SHENANDOAH DERMATOLOGY, P.C. (NPI# 1023484219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023484219 |
| Entity Type | Organization |
| Organization Name | SHENANDOAH DERMATOLOGY, P.C. |
| Practice Address |
1600 N Coalter St Suite 19 Staunton VA 24401-2551 |
| Practice Telephone | 5408854500 |
| Practice Fax Number | 5408854600 |
| Mailing Telephone | 5408854500 |
| Mailing Fax Number | 5408854600 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2020-08-05 |
| Authorized Official Name | DR. JANE M LYNCH (PRACTICE OWNER) |
| Authorized Official Telephone | 5408854500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 101228437 | VA | Other Service Providers |
| Street Address |
1600 N COALTER ST SUITE 19 |
| City | STAUNTON |
| State | VA |
| Zip Code | 24401-2551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952370553 | Jane M Lynch | Dermatology | 1600 N Coalter St, Suite 19, Staunton, VA 24401-2551 | 2006-03-16 |
| 1366991432 | Robson Enterprises, LLC | Rehabilitation Practitioner | 1600 N Coalter St, Suite 7, Staunton, VA 24401-2551 | 2016-09-29 |
| 1477986800 | Valley Family Wellness and Chiropractic | Clinic/Center | 1600 N Coalter St, Suite 303a, Staunton, VA 24401-2551 | 2013-08-21 |
| 1437595899 | Dental Professionals of Virginia, P.c | Dentist | 1600 N Coalter St, Suite 304, Staunton, VA 24401-2551 | 2013-05-13 |
| 1780935171 | Andrew David Dodge | Chiropractor | 1600 N Coalter St, Suite 303a, Staunton, VA 24401-2551 | 2012-09-25 |
| 1205953825 | Christopher Mark Malone | Dentist | 1600 N Coalter St, Ste 304, Staunton, VA 24401-2551 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003319 | Carlo Mirabelli | Pharmacist | Wal-mart, 1028c Richmond Ave., Staunton, VA 24401 | 2020-11-03 |
| 1437649092 | Nathaniel Byron Ellis | Speech-Language Pathologist | 600 Greenville Ave, Staunton, VA 24401 | 2018-05-18 |
| 1942728985 | Staunton Treatment Center, LLC | Counselor | 15 Green Hills Drive, Staunton, VA 24401 | 2017-08-30 |
| 1144756313 | Annie L Metz | Counselor | 85 Sangers Lane, Staunton, VA 24401 | 2017-05-10 |
| 1598217804 | Bh Brightview Baldwin Park Opco, LLC | Alzheimer Center (Dementia Center) | 21 Woodlee Road, Staunton, VA 24401 | 2016-11-03 |
| 1255887022 | Courtney White | Pharmacist | 850 Statler Blvd, Statler Square, Staunton, VA 24401 | 2016-08-31 |
| 1881042596 | John H. Lee | Occupational Therapy Assistant | 1900 Hillsmere, Staunton, VA 24401 | 2016-06-03 |
| 1538531496 | Family Preservation Services, Inc | Community/Behavioral Health | 189 Hornet Road, Staunton, VA 24401 | 2015-10-30 |
| 1053714741 | Kimberly Olsen | Speech-Language Pathologist | 1 Hillsmere Lane, Staunton, VA 24401 | 2014-10-08 |
| 1790197754 | Brittany Swann Wilmoth | Physical Therapist | 1600 N. Coalter Street, Suite 302, Staunton, VA 24401 | 2014-05-27 |
| Find all providers in zip 24401 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285257246 | Zamjams Enterprises LLC | Specialist | 1600 N Coalter St Ste 7, Staunton, VA 24401-2500 | 2020-05-26 |
| 1104151349 | Kelli Lynn Fink | Specialist | 15 E Beverley St, Staunton, VA 24401-4322 | 2009-10-06 |
| 1164487492 | George Austin Godette | Specialist | 108 Mactanly Pl, Staunton, VA 24401-2373 | 2006-04-19 |
| 1013998236 | William F Sowers | Specialist | 42 Lambert St, Suite 323, Staunton, VA 24401-2421 | 2005-11-07 |
| 1427671486 | Sandra Dawn Zamalis | Specialist | 1600 N Coalter St Ste 7, Staunton, VA 24401-2500 | 2020-05-26 |
| 1235325689 | Associated Mental Health Professionals Inc | Specialist | 102 Mactanly Pl, Staunton, VA 24401-2316 | 2007-09-19 |
| 1649460759 | Clara Belle Wheeler | Specialist | 108 Mactanly Pl, Staunton, VA 24401-2373 | 2007-07-26 |
| 1336150226 | William Lee Hereford | Specialist | 108 Mactanly Pl, Staunton, VA 24401-2373 | 2006-08-10 |
| 1831115427 | Blue Ridge Pediatrics Plc | Specialist | 401 Commerce Rd, Suite #421, Staunton, VA 24401-4446 | 2006-07-15 |
| 1477501328 | Thomas J Jayne | Specialist | 1228 N Augusta St, Staunton, VA 24401-3202 | 2006-05-04 |
| Find all providers in STAUNTON | ||||
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| 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.