SPERO HEALTH OF VIRGINIA, LLC (NPI# 1104465103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104465103 |
| Entity Type | Organization |
| Organization Name | SPERO HEALTH OF VIRGINIA, LLC |
| Practice Address |
314 Fairy Street Ext Martinsville VA 24112-1913 |
| Mailing Address |
5141 Virginia Way Ste 390 Brentwood TN 37027-9505 |
| Practice Telephone | 2762011647 |
| Practice Fax Number | 2762262643 |
| Mailing Telephone | 6152650371 |
| Mailing Fax Number | 6158449033 |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |
| Authorized Official Name | MR. RICHARD DULANY ADAMS (CFO) |
| Authorized Official Telephone | 6152650371 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
314 FAIRY STREET EXT |
| City | MARTINSVILLE |
| State | VA |
| Zip Code | 24112-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073501383 | Thomas K Berry | Surgery | 314 Fairy Street Ext, Ste B, Martinsville, VA 24112-1913 | 2005-10-11 |
| 1942651054 | Children First Pediatrics of Virginia, P.C. | Pediatrics | 314 Fairy Street Ext, Suite A, Martinsville, VA 24112-1913 | 2016-06-29 |
| 1548618259 | Hamdy Urgent Care, P.C. | Clinic/Center | 314 Fairy Street Ext, Suite B, Martinsville, VA 24112-1913 | 2016-06-03 |
| 1477823482 | Dr Augustine Md & Associates Primary Care Medical Clinic | Internal Medicine | 314 Fairy Street Ext, Ste A, Martinsville, VA 24112-1913 | 2012-01-06 |
| 1215250972 | K. A. Hamdy, M.d. PC | Clinic/Center | 314 Fairy Street Ext, Suite B, Martinsville, VA 24112-1913 | 2010-03-10 |
| 1639380512 | K. A. Hamdy, M.d., P.C. | Specialist | 314 Fairy Street Ext, Suite B, Martinsville, VA 24112-1913 | 2007-05-24 |
| 1538240486 | Piedmont Dermatology Center, PC | Specialist | 314 Fairy Street Ext, Suite D, Martinsville, VA 24112-1913 | 2006-10-18 |
| 1285722579 | Thomas K Berry Md PC | Specialist | 314 Fairy Street Ext, Suite B, Martinsville, VA 24112-1913 | 2006-10-11 |
| 1972529238 | Maureen M. Aaron, M. D. & Associates | Clinic/Center | 314 Fairy Street Ext, Suite A, Martinsville, VA 24112-1913 | 2006-07-13 |
| 1902822273 | Caren Tobin Aaron, M. D. | Clinic/Center | 314 Fairy Street Ext, Suite A, Martinsville, VA 24112-1913 | 2006-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
| 1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
| 1780184523 | Susan Fullerton | Speech-Language Pathologist | 288 Lancer Lane, Martinsville, VA 24112 | 2018-02-19 |
| 1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
| 1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
| 1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
| 1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
| 1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
| 1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
| 1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
| Find all providers in zip 24112 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477177590 | Appalachian Counseling and Medical, LLC | Family Medicine | 142 Mall Church Rd, Cedar Bluff, VA 24609-7081 | 2020-06-04 |
| 1699397786 | Care Connect Behavioral Health, LLC | Family Medicine | 3520 High St Ste 100, Portsmouth, VA 23707-3126 | 2020-05-12 |
| 1083252704 | Kimberly Albero | Family Medicine | 1801 Wickham Pl, Charlottesville, VA 22901-9235 | 2019-12-12 |
| 1154898997 | Regional Health Providers LLC | Family Medicine | 3917 Old Lee Hwy Ste 11d, Fairfax, VA 22030-2431 | 2018-10-30 |
| 1568977940 | Renaissance Medical Care | Family Medicine | 284 Blevins Boulevard, Bristol, VA 24202 | 2017-12-07 |
| 1376054395 | Virginia Calyx Professional Services, LLC | Family Medicine | 681 Hioaks Rd Ste C, Richmond, VA 23225-4043 | 2017-10-17 |
| 1871026831 | Masaru Nishiaoki | Family Medicine | 501 N 2nd St # 100, Richmond, VA 23219-1359 | 2017-04-06 |
| 1083146302 | Affinity Healthcare Group Franklin LLC | Family Medicine | 6806 Forest Lake Ct, Suffolk, VA 23435-2935 | 2017-03-28 |
| 1437699766 | Affinity Healthcare Group Newport News, LLC | Family Medicine | 6000 Jefferson Ave, #b, Newport News, VA 23605-3266 | 2017-03-06 |
| 1952852261 | Watauga Recovery Center Wytheville | Family Medicine | 255 Holston Rd, Wytheville, VA 04382-4448 | 2016-10-21 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSVILLE |
| Zip Code | 24112 |
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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.