CENTRA HEALTH PROFESSIONAL SERVICES, LLC (NPI# 1922241108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922241108 |
| Entity Type | Organization |
| Organization Name | CENTRA HEALTH PROFESSIONAL SERVICES, LLC |
| Other Organization Name | FOREST WOMEN'S CENTER |
| Practice Address |
2007 Graves Mill Rd Forest VA 24551-2656 |
| Mailing Address |
1204 Fenwick Dr Lynchburg VA 24502-2112 |
| Practice Telephone | 4343858948 |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2009-04-17 |
| Authorized Official Name | TAMMY TWEEDY (DIRECTOR) |
| Authorized Official Telephone | 4342003656 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRA HEALTH PROFESSIONAL SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Forest Women's Center | Doing Business As Name - Organization |
| 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 |
| Street Address |
2007 GRAVES MILL RD |
| City | FOREST |
| State | VA |
| Zip Code | 24551-2656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467449587 | Ruth H Robertson | Nurse Practitioner | 2007 Graves Mill Rd, Forest, VA 24551-2656 | 2005-10-04 |
| 1386264893 | Karissa L Ratanpal | Advanced Practice Midwife | 2007 Graves Mill Rd, Forest, VA 24551-2656 | 2020-04-24 |
| 1154806040 | Sharon Pauline Hawout | Midwife | 2007 Graves Mill Rd, Forest, VA 24551-2656 | 2018-09-26 |
| 1043702400 | Elizabeth Ashley Venable | Advanced Practice Midwife | 2007 Graves Mill Rd, Forest, VA 24551-2656 | 2018-06-01 |
| 1558802108 | Keri Redman | Advanced Practice Midwife | 2007 Graves Mill Rd, Forest, VA 24551-2656 | 2017-03-15 |
| 1538511977 | Lisa Neumann | Advanced Practice Midwife | 2007 Graves Mill Rd, Forest, VA 24551-2656 | 2016-07-11 |
| 1538517222 | Amanda Eileen Wilkins | Advanced Practice Midwife | 2007 Graves Mill Rd, Forest, VA 24551-2656 | 2016-06-02 |
| 1104222165 | Leah Roth Miller | Advanced Practice Midwife | 2007 Graves Mill Rd, Forest, VA 24551-2656 | 2014-11-18 |
| 1861712812 | Kathleen A Page | Advanced Practice Midwife | 2007 Graves Mill Rd, Forest, VA 24551-2656 | 2010-06-01 |
| 1003048240 | Erin Baird | Midwife | 2007 Graves Mill Rd, Forest, VA 24551-2656 | 2009-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649832189 | Shiloh Martin | Counselor | 316 Brook Park Pl Ste 1, Forest, VA 24551 | 2019-07-05 |
| 1528536992 | Crossroads Family Dentistry | Dentist | 14761 Forest Road, Forest, VA 24551 | 2018-11-05 |
| 1265941736 | Michel Kay Gage | Specialist/Technologist | 1062 Daltons Dr, Forest, VA 24551 | 2017-09-27 |
| 1740700186 | Advanced Family Interventions LLC | Case Management | 1047 Vista Park Dr, Ste A, Forest, VA 24551 | 2017-06-27 |
| 1255870093 | Family Preservation Services, Inc | Community/Behavioral Health | 12400 E Lynchburg Salem Turnpike, Forest, VA 24551 | 2017-02-13 |
| 1982150116 | Lee Robinson | Physical Therapy Assistant | 208 Gristmill Ave, Forest, VA 24551 | 2016-08-28 |
| 1790178051 | Amanda Kathleen Hundley | Dental Hygienist | 16862 Forest Rd., Forest, VA 24551 | 2015-03-11 |
| 1134512502 | Christine Elise Deschambault | Dental Hygienist | 16862 Forest Road, Forest, VA 24551 | 2015-03-10 |
| 1922403328 | Lucas Brown | Physical Therapist | 1111 Corporate Park Drive, Suite B, Forest, VA 24551 | 2014-10-28 |
| 1073916334 | Shane R. Claiborne, Dds, Pllc | Dentist | 16862 Forest Rd, Forest, VA 24551 | 2014-10-01 |
| Find all providers in zip 24551 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295746592 | Forest Womens Center | Obstetrics & Gynecology | 2007 Graves Mill Rd, Forest, VA 24551-2656 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093324162 | Evoscient Gynecology Center for Pelvic Health and Surgery, PC | Obstetrics & Gynecology | 108 Independence Blvd, Suite 162, Virginia Beach, VA 23455 | 2020-07-24 |
| 1205493129 | Meredith Hooover | Obstetrics & Gynecology | 3300 Gallows Rd Falls Church, Va 22042 - 3307, Arlington, VA 22042 | 2019-05-27 |
| 1083103592 | Premier Ob/gyn Associates LLC | Obstetrics & Gynecology | 3700 Joseph Siewick Dr Ste 102, Fairfax, VA 22033-1737 | 2018-05-09 |
| 1659876530 | Cassandra Lyn Presti | Obstetrics & Gynecology | 3300 Gallows Rd Fl 2, Falls Church, VA 22042 | 2018-03-24 |
| 1215439526 | Women's Choice Obgyn LLC | Obstetrics & Gynecology | 10875 Main St Ste 210, Fairfax, VA 22030-4732 | 2018-03-02 |
| 1871019323 | Ntmt Group | Obstetrics & Gynecology | 8301 Arlington Blvd Ste 206, Fairfax, VA 22031-2902 | 2017-08-16 |
| 1376071951 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 11747 Jefferson Ave Ste 1a, Newport News, VA 23606-4401 | 2017-05-26 |
| 1902339401 | Jerrid Neeley | Obstetrics & Gynecology | 7547 Medical Dr Ste 1200, Gloucester, VA 23061-4351 | 2017-04-11 |
| 1396298873 | Mid-atlantic Womens Care Plc | Obstetrics & Gynecology | 6353 Center Dr Ste 100, Norfolk, VA 23502-4100 | 2016-08-01 |
| 1750731063 | Rachel Bridge | Obstetrics & Gynecology | 3023 Hamaker Ct Ste 210, Fairfax, VA 22031-2240 | 2016-06-16 |
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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.