MED-PEDS MANAGEMENT LLC (NPI# 1053450296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053450296 |
| Entity Type | Organization |
| Organization Name | MED-PEDS MANAGEMENT LLC |
| Practice Address |
191 Johnson St Ne Abingdon VA 24210-2934 |
| Mailing Address |
Po Box 570 Abingdon VA 24212-0570 |
| Practice Telephone | 2766238105 |
| Practice Fax Number | 2766238109 |
| Mailing Telephone | 2766238105 |
| Mailing Fax Number | 2766238109 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2010-11-01 |
| Authorized Official Name | MS. SUSAN JANET MOLE (PRACTICE MGR CORP. SECRETARY) |
| Authorized Official Telephone | 2766238105 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 0101225410 | VA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0101051074 | VA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0101059370 | VA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0101050628 | VA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0101028204 | VA | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024059099 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024166814 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207R00000X | Internal Medicine | 0101051200 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
191 JOHNSON ST NE |
| City | ABINGDON |
| State | VA |
| Zip Code | 24210-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184192890 | Clinton Samuel Steve Webb | Nurse Practitioner | 406 W Main St Ste 100, Abingdon, VA 24210 | 2018-11-12 |
| 1528565801 | Crossroads Treatment Center of Petersburg, PC | Clinic/Center | 301 Falls Dr Nw Ste 353, Abingdon, VA 24210 | 2018-04-12 |
| 1780189035 | Vickie Lynne Beam | Speech-Language Pathologist | Washington County Public Schools, 812 Thompson Drive, Abingdon, VA 24210 | 2018-03-28 |
| 1093235814 | Meagan R Compton | Speech-Language Pathologist | 18596 Lee Hwy Suite B, Abingdon, VA 24210 | 2017-06-22 |
| 1710433404 | Highlands Community Pharmacy Inc | Pharmacy | 16400 Jeb Stuart Highway, Abingdon, VA 24210 | 2016-09-01 |
| 1548632417 | Lauren Irene Esposito | Audiologist | 319 Falls Drive, Abingdon, VA 24210 | 2015-10-30 |
| 1073909784 | Michael Justice | Pharmacist | 1 Food City Circle, Abingdon, VA 24210 | 2015-04-09 |
| 1245574177 | Watauga Medical Group | Family Medicine | 300 Valley St, Ne, Abingdon, VA 24210 | 2012-11-15 |
| 1083908883 | Kimberly Regina Mullins | Occupational Therapy Assistant | 17575 Havens Rest Rd., Abingdon, VA 24210 | 2011-06-09 |
| 1902131170 | Sara Jeannette Creekmore | Family Medicine | 328-a Cummings St., Abingdon, VA 24210 | 2009-10-06 |
| Find all providers in zip 24210 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1245522143 | Reuben E Abraham | Internal Medicine | 3401 Box Hill Corporate Center Dr Ste 100, Abingdon, MD 21009-1200 | 2011-05-10 |
| 1245425776 | James Harris Bowden Jr. | Internal Medicine | 200 Mountain View Dr Sw, Abingdon, VA 24211-3665 | 2007-09-07 |
| 1255453411 | Abingdon Physician Partners Dba Highlands Internal Medicine | Internal Medicine | 601 Campus Dr, Abingdon, VA 24210-9700 | 2007-04-06 |
| 1760510960 | Abingdon Physician Partners | Internal Medicine | 607 Campus Drive, Abingdon, VA 24210 | 2007-03-01 |
| 1144373911 | Carol L Bowman | Internal Medicine | 3445 E Box Hill Corporate Center Drive, Abingdon, MD 21009 | 2007-01-18 |
| 1992737944 | Abingdon Consultants, Inc | Internal Medicine | 351 Court Street,ne, Abingdon, VA 24210 | 2006-07-07 |
| 1356320881 | Joseph A Brown | Internal Medicine | 16000 Johnston Memorial Drive, Suite 304, Abingdon, VA 24211 | 2006-01-12 |
| 1063409506 | Martin Monahan | Internal Medicine | 322 E Valley St, Abingdon, VA 24210 | 2005-09-30 |
| 1518954239 | Emily Debord | Internal Medicine | 322 East Valley St, Abingdon, VA 24210 | 2005-09-29 |
| 1942296645 | Emory H Robinette | Internal Medicine | 351 Court St, Abingdon, VA 24210-2921 | 2005-09-27 |
| Find all providers in ABINGDON | ||||
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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.