Virginia L Blanks (NPI# 1588662613, PAC ID# 8426104662) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1588662613 |
| PAC ID by PECOS | 8426104662 |
| Professional Enrollment ID | I20090914000321 |
| Full Name | Virginia L Blanks |
| Organization Legal Name | CENTRA MEDICAL GROUP LLC |
| Address |
4830 Rucker Rd Moneta VA 24121-5281 |
| Phone Number | 5402977181 |
| Gender | F |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4789606088 |
| Number of Group Practice Members | 583 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490021 | CENTRA |
| 490088 | CENTRA BEDFORD MEMORIAL HOSPITAL |
| 490024 | CARILION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 4349473033 | CENTRA MEDICAL GROUP LLC |
| 4830 Rucker Rd, Moneta, VA 24121-5281 | 5402977181 | CENTRA MEDICAL GROUP LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| 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 |
4830 RUCKER RD |
| City | MONETA |
| State | VA |
| Zip | 24121-5281 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline Perdue | Physician Assistant | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Patricia Z Lloyd | Physician Assistant | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Jennifer E Phillips | Nurse Practitioner | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Patricia H Hayes | Nurse Practitioner | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Kathryn L Sparhawk | Family Medicine | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Todd H Dehli | Family Medicine | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Carey A Cole | Nurse Practitioner | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Lora J Nissen | Nurse Practitioner | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Darlene Bianchino Nigro | Internal Medicine | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Janice E Luth | Family Medicine | Centra Medical Group LLC | 4830 Rucker Rd, Moneta, VA 24121-5281 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Smalley | Orthopedic Surgery | Lewis Gale Physicians LLC | 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683 |
| Allison Ryan Mitchell | Physician Assistant | Lewis Gale Physicians LLC | 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683 |
| Matthew B Bowles | Physician Assistant | Lewis Gale Physicians LLC | 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683 |
| Tiffany A Powell | Family Medicine | Smith Mountain Lake Family Practice, PC | 70 Westwind Rd, Moneta, VA 24121-3726 |
| Steven T Lewis | Family Medicine | Smith Mountain Lake Family Practice, PC | 70 Westwind Rd, Moneta, VA 24121-3726 |
| Susan E Funk | Internal Medicine | Smith Mountain Lake Family Practice, PC | 70 Westwind Rd, Moneta, VA 24121-3726 |
| Bradford T Herlehy | Chiropractic | 70 Scruggs Rd, Suite 106, Moneta, VA 24121-5199 | |
| James A Schaible | Chiropractic | 15388 Moneta Rd, Moneta, VA 24121-5876 | |
| Benjamin Michael Hodges | Physical Therapy | Rehabilitation Associates of Central Virginia Limited Partnership | 12281 Moneta Rd, Suite B, Moneta, VA 24121-6402 |
| Catherine A Beuerle | Physical Therapy | Rehabilitation Associates of Central Virginia Limited Partnership | 12281 Moneta Rd, Suite B, Moneta, VA 24121-6402 |
| Find all physicians in zip 24121 | |||
| City | MONETA |
| Zip Code | 24121 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MONETA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Virginia L Blanks.
| 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.