ULTRA HEALTH LLC (NPI# 1285153072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285153072 |
| Entity Type | Organization |
| Organization Name | ULTRA HEALTH LLC |
| Other Organization Name | TOWN CENTER |
| Practice Address |
1107 Riverview St Grundy VA 24614-9481 |
| Mailing Address |
Po Box 289 Cedar Bluff VA 24609-0289 |
| Practice Telephone | 2673851186 |
| Mailing Telephone | 2769701979 |
| Mailing Fax Number | 2762586492 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2019-03-01 |
| Authorized Official Name | JEFFERY H TAYLOR (MEMBER) |
| Authorized Official Telephone | 2769710783 |
| Is Organization Subpart | Y |
| Parent Organization Name | ULTRA HEALTH LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Town Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457891145 | Ultra Health LLC | Internal Medicine | 13401 Gov G C Peery Hwy, Pounding Mill, VA 24637-4010 | 2017-03-01 |
| 1922469543 | Ultra Health LLC | Internal Medicine | 36 Pemberton Cv, Jackson, TN 38305 | 2016-03-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Ultra Health LLC | 112 River Road, Cedar Bluff, Virginia 24609 |
| Street Address |
1107 RIVERVIEW ST |
| City | GRUNDY |
| State | VA |
| Zip Code | 24614-9481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494922 | George J Farrell IIi | Otolaryngology | 1107 Riverview St, Grundy, VA 24614 | 2005-08-16 |
| 1609369933 | Amanda Marie Lester | Nurse Practitioner | 1107 Riverview St, Grundy, VA 24614 | 2018-06-12 |
| 1386163822 | Town Center Urgent Care LLC | Clinic/Center | 1107 Riverview St, Grundy, VA 24614-9481 | 2017-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861962425 | Leah Jessee | Nurse Practitioner | 1107 Riverview Street, Grundy, VA 24614 | 2018-11-27 |
| 1467989137 | Amanda Fletcher | Nurse Practitioner | 1298 Lick Log Road, Grundy, VA 24614 | 2017-05-12 |
| 1578800967 | Coetta Lynn Neece | Nurse Practitioner | 18334 Riverside Drive, Grundy, VA 24614 | 2013-01-07 |
| 1376894840 | Tina Michele Williams | Nurse Practitioner | 1520 Slate Creek Rd Suite 205, Grundy, VIRGINIA 24614 | 2012-09-25 |
| 1881980647 | Ngd Incorporated | Pharmacy | 1063 Edgewater Dr., Grundy, VA 24614 | 2011-06-21 |
| 1710291216 | Pamela D Harrison | Nurse Practitioner | 28567 Riverside Drive, Grundy, VA 24614 | 2010-07-27 |
| 1477889111 | Susan Buskill Fogg | Counselor | 19873 Riverside Drive, Grundy, VA 24614 | 2009-10-31 |
| 1336396043 | Maranda Gayle Fletcher-meadows | Speech-Language Pathologist | 5820 Slate Creek Road, Grundy, VA 24614 | 2008-08-25 |
| 1528282241 | Joshua P Sutherland Jr PC | Family Medicine | 20886 Riverside Drive, Grundy, VA 24614 | 2007-04-12 |
| 1043339989 | Grundy Internal Medicine, PC | Internal Medicine | 1532 Slate Creek Road, Ste 203, Grundy, VA 24614 | 2007-03-29 |
| Find all providers in zip 24614 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1194360503 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Internal Medicine | 5899 Bremo Rd Ste 202, Richmond, VA 23226-1935 | 2019-11-08 |
| 1568954535 | Warren Memorial Hospital, Inc. | Internal Medicine | 120 N. Commerce Ave, Ste 203, 245, 255, Front Royal, VA 22630 | 2018-06-05 |
| 1457891145 | Ultra Health LLC | Internal Medicine | 13401 Gov G C Peery Hwy, Pounding Mill, VA 24637-4010 | 2017-03-01 |
| 1720407851 | Cesar M. Plazas-guzman | Internal Medicine | 713 Volvo Pkwy Ste 100, Chesapeake, VA 23320-1614 | 2014-04-16 |
| 1639426497 | Miriam Hinaa Ahmad | Internal Medicine | 103 W Broad St Ste 120, Falls Church, VA 22046-4231 | 2012-08-11 |
| 1023372620 | Paul Sumner Strumph | Internal Medicine | 2350 Merriman Way Rd, Moneta, VA 24121-3186 | 2012-06-27 |
| 1811256381 | Silpa P.k. Joshi | Internal Medicine | 3201 Jermantown Rd Ste 250, Fairfax, VA 22030-2881 | 2012-05-03 |
| 1518244854 | Bon Secours St. Francis Medical Center Inc | Internal Medicine | 3660 Boulevard Ste G, Colonial Heights, VA 23834-1345 | 2011-11-15 |
| 1235427592 | Neeharika Repaka | Internal Medicine | 1830 Town Center Dr Ste 306, Reston, VA 20190-3217 | 2011-07-20 |
| 1851699227 | Sentara Medical Group | Internal Medicine | 1936 Opitz Blvd Ste A, Woodbridge, VA 22191-3360 | 2011-03-08 |
| Find all providers with the same taxonomy | ||||
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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.