DR. JUSTIN DARRELL ANDERSON (NPI# 1922188523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922188523 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN DARRELL ANDERSON |
| Credential | M.D. |
| Practice Address |
2410 Atherholt Rd Lynchburg VA 24501-2148 |
| Practice Telephone | 4342005252 |
| Practice Fax Number | 4342002870 |
| Mailing Telephone | 4342005252 |
| Mailing Fax Number | 4342002870 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101239417 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346658218 | Justin Andreas Anderson | Nurse Anesthetist, Certified Registered | 225 8th Ave Ne, Minneapolis, MN 55413-1922 | 2014-07-23 |
| 1356697338 | Justin J Anderson | Hearing Instrument Specialist | 1516-c 72 Bypass N, Greenwood, SC 29646 | 2012-07-27 |
| 1255567780 | Justin Shaw Anderson | Social Worker | 1810 Plum St Ste F, Valdosta, GA 31601-7583 | 2009-06-10 |
| 1609485101 | Justin Alton Anderson | Dentist | 1595 Commercial St Se, Salem, OR 97302-4309 | 2020-07-30 |
| 1518588805 | Justin Lee Anderson | Pharmacist | 2147 Blowing Rock Rd, Boone, NC 28607-6155 | 2020-04-28 |
| 1386286276 | Justin Earl Anderson | Physical Therapist | 4674 40th Ave S Ste A, Fargo, ND 58104-4501 | 2019-10-11 |
| 1700431814 | Justin Anderson | Clinic/Center | 253 N Santa Anita Ave, Arcadia, CA 91006-3114 | 2019-08-06 |
| 1760034516 | Justin Anderson | Dentist | 2306 Medical Center Pkwy Ste B5, Murfreesboro, TN 37129-3773 | 2019-07-11 |
| 1700381548 | Justin Douglas Anderson | Internal Medicine | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2018-03-26 |
| 1326541939 | Justin Hon Kale Anderson | Behavior Technician | 1855 2nd St Ste B, Concord, CA 94519-2623 | 2018-03-10 |
| Street Address |
2410 ATHERHOLT RD |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255312609 | Kenneth E Saum | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2005-11-10 |
| 1841808052 | Connor David Middlekauff | Physician Assistant | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2020-07-14 |
| 1235762915 | Jennifer L Mccoy | Nurse Practitioner | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2020-02-20 |
| 1043855356 | Virginia Leigh Blevins | Nurse Practitioner | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-11-11 |
| 1831747955 | Blakley Walker Sproles | Physician Assistant | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-09-02 |
| 1508411323 | James Mark Marcouillier | Physician Assistant | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-08-08 |
| 1962062109 | Taylor Grasser | Physician Assistant | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-06-19 |
| 1144880782 | Centra Medical Group, LLC | Surgery | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2019-06-17 |
| 1669949277 | Abigail Jean Newton | Nurse Practitioner | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2018-11-01 |
| 1245707140 | John N Smiley | Nurse Practitioner | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2018-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606957 | Evidence Based Counseling Solutions | Speech-Language Pathologist | 302 Oakley Ave, Lynchburg, VA 24501 | 2020-07-14 |
| 1740805506 | Ryan Buschmann | Physical Therapist | 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 | 2020-06-08 |
| 1528525276 | Julia M Mcauley-gonzalez | Nurse Practitioner | Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 | 2019-02-28 |
| 1548732795 | Morgan Rose Nails | Chiropractor | 3012 Forest Hills Circle, Lynchburg, VA 24501 | 2018-12-28 |
| 1407346935 | Belva Shelor | Psychologist | 1201 Floyd Street, Lynchburg, VA 24501 | 2018-05-10 |
| 1770092447 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 3204 Old Forest Rd, Lynchburg, VA 24501 | 2017-09-26 |
| 1447774518 | Restoring Peace Counseling Services | Clinic/Center | 3311 Old Forest Rd Ste 101, Lynchburg, VA 24501 | 2017-08-01 |
| 1427578335 | Vinh Thinh T Huynh | Family Medicine | 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 | 2017-06-21 |
| 1811436769 | Jordan Legendre | Student in an Organized Health Care Education/Training Program | 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 | 2017-02-13 |
| 1114465861 | Shanika Harris | Specialist/Technologist | 1501 Lakeside Drive, Lynchburg, VA 24501 | 2017-02-02 |
| Find all providers in zip 24501 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1366881518 | Weijuan Li | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2013-06-20 |
| 1932464732 | Vasutakarn Chongthammakun | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2012-07-08 |
| 1063711950 | John R Haas | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2011-03-18 |
| 1922230978 | Martha Vesterlund | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2009-08-10 |
| 1932316163 | Fadi M El-ahdab | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2007-05-17 |
| 1124232814 | Brian J Schietinger | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2007-05-10 |
| 1780801670 | Brent Carothers | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2007-04-20 |
| 1912035767 | Stephen Rennyson | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2007-03-02 |
| 1659423911 | Jessica Maritza Jara | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2007-01-17 |
| 1508932088 | Centra Health Cardiovascular Services LLC | Internal Medicine | 2410 Atherholt Rd, Lynchburg, VA 24501-2148 | 2006-11-28 |
| Find all providers in LYNCHBURG | ||||
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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.