Hortense Patricia Russell (NPI# 1497089825, PAC ID# 8921254038) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1497089825 |
PAC ID by PECOS | 8921254038 |
Professional Enrollment ID | I20190312003589 |
Full Name | Hortense Patricia Russell |
Organization Legal Name | CENTRA MEDICAL GROUP LLC |
Address |
16890 Forest Rd Forest VA 24551-4059 |
Phone Number | 4342007210 |
Gender | F |
Graduation Year | 2009 |
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 |
Address | Phone | Organization |
---|---|---|
16890 Forest Rd, Forest, VA 24551-4059 | 4342007210 | 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 |
16890 FOREST RD |
City | FOREST |
State | VA |
Zip | 24551-4059 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tahmina H Brady | Family Medicine | Centra Medical Group LLC | 16890 Forest Rd, Forest, VA 24551-4059 |
Deborah E Barkley | Nurse Practitioner | Centra Medical Group LLC | 16890 Forest Rd, Forest, VA 24551-4059 |
Name | Specialty | Organization | Address |
---|---|---|---|
Scott B Adams | Family Medicine | 15421 Forest Rd, Suite B, Forest, VA 24551-2274 | |
Jacob Tanner | Physical Therapy | Rehabilitation Associates of Central Virginia Limited Partnership | 1111 Corporate Park Dr, Suite B, Forest, VA 24551-2279 |
Michael Richardson | Physical Therapy | Rehabilitation Associates of Central Virginia Limited Partnership | 1111 Corporate Park Dr, Suite B, Forest, VA 24551-2279 |
Ainsley Snow Reed | Physical Therapy | Rehabilitation Associates of Central Virginia Limited Partnership | 1111 Corporate Park Dr, Suite B, Forest, VA 24551-2279 |
Michael P Gowen | Physical Therapy | Rehabilitation Associates of Central Virginia Limited Partnership | 1111 Corporate Park Dr, Suite B, Forest, VA 24551-2279 |
Lindsay Nicole Daniel | Physical Therapy | Rehabilitation Associates of Central Virginia Limited Partnership | 1111 Corporate Park Dr, Suite B, Forest, VA 24551-2279 |
Joel Eggleston | Physical Therapy | Rehabilitation Associates of Central Virginia Limited Partnership | 1111 Corporate Park Dr, Suite B, Forest, VA 24551-2279 |
Susan E Fournier | Physical Therapy | Rehabilitation Associates of Central Virginia Limited Partnership | 1111 Corporate Park Dr, Suite B, Forest, VA 24551-2279 |
William Likins | Chiropractic | 1084 Thomas Jefferson Rd, Suite 12, Forest, VA 24551-2298 | |
Todd M Macdowall | Chiropractic | Dr Todd M Macdowall PC | 103 Annjo Ct, Forest, VA 24551-2631 |
Find all physicians in zip 24551 |
City | FOREST |
Zip Code | 24551 |
Specialty | FAMILY MEDICINE |
City + Specialty | FOREST + FAMILY MEDICINE |
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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.