CENTRA MEDICAL GROUP, LLC


Address: 1906 Thomson Dr, Lynchburg, VA 24501-1009
Phone: 4349473933

CENTRA MEDICAL GROUP, LLC (NPI# 1013198779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013198779
Entity Type Organization
Organization Name CENTRA MEDICAL GROUP, LLC
Other Organization Name CENTRA MEDICAL GROUP SURGICAL SPECIALISTS
Practice Address 1906 Thomson Dr
Lynchburg
VA 24501-1009
Mailing Address 2010 Atherholt Rd
Lynchburg
VA 24501-1106
Practice Telephone 4349473933
Enumeration Date 2007-11-21
Last Update Date 2014-10-16
Authorized Official Name LEWIS ADDISON (DIRECTOR)
Authorized Official Telephone 4342005047
Is Organization Subpart Y
Parent Organization Name CENTRA MEDICAL GROUP, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery Allopathic & Osteopathic Physicians
Y 208C00000X Colon & Rectal Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Centra Medical Group Surgical Specialists Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1326682980 Centra Medical Group, LLC Family Medicine 3300 Rivermont Ave, Lynchburg, VA 24503-2030 2019-11-06
1144880782 Centra Medical Group, LLC Surgery 2410 Atherholt Rd, Lynchburg, VA 24501-2148 2019-06-17
1932685526 Centra Medical Group, LLC Anesthesiology 3300 Rivermont Ave, Lynchburg, VA 24503-2030 2018-07-17
1548750052 Centra Medical Group, LLC Family Medicine 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 2018-05-10
1376033886 Centra Medical Group, LLC Family Medicine 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 2018-05-10
1912434663 Centra Medical Group, LLC Family Medicine 2010 Atherholt Rd, Lynchburg, VA 24501-1106 2017-05-12
1518315902 Centra Medical Group, LLC Clinic/Center 125 Nationwide Drive, Lynchburg, VA 24502-9998 2016-05-26
1649624164 Centra Medical Group, LLC Psychologist 2010 Atherholt Rd, Lynchburg, VA 24501-1106 2016-04-21
1003260522 Centra Medical Group, LLC Anesthesiology 2010 Atherholt Rd, Lynchburg, VA 24501-1106 2016-04-21
1295104347 Centra Medical Group, LLC Internal Medicine 1613 Oakwood St, Suite 201, Bedford, VA 24523-1213 2015-09-18

Office Location

Street Address 1906 THOMSON DR
City LYNCHBURG
State VA
Zip Code 24501-1009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306890207 William L Kittrell Jr. Surgery 1906 Thomson Dr, Central Virginia Surgery, Lynchburg, VA 24501-1009 2006-05-22
1932720117 Stephanie Spina Physician Assistant 1906 Thomson Dr, Lynchburg, VA 24501-1009 2020-04-29
1144851502 Allison Faye Mills Surgery 1906 Thomson Dr, Lynchburg, VA 24501-1009 2020-02-03
1124498399 Sydney Ozmar Physician Assistant 1906 Thomson Dr, Lynchburg, VA 24501-1009 2015-10-01
1447631189 Gabrielle Monique Rhodes Crawford Nurse Practitioner 1906 Thomson Dr, Lynchburg, VA 24501-1009 2015-06-17
1275732067 Jennifer Erin Mihalik Surgery 1906 Thomson Dr, Lynchburg, VA 24501 2007-07-12
1982816427 Joshua Benjamin Alley Surgery 1906 Thomson Dr, Lynchburg, VA 24501-1009 2007-05-04
1033271671 The Orthopaedic Center of Central Virginia, Inc. Durable Medical Equipment & Medical Supplies 1906 Thomson Dr, Lynchburg, VA 24501-1009 2006-12-13
1538250709 Lynchburg Surgical Associates, Inc. Surgery 1906 Thomson Dr, Lynchburg, VA 24501-1009 2006-09-27
1083658124 Lucius Dubignon Clay IIi Surgery 1906 Thomson Dr, Lynchburg, VA 24501-1009 2006-06-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720606957 Evidence Based Counseling Solutions Speech-Language Pathologist 302 Oakley Ave, Lynchburg, VA 24501 2020-07-14
1740805506 Ryan Buschmann Physical Therapist 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 2020-06-08
1528525276 Julia M Mcauley-gonzalez Nurse Practitioner Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 2019-02-28
1548732795 Morgan Rose Nails Chiropractor 3012 Forest Hills Circle, Lynchburg, VA 24501 2018-12-28
1407346935 Belva Shelor Psychologist 1201 Floyd Street, Lynchburg, VA 24501 2018-05-10
1770092447 Bio-medical Applications of Virginia, Inc. Clinic/Center 3204 Old Forest Rd, Lynchburg, VA 24501 2017-09-26
1447774518 Restoring Peace Counseling Services Clinic/Center 3311 Old Forest Rd Ste 101, Lynchburg, VA 24501 2017-08-01
1427578335 Vinh Thinh T Huynh Family Medicine 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 2017-06-21
1811436769 Jordan Legendre Student in an Organized Health Care Education/Training Program 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 2017-02-13
1114465861 Shanika Harris Specialist/Technologist 1501 Lakeside Drive, Lynchburg, VA 24501 2017-02-02
Find all providers in zip 24501

Taxonomy Information

Taxonomy Code 208C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Colon & Rectal Surgery

Taxonomy Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073809281 Mercy Danielle Wagner Colon & Rectal Surgery 260 John Paul Jones Cir, Portsmouth, VA 23708 2011-06-26
1497818025 Chong S. Lee Colon & Rectal Surgery 155 Kinglsey Lane Suite 405, Bon Secours Surgical Specialists, Norfolk, VA 23505 2006-12-18
1427169507 Fairfax Colon & Rectal Surgery, PC Colon & Rectal Surgery 2710 Propersity Ave, Ste 200, Fairfax, VA 22031 2006-08-31
1710918438 Northern Virginia Surgical Group, PC Colon & Rectal Surgery 8316 Arlington Blvd., Suite 630, Fairfax, VA 22031-5216 2006-07-05
1720052285 Gregory P Fitzharris Colon & Rectal Surgery 3000 Coliseum Dr Ste 200, Hampton, VA 23666-5963 2006-02-13
1356311286 Paul Jerome Kovalcik Colon & Rectal Surgery 3105 American Legion Road, Suite A, Chesapeake, VA 23321-5653 2006-01-24
1396725636 Beth Rachelle Jaklic Colon & Rectal Surgery 1301 First Colonial Rd Ste 201, Virginia Beach, VA 23454-2263 2006-01-20
1174525869 Othon Wiltz Colon & Rectal Surgery 3620 Joseph Siewick Dr Ste 406, Fairfax, VA 22033-1761 2005-08-11
1598107674 Virginia Hospital Center Physician Group, LLC Colon & Rectal Surgery 1625 N George Mason Dr, Suite 454, Arlington, VA 22205-3683 2013-07-18
1497092944 Christina Cheng Colon & Rectal Surgery 2710 Prosperity Ave Ste 200, Fairfax, VA 22031-4358 2013-01-03
Find all providers with the same taxonomy

Competitor

Search similar providers

City LYNCHBURG
Zip Code 24501

Improve Information

Please comment or provide details below to improve the information on CENTRA MEDICAL GROUP, LLC.

Dataset Information

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.

Trending Searches