DR. TERRANCE J TRUITT (NPI# 1922077254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922077254 |
| Entity Type | Individual |
| Full Name | DR. TERRANCE J TRUITT |
| Credential | MD, FCCP |
| Practice Address |
2210 Wilborn Ave South Boston VA 24592-1630 |
| Practice Telephone | 4345755864 |
| Practice Fax Number | 4345758929 |
| Mailing Telephone | 4345755864 |
| Mailing Fax Number | 4345758929 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2008-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
0101052367 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
0101052367 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE GROUP # | 2317122 | 01 |
| NC | 7905379 | 05 | |
| NC | BC/BS NC PROVIDER # | 05379 | 01 |
| VA | ANTHEM BC PROVIDER # | 075593 | 01 |
| Street Address |
2210 WILBORN AVE |
| City | SOUTH BOSTON |
| State | VA |
| Zip Code | 24592-1630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659842557 | Blake Aaron Rogers | Physician Assistant | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2018-12-17 |
| 1891068052 | Hugh Charles Mccullough | Physician Assistant | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2012-02-20 |
| 1548530827 | Nicholas Robert Hall | Physician Assistant | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2012-01-04 |
| 1154593036 | Chad Michael Henry | Internal Medicine | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2008-03-31 |
| 1659388981 | Robert A Durr | Internal Medicine | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2006-08-01 |
| 1023025202 | Joseph Michael Compton | Physician Assistant | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2006-08-01 |
| 1386609899 | Remberto Jose Bitar | Internal Medicine | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2006-04-18 |
| 1427018829 | James F Witko | Internal Medicine | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2006-03-28 |
| 1275502510 | Jonathan M Lenzen | Internal Medicine | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966398 | Transformations Center for Health Wellness LLC | Counselor | 2170 Sandy Beach Road, South Boston, VA 24592 | 2019-11-12 |
| 1740830215 | Kirstyn Lokker | Occupational Therapist | 1 High School Circle, South Boston, South Boston, VA 24592 | 2019-09-17 |
| 1841764248 | Nicole Ivey | Occupational Therapy Assistant | 103 Rosehil Rd, South Boston, VA 24592 | 2019-01-18 |
| 1841700960 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 130 Aubreys Loop, South Boston, VA 24592 | 2017-10-03 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| 1316222821 | Family and Children Enrichment Services Inc. | Health Maintenance Organization | 220 Paradise Lane, South Boston, VA 24592 | 2011-10-15 |
| 1326365578 | Brinda Howard | Nurse's Aide | 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 | 2010-04-28 |
| 1356513543 | Betts Medical Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 403 Factory Street, Suite B, South Boston, VA 24592 | 2008-03-27 |
| 1407051873 | Dominion Health Medical Assoc | Legal Medicine | 101 Aubrey's Loop Rd, South Boston, VA 24592 | 2007-06-18 |
| 1437352945 | Behavioral Health Associates, Inc. | Non-emergency Medical Transport (VAN) | 515 Yancey Ave, South Boston, VA 24592 | 2007-06-11 |
| Find all providers in zip 24592 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1659388981 | Robert A Durr | Internal Medicine | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2006-08-01 |
| 1386609899 | Remberto Jose Bitar | Internal Medicine | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2006-04-18 |
| 1427018829 | James F Witko | Internal Medicine | 2210 Wilborn Ave, South Boston, VA 24592-1630 | 2006-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132235 | Tidewater Lung and Sleep Center, Pllc | Internal Medicine | 4113 River Park Dr, Suffolk, VA 23435-3358 | 2020-10-21 |
| 1053814129 | Winchester Medical Center | Internal Medicine | 190 Campus Blvd Ste 410, Winchester, VA 22601-2872 | 2018-03-14 |
| 1104368943 | John Termini | Internal Medicine | 1154 Daleview Dr, Mc Lean, VA 22102-1540 | 2016-11-10 |
| 1073971610 | Pulmonary Center of Northern Virginia Pllc | Internal Medicine | 24585 Stone Carver Drive Ste 100, Aldie, VA 20105-2798 | 2016-02-09 |
| 1487060950 | Pulmonary Care Consultants of Northern Va | Internal Medicine | 19410 Coppermine Sq, Leesburg, VA 20176-6533 | 2014-07-06 |
| 1386067742 | Rashid Nayyar, M.d. PC | Internal Medicine | 6247 Rolling Spring Ct, Springfield, VA 22152-2242 | 2014-01-21 |
| 1578905865 | Lung Specialist of Williamsburg PC | Internal Medicine | 121 Bulifants Blvd, Suite A, Williamsburg, VA 23188-5736 | 2013-07-27 |
| 1124370093 | Fairfax Pulmonary Consulting LLC | Internal Medicine | 880 N Pollard St, #501, Arlington, VA 22203-1738 | 2012-10-02 |
| 1275824427 | Katherine Miller Price | Internal Medicine | 1 Park West Cir Ste 301, Midlothian, VA 23114-4518 | 2011-04-22 |
| 1245553031 | Piedmont Pulmonary Associates, P.C. | Internal Medicine | 3014 Watercrest Dr, Charlottesville, VA 22911-7223 | 2010-03-08 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BOSTON |
| Zip Code | 24592 |
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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.