JULIE A SUPPA (NPI# 1225203698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225203698 |
| Entity Type | Individual |
| Full Name | JULIE A SUPPA |
| Credential | M.D. |
| Practice Address |
2215 Landover Pl Lynchburg VA 24501-2115 |
| Mailing Address |
Po Box 11889 Lynchburg VA 24506-1889 |
| Practice Telephone | 4349473944 |
| Practice Fax Number | 4345442316 |
| Mailing Telephone | 4349473944 |
| Mailing Fax Number | 4345442316 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2009-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101243083 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 355576 | 01 | |
| ANTHEM | 358457 | 01 | |
| VA | 1225203698 | 05 |
| Street Address |
2215 LANDOVER PL |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243649 | Johanna Paola Brown | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2005-05-31 |
| 1427574615 | Jamie A Gray | Nurse Practitioner | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2017-08-18 |
| 1841741089 | Infectious Disease Associates of Central Virginia, LLC | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2016-10-24 |
| 1578925558 | Luis Calvo Fragachan | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2016-03-28 |
| 1518328533 | Amy Mckinney | Physician Assistant | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2016-03-18 |
| 1710370374 | Ward Stevens Jr. | Neurological Surgery | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2015-03-06 |
| 1518355726 | Michelle Dawson | Nurse Practitioner | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2014-12-23 |
| 1497151047 | Armand Mcgibbon | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2014-11-10 |
| 1396088092 | Joanne Hosni | Family Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2013-04-01 |
| 1356683957 | Brian W Mandeville Jr. | Internal Medicine | 2215 Landover Pl, Lynchburg, VA 24501-2115 | 2013-03-21 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 24501 | ||||
| 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 |
|---|---|---|---|---|
| 1134737265 | Joshua Fleming | Family Medicine | 1125 Old Graves Mill Rd Apt 316, Lynchburg, VA 24502-4312 | 2020-07-15 |
| 1124640529 | Deborah Armstrong Md PC | Family Medicine | 300 Two Creek Dr, Lynchburg, VA 24502-5140 | 2020-05-08 |
| 1477048973 | Ptc Wellness Centers Bwxt | Family Medicine | 1570 Mt. Athos Rd., Lynchburg, VA 24504 | 2018-06-27 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1427578335 | Vinh Thinh T Huynh | Family Medicine | 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 | 2017-06-21 |
| 1164845632 | Andrew Joseph Anderson | Family Medicine | 4327 Boonsboro Rd Ste 5, Lynchburg, VA 24503 | 2014-02-03 |
| 1013356542 | Anoop Singh Kochar | Family Medicine | 2323 Memorial Avenue Suite #10, Lynchburg Family Medicine Residency, Lynchburg, VA 24501 | 2013-06-18 |
| 1669610986 | Central Virginia Family Physicians, Inc | Family Medicine | 14005 Wards Rd, #a, Lynchburg, VA 24501-7127 | 2009-01-23 |
| 1346486560 | Centra Health Professional Services, LLC | Family Medicine | 1902 Grace St, Lynchburg, VA 24504-3524 | 2008-12-17 |
| 1376732818 | Rafal Piotr Kaczynski | Family Medicine | 1900 Weeping Willow Dr Apt J, Lynchburg, VA 24501-3966 | 2007-10-22 |
| Find all providers in LYNCHBURG | ||||
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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.