Kimberly Altizer (NPI# 1609397462, PAC ID# 7012275878) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1609397462 |
| PAC ID by PECOS | 7012275878 |
| Professional Enrollment ID | I20171227002342 |
| Full Name | Kimberly Altizer |
| Organization Legal Name | CENTRA MEDICAL GROUP LLC |
| Address |
104 Carolina Ave Brookneal VA 24528-2643 |
| Phone Number | 4343762325 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4789606088 |
| Number of Group Practice Members | 583 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490021 | CENTRA |
| Address | Phone | Organization |
|---|---|---|
| 104 Carolina Ave, Brookneal, VA 24528-2643 | 4343762325 | 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 |
104 CAROLINA AVE |
| City | BROOKNEAL |
| State | VA |
| Zip | 24528-2643 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald J Pawlak | Family Medicine | Centra Medical Group LLC | 104 Carolina Ave, Brookneal, VA 24528-2643 |
| Motsumi Moja | Internal Medicine | Centra Medical Group LLC | 104 Carolina Ave, Brookneal, VA 24528-2643 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn E Morris | Physical Therapy | Rehabilitation Associates of Central Virginia Limited Partnership | 120 Rush St W, Brookneal, VA 24528-3026 |
| City | BROOKNEAL |
| Zip Code | 24528 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BROOKNEAL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kimberly Altizer.
| 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.