M CLINIC, LLC (NPI# 1043725336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043725336 |
| Entity Type | Organization |
| Organization Name | M CLINIC, LLC |
| Practice Address |
406 Albemarle Square Charlottesville VA 22901 |
| Practice Telephone | 4343215257 |
| Practice Fax Number | 4343215259 |
| Mailing Telephone | 4343215257 |
| Mailing Fax Number | 4343215259 |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |
| Authorized Official Name | ZACHARY BUSH (DIRECTOR OF CLINICAL AFFAIRS) |
| Authorized Official Telephone | 4343215257 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 0101239018 | VA | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
0101239018 | VA | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024166491 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
0101239018 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
406 ALBEMARLE SQUARE |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641501 | John Mccord | Speech-Language Pathologist | English Meadows, 1220 Crozet Ave, Crozet, VA 22901 | 2020-05-20 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
| 1558855346 | Dana Scott | Counselor | 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 | 2018-06-15 |
| 1033620380 | Cheryl K Cottrell | Counselor | 875 East Rio Court, Charlottesville, VA 22901 | 2017-10-13 |
| 1114389640 | Heather Lorin Broach | Physical Therapist | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 | 2016-03-23 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1083988778 | Melissa Stanley | Nurse Practitioner | 1356 River Rd, Charlottesville, VA 22901 | 2012-02-28 |
| 1982977633 | Jea Catherine Brickwedde | Specialist | 716 Rio Rd W, Fa, Charlottesville, VA 22901 | 2012-02-10 |
| 1275802019 | Joy Chernega Spiekermann | Internal Medicine | 1022 Tilman Road, Charlottesville, VA 22901 | 2011-12-23 |
| Find all providers in zip 22901 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316155047 | Susan K Blank | Internal Medicine | 924 Rugby Rd, Charlottesville, VA 22903-1606 | 2007-05-18 |
| 1720290687 | Margaret K. Crook | Internal Medicine | 183 Spotnap Rd Ste A, Charlottesville, VA 22911-8812 | 2007-05-04 |
| 1588707590 | Susan E. Kirk | Internal Medicine | Uva Endocrinology, 415 Ray C. Hunt Drive, Charlottesville, VA 22903 | 2007-02-15 |
| 1891781373 | Sandhya Chhabra | Internal Medicine | 600 Peter Jefferson Pkwy, Suite 200, Charlottesville, VA 22911-8835 | 2005-09-21 |
| 1790125102 | William Benjamin Horton | Internal Medicine | 415 Ray C Hunt Dr Ste 2100, Charlottesville, VA 22903-2980 | 2013-06-29 |
| 1497011134 | Meaghan Mccarthy Stumpf | Internal Medicine | 415 Ray C. Hunt Drive, Ste 2100, Charlottesville, VA 38163-0001 | 2012-04-06 |
| 1043531288 | Blue Ridge Endocrinology and Diabetes Plc | Internal Medicine | 199 Spotnap Rd, Suite 2, Charlottesville, VA 22911-8827 | 2010-06-22 |
| 1992992895 | Kara Brenn Hawkins | Internal Medicine | 500 Martha Jefferson Dr Fl 5, Charlottesville, VA 22911 | 2007-09-25 |
| 1598959348 | Heather A Ferris | Internal Medicine | 183 Spotnap Rd Ste A, Charlottesville, VA 22911-8812 | 2007-09-04 |
| 1679778237 | Jessicah S. Collins | Internal Medicine | 415 Ray C Hunt Dr, Charlottesville, VA 22903-2980 | 2007-06-15 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
Please comment or provide details below to improve the information on M CLINIC, LLC.
| 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.