JEREMY LEONARD HARDISON (NPI# 1073508602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073508602 |
| Entity Type | Individual |
| Full Name | JEREMY LEONARD HARDISON |
| Credential | M.D. |
| Practice Address |
2011 Tate Springs Rd Lynchburg VA 24501-1111 |
| Practice Telephone | 4349473963 |
| Practice Fax Number | 4349475935 |
| Mailing Telephone | 4349473963 |
| Mailing Fax Number | 4349475935 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2003-00611 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
0101239901 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
2011 TATE SPRINGS RD |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518472711 | Blair Stephens Ford | Nurse Practitioner | 2011 Tate Springs Rd, Lynchburg, VA 24501-1111 | 2017-12-11 |
| 1871002410 | Brooke Erin Mcnamara | Physician Assistant | 2011 Tate Springs Rd, Lynchburg, VA 24501-1111 | 2017-09-27 |
| 1396293486 | Erin Ray Moffat | Nurse Practitioner | 2011 Tate Springs Rd, Lynchburg, VA 24501 | 2016-09-16 |
| 1801145461 | Jennifer Tice | Nurse Practitioner | 2011 Tate Springs Rd, Lynchburg, VA 24501-1111 | 2012-08-29 |
| 1144466079 | Prema Madhuri Pamireddy | Internal Medicine | 2011 Tate Springs Rd, Lynchburg, VA 24501-1111 | 2008-12-23 |
| 1649288366 | Lynchburg Pulmonary Associates, Inc. | Internal Medicine | 2011 Tate Springs Rd, Lynchburg, VA 24501-1111 | 2006-08-04 |
| 1861420002 | Carol H Driskill | Internal Medicine | 2011 Tate Springs Rd, Lynchburg, VA 24501-1111 | 2006-06-28 |
| 1396773586 | Sarah C Hellewell | Internal Medicine | 2011 Tate Springs Rd, Lynchburg, VA 24501-1111 | 2006-06-28 |
| 1588692891 | Michael G. Milam | Internal Medicine | 2011 Tate Springs Rd, Lynchburg, VA 24501-1111 | 2006-06-28 |
| 1538197744 | John F Plankeel | Internal Medicine | 2011 Tate Springs Rd, Lynchburg, VA 24501-1111 | 2006-06-28 |
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| 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 |
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| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1154920205 | Katelynn Suzanne Doeppe | Internal Medicine | 1401 Johnstn Wllis Dr, North Chesterfield, VA 23235-4730 | 2020-10-20 |
| 1104319698 | Capital Critical Care & Informatics PC | Internal Medicine | 11890 Sunrise Valley Dr # 442, Reston, VA 20191 | 2018-06-11 |
| 1417459058 | William A. Knaus | Internal Medicine | 1926 Lewis Mountain Rd, Charlottesville, VA 22903-2413 | 2018-02-28 |
| 1376043489 | Sentara Medical Group | Internal Medicine | 301 Riverview Ave Ste 670, Norfolk, VA 23510-1065 | 2018-02-15 |
| 1538684790 | Feras Ibrahim Hawari | Internal Medicine | 4714 Minor Cir, Alexandria, VA 22312 | 2017-08-09 |
| 1821474289 | Ravi Jagdish Patel | Internal Medicine | 6380 Homewood Cir, Roanoke, VA 24018-8308 | 2015-08-07 |
| 1538587761 | Gretchen Elder Brayman | Internal Medicine | 4000 Coliseum Dr Ste 320, Hampton, VA 23666-5983 | 2014-04-04 |
| 1235448911 | Anish S. Desai, Md, LLC | Internal Medicine | 8301 Arlington Blvd Ste T5, Fairfax, VA 22031-2904 | 2010-09-29 |
| 1982861795 | Yu Chi C Wang | Internal Medicine | 1625 N George Mason Dr Ste 355, Arlington, VA 22205-3690 | 2008-05-20 |
| 1134300148 | Arshan Beyzaei Arani | Internal Medicine | Commonwealth Critical Care 2501 Parkers Ln, Alexandria, VA 22334-4405 | 2007-11-19 |
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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.