Robert C Wade (NPI# 1154309334, PAC ID# 6305914326) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1154309334 |
| PAC ID by PECOS | 6305914326 |
| Professional Enrollment ID | I20081003000598 |
| Full Name | Robert C Wade |
| Organization Legal Name | CENTRA MEDICAL GROUP LLC |
| Address |
1900 Tate Springs Rd Suite 3 Lynchburg VA 24501-1115 |
| Phone Number | 4342005004 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 4789606088 |
| Number of Group Practice Members | 426 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490021 | CENTRA HEALTH, INC |
| 490090 | SOUTHSIDE COMMUNITY HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 1900 Tate Springs Rd, Suite 3, Lynchburg, VA 24501-1115 | 4342005004 | CENTRA MEDICAL GROUP LLC |
| 1900 Tate Springs Rd, Lynchburg, VA 24501-1115 | 4342005004 | CENTRA MEDICAL GROUP LLC |
| Organization Legal Name | CENTRA MEDICAL GROUP LLC |
| Physicians | 561 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sebastian J Ksionski | Family Medicine | Centra Medical Group LLC | 935 S Main St, Farmville, VA 23901-2211 |
| Weijuan M Li | Interventional Cardiology | Centra Medical Group LLC | 1039 Mayberry Crossing Dr, Suite C, Moneta, VA 24121-6414 |
| Marie Andrea Lopez | Physician Assistant | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Tahmina H Brady | Family Medicine | Centra Medical Group LLC | 16890 Forest Rd, Forest, VA 24551-4059 |
| Sharon P Hawout | Certified Nurse Midwife (cnm) | Centra Medical Group LLC | 291 Mcbride Ln, Gretna, VA 24557-2773 |
| Jacqueline Perdue | Physician Assistant | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Jordan J Synkowski | Neurosurgery | Centra Medical Group LLC | 2138 Langhorne Rd, Lynchburg, VA 24501-1400 |
| Oluloniyin E Peters | Physical Medicine and Rehabilitation | Centra Medical Group LLC | 1330 Oak Ln, Lynchburg, VA 24503-2513 |
| John B Blalock Jr. | General Surgery | Centra Medical Group LLC | 1906 Thomson Dr, Lynchburg, VA 24501-1009 |
| Hope A Alexander | Nurse Practitioner | Centra Medical Group LLC | 412 Namozine St, Burkeville, VA 23922-3184 |
| Street Address |
1900 TATE SPRINGS RD SUITE 3 |
| City | LYNCHBURG |
| State | VA |
| Zip | 24501-1115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kensley B Nichols | Infectious Disease | Centra Medical Group LLC | 1900 Tate Springs Rd, Suite 3, Lynchburg, VA 24501-1115 |
| Cheryl T Mayo | Clinical Social Worker | 1900 Tate Springs Rd, Suite 1, Lynchburg, VA 24501-1115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Kw Hevener | Physical Therapy | Tidewater Physical Therapy LLC | 2400 Lakeside Dr, Suite 602f, Lynchburg, VA 24501 |
| Marie Andrea Lopez | Physician Assistant | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Russell W Campbell | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Rachel H Behrmann | Physician Assistant | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| William F Weber Iv | General Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Robert Joseph Albrecht | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Christopher K Vincent | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| David Cassada | Vascular Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Lawrence F Poletti | General Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Peter J Ploch | General Surgery | Centra Medical Group LLC | 1911 Thomson Dr, Lynchburg, VA 24501-1008 |
| Find all physicians in zip 24501 | |||
| City | LYNCHBURG |
| Zip Code | 24501 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | LYNCHBURG + FAMILY PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.