MARTINSVILLE PHYSICIAN PRACTICES LLC


Address: 1109 Brookdale St, Ste C, Martinsville, VA 24112-4543
Phone: 2766667545

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
MARTINSVILLE PEDIATRICS Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Virginia Business Entities Martinsville Physician Practices LLC 103 Powell Ct Ste 200, Brentwood, Tennessee 37027

Office Location

Street Address 1109 BROOKDALE ST
STE C
City MARTINSVILLE
State VA
Zip Code 24112-4543

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City MARTINSVILLE
Zip Code 24112

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Dataset Information

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.

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