FERRUM COLLEGE (NPI# 1063802890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063802890 |
| Entity Type | Organization |
| Organization Name | FERRUM COLLEGE |
| Other Organization Name | FERRUM COLLEGE SPORTS MEDICINE |
| Practice Address |
590 Ferrum Mountain Rd Hank Norton Center Ferrum VA 24088 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 5403654493 |
| Practice Fax Number | 9723673451 |
| Mailing Telephone | 8005559073 |
| Mailing Fax Number | 9723673452 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |
| Authorized Official Name | MOUZON BASS III (AGENT) |
| Authorized Official Telephone | 8005559073 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ferrum College Sports Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | FERRUM COLLEGE | Po Box 1000, Ferrum, Virginia 24088 |
| Street Address |
590 FERRUM MOUNTAIN RD HANK NORTON CENTER |
| City | FERRUM |
| State | VA |
| Zip Code | 24088 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164947388 | Martha Haley-bowling | Social Worker | 9249 Franklin St, Ferrum, VA 24088 | 2017-08-09 |
| 1639582331 | Gabriel Lee Edmondson | Family Medicine | 40 Wiley Dr, Ferrum, VA 24088 | 2014-06-10 |
| 1760633952 | Family Preservation Services, Inc | Community/Behavioral Health | 660 Ferrum Rd, Ferrum, VA 24088 | 2008-10-06 |
| 1982682571 | Bozenna M Liszka | Family Medicine | 40 Wiley Drive, Ferrum, VA 24088 | 2006-01-04 |
| 1245650100 | Jay Clark | Specialist/Technologist | 590 Ferrum Mountain Road, Ferrum, VA 24088 | 2014-04-18 |
| 1528251030 | Joel M. Hullett | Family Medicine | 40 Wiley Drive, Ferrum, VA 24088 | 2007-08-20 |
| 1215270681 | Brian Matthew Duclos | Specialist/Technologist | 590 Ferrum Mountain Road, Hank Norton Center, Ferrum, VA 24088-0775 | 2013-04-03 |
| 1669994059 | Sarah Nicole Hendrix | Specialist/Technologist | 590 Ferrum Mountain Rd., Ferrum, VA 24088-2408 | 2017-07-07 |
| 1447483128 | Michael Raymond Sechrist | Physical Therapy Assistant | 1000 Thompson Ridge Rd, Ferrum, VA 24088-2729 | 2009-08-28 |
| 1972507721 | Elizabeth H Hubbard | Nurse Practitioner | 180 Ferrum Mountain Rd, Ferrum, VA 24088-2939 | 2005-06-09 |
| Find all providers in zip 24088 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639582331 | Gabriel Lee Edmondson | Family Medicine | 40 Wiley Dr, Ferrum, VA 24088 | 2014-06-10 |
| 1982682571 | Bozenna M Liszka | Family Medicine | 40 Wiley Drive, Ferrum, VA 24088 | 2006-01-04 |
| 1528251030 | Joel M. Hullett | Family Medicine | 40 Wiley Drive, Ferrum, VA 24088 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356554 | Sarah Keaton | Family Medicine | 380 Maple Rd, Callands, VA 24530-2538 | 2020-11-05 |
| 1306443684 | Montage Health and Wellness Corp | Family Medicine | 305 E Market St Ste O, Leesburg, VA 20176-4169 | 2020-10-08 |
| 1770190191 | First Care Collaborative | Family Medicine | 4053 Taylor Rd Ste K, Chesapeake, VA 23321-5526 | 2020-09-29 |
| 1326652900 | Liliana Kim | Family Medicine | 2908 Pepperlin Dr, Virginia Beach, VA 23456-3524 | 2020-09-01 |
| 1609489483 | Thompson Md LLC | Family Medicine | 7906 Andrus Rd Ste 8, Alexandria, VA 22306-3169 | 2020-08-31 |
| 1811509599 | Crystal Dawn Lowder-tibbs | Family Medicine | 1054 Boones Mill Rd, Boones Mill, VA 24065-4318 | 2020-08-23 |
| 1578173837 | Ohio Valley Physicians Inc | Family Medicine | 1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975 | 2020-08-03 |
| 1346859188 | Cprpm, Pllc | Family Medicine | 113 Cold Branch Rd, Forest, VA 24551-2111 | 2020-07-28 |
| 1134737265 | Joshua Fleming | Family Medicine | 1125 Old Graves Mill Rd Apt 316, Lynchburg, VA 24502-4312 | 2020-07-15 |
| 1457978751 | Donald Arthur Olson | Family Medicine | 1900 Holten Ave E, Big Stone Gap, VA 24273 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
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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.