonomy Definition

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns and bone infections. This specialist also serves as consultant to other physicians in all aspects of hyperbaric chamber operations and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598282998 Tidewater Hyperbaric Preventive Medicine 129 West Virginia Beach Blvd, Suite 140 A, Norfolk, VA 23510 2017-08-25
1790753515 Andrei Gursky Preventive Medicine 4900 Seminary Road, Suite 100, Alexandria, VA 22311-1836 2006-03-09
1740253251 John Ligush Jr. Preventive Medicine 595 Martha Jefferson Dr Ste 270, Charlottesville, VA 22911-4669 2006-02-08
1891766465 Anne R Mcdonough Preventive Medicine 720 River Strand, Chesapeake, VA 23320-2015 2006-01-31
1083056964 Virginia Hospital Center Physician Group, LLC Preventive Medicine 1701 N George Mason Dr, Wound Care Suite G200, Arlington, VA 22205-3610 2013-07-22
1568809713 Virginia Integrative Health, LLC Preventive Medicine 410 Pine St Se, Suite 320, Vienna, VA 22180-4861 2013-05-29
1447415625 Brian M Showalter Preventive Medicine 595 Martha Jefferson Dr Ste 280, Charlottesville, VA 22911 2008-07-27
1558524777 Lane A. Ritter Preventive Medicine 500 Martha Jefferson Dr Fl 5, Charlottesville, VA 22911 2008-07-08
1215980545 Jonathan Titus Preventive Medicine 2501 Parkers Ln, Alexandria, VA 22306-3209 2006-05-18
1770535270 Alfred J Kirkwood Preventive Medicine 2501 Parkers Ln, Alexandria, VA 22306-3209 2006-05-16
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Competitor

Search similar providers

City LYNCHBURG
Zip Code 24503

Improve Information

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Dataset Information

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.

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