MARTINSVILLE PHYSICIAN PRACTICES LLC (NPI# 1265703458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265703458 |
Entity Type | Organization |
Organization Name | MARTINSVILLE PHYSICIAN PRACTICES LLC |
Other Organization Name | MARTINSVILLE PEDIATRICS |
Practice Address |
1109 Brookdale St Ste C Martinsville VA 24112-4543 |
Practice Telephone | 2766667545 |
Practice Fax Number | 2766320912 |
Mailing Telephone | 2766667545 |
Mailing Fax Number | 2766320912 |
Enumeration Date | 2012-01-19 |
Last Update Date | 2012-01-19 |
Authorized Official Name | JESS JUDY (PRESIDENT) |
Authorized Official Telephone | 6153728500 |
Is Organization Subpart | Y |
Parent Organization Name | MARTINSVILLE PHYSICIAN PRACTICES LLC |
Parent Organization TIN |
|
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
MARTINSVILLE PEDIATRICS | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Virginia Business Entities | Martinsville Physician Practices LLC | 103 Powell Ct Ste 200, Brentwood, Tennessee 37027 |
Street Address |
1109 BROOKDALE ST STE C |
City | MARTINSVILLE |
State | VA |
Zip Code | 24112-4543 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417930553 | Medical Services of America Inc | Durable Medical Equipment & Medical Supplies | 1109 Brookdale St, Ste A, Martinsville, VA 24112-4543 | 2005-11-22 |
1588749956 | Stacey Humphreys | Registered Nurse | 1109 Brookdale St, Suite C, Martinsville, VA 24112-4543 | 2006-10-26 |
1457331860 | Mary Noonan | Pediatrics | 1109 Brookdale St, Suite C, Martinsville, VA 24112-4543 | 2006-01-20 |
1811976319 | Kathryn Cabot Self | Pediatrics | 1109 Brookdale St, Suite C, Martinsville, VA 24112-4543 | 2006-01-12 |
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 | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841237583 | David P Davis Medicine, PC | Clinic/Center | 890 Ridgelawn Rd, Martinsville, IL 62442-0399 | 2006-06-01 |
1710504840 | Carilion Giles Community Hospital | Clinic/Center | 1107a Brookdale St, Martinsville, VA 24112-4501 | 2020-07-06 |
1194340091 | Carilion Healthcare Corporation | Clinic/Center | 1107a Brookdale St, Martinsville, VA 24112-4501 | 2020-06-16 |
1285006973 | Sarah Bush Lincoln Health Center | Clinic/Center | 890 E Ridgelawn Rd, Martinsville, IL 62442-2551 | 2015-10-21 |
1801010616 | Children's Medical Center, Ltd. | Clinic/Center | 15 Cleveland Ave, Suite 14, Martinsville, VA 24112-2937 | 2007-04-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134735905 | Bay Medical & Wellness, LLC | Clinic/Center | 13794 Tidewater Trl, Saluda, VA 23149-2314 | 2020-09-17 |
1154948271 | Carilion Giles Community Hospital | Clinic/Center | 22890 Virgil Goode Hwy., Boones Mill, VA 24065 | 2020-07-06 |
1760008387 | Carilion Healthcare Corporation | Clinic/Center | 22890 Virgil H Goode Highway, Boones Mill, VA 24065 | 2020-06-19 |
1457840183 | Warren Memorial Hospital, Inc. | Clinic/Center | 315 W 10th St Ste 1, Front Royal, VA 22630-2812 | 2018-05-08 |
1154857019 | Bath County Community Hospital | Clinic/Center | 713 S Monroe Ave, Covington, VA 24426-1832 | 2017-05-11 |
1891154019 | Appalachian Regional Healthcare, Inc. | Clinic/Center | 121 Stacy Dr, Pennington Gap, VA 24277-1929 | 2016-02-16 |
1366791972 | Free Clinic of Franklin County | Clinic/Center | 1171 Franklin Street, Rocky Mount, VA 24151 | 2012-08-29 |
1487818902 | St. Mary's Health Wagon | Clinic/Center | 233 Chase St., Clintwood, VA 24228 | 2008-07-14 |
1609054733 | Mountain States Health Alliance | Clinic/Center | 16431 Wise Street, Saint Paul, VA 24283-3537 | 2008-01-31 |
1013199322 | Page Memorial Hospital, Inc. | Clinic/Center | 505 Williams Ave, Shenandoah, VA 22849-1263 | 2007-11-28 |
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.