CENTRA HEALTH PROFESSIONAL SERVICES, LLC (NPI# 1306130083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306130083 |
| Entity Type | Organization |
| Organization Name | CENTRA HEALTH PROFESSIONAL SERVICES, LLC |
| Other Organization Name | LYNCHBURG FAMILY MEDICINE CENTER |
| Practice Address |
2323 Memorial Ave Suite 10 Lynchburg VA 24501-2661 |
| Mailing Address |
1204 Fenwick Dr Lynchburg VA 24502-2112 |
| Practice Telephone | 4342005200 |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |
| Authorized Official Name | ARTHUR LEAVITT (VP PHYSICIAN PRACTICE MANAGEMENT) |
| Authorized Official Telephone | 4342003656 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRA HEALTH PROFESSIONAL SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lynchburg Family Medicine Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043662828 | Centra Health Professional Services, LLC | Internal Medicine | 414 Park Avenue, Danville, VA 24541-9998 | 2016-07-06 |
| 1760776447 | Centra Health Professional Services, LLC | Family Medicine | 10961 Lee Jackson Highway, Big Island, VA 24526 | 2011-05-31 |
| 1811135593 | Centra Health Professional Services, LLC | Physical Medicine & Rehabilitation | 404 Airport Dr, Suite C, Danville, VA 24540-5196 | 2009-02-03 |
| 1346486560 | Centra Health Professional Services, LLC | Family Medicine | 1902 Grace St, Lynchburg, VA 24504-3524 | 2008-12-17 |
| 1497900047 | Centra Health Professional Services, LLC | Urology | 1039 Mayberry Crossing Drive, Moneta, VA 24121 | 2008-11-24 |
| 1538101969 | Centra Health Professional Services, LLC | Physical Medicine & Rehabilitation | 1900 Tate Springs Rd, Suite 16, Lynchburg, VA 24501-1122 | 2006-06-11 |
| 1235480351 | Centra Health Professional Services, LLC | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2012-09-28 |
| 1316298433 | Centra Health Professional Services, LLC | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2012-09-28 |
| 1033471438 | Centra Health Professional Services, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1701 Thomson Dr, Lynchburg, VA 24501-1118 | 2012-06-12 |
| 1770840654 | Centra Health Professional Services, LLC | Orthopaedic Surgery | 1613 Oakwood St, Suite 101, Bedford, VA 24523-1213 | 2012-04-18 |
| Street Address |
2323 MEMORIAL AVE SUITE 10 |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501-2661 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578565677 | Richard Charles Mcfarland | Psychologist | 2323 Memorial Ave, Suite 10, Lynchburg, VA 24501 | 2005-06-02 |
| 1770931578 | Pallavi Suvarna | Student in an Organized Health Care Education/Training Program | 2323 Memorial Ave, Lynchburg, VA 24501-2661 | 2016-06-02 |
| 1780064501 | Charles Latham | Student in an Organized Health Care Education/Training Program | 2323 Memorial Ave, Suite #10, Lynchburg, VA 24501-2661 | 2015-06-06 |
| 1124433438 | Vi Tran | Student in an Organized Health Care Education/Training Program | 2323 Memorial Ave, Suite #10, Lynchburg, VA 24501-2661 | 2014-06-25 |
| 1841614088 | Shannon Bishop | Physician Assistant | 2323 Memorial Ave, Lynchburg, VA 24501-2661 | 2014-02-07 |
| 1063858330 | David Yiping Lee | Student in an Organized Health Care Education/Training Program | 2323 Memorial Ave, Suite #10, Lynchburg, VA 24501-2661 | 2013-05-14 |
| 1891057394 | Daniel Matthew Breland | Family Medicine | 2323 Memorial Ave, Suite 10, Lynchburg, VA 24501-2661 | 2012-06-11 |
| 1669733754 | Memona Tazamal | Student in an Organized Health Care Education/Training Program | 2323 Memorial Ave, Suite #10, Lynchburg, VA 24501-2661 | 2012-06-05 |
| 1073805461 | Ghada M Alsayed | Family Medicine | 2323 Memorial Ave, 10, Lynchburg, VA 24501-2661 | 2011-05-04 |
| 1760797096 | Lydia E Mckay | Physician Assistant | 2323 Memorial Ave, Suite 10, Lynchburg, VA 24501-2661 | 2010-08-11 |
| 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.