MINERVA HEALTH LLC (NPI# 1336618263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336618263 |
| Entity Type | Organization |
| Organization Name | MINERVA HEALTH LLC |
| Practice Address |
3512 Ellerton Dr Midlothian VA 23113-3668 |
| Mailing Address |
Po Box 2516 Midlothian VA 23113-8516 |
| Practice Telephone | 8044648412 |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2018-11-20 |
| Authorized Official Name | NAOMI AYLESWORTH (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8044648412 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Minerva Health LLC | 3512 Ellerton Dr, Midlothian, Virginia 23113 |
| Street Address |
3512 ELLERTON DR |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23113-3668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881211167 | River Run Dental Midlothian Pllc | Dentist | 14261 Winterview Parkway, Midlothian, VA 23113 | 2020-07-02 |
| 1447891981 | Dianne Carter Mays | Technician | 10901 Live Oak Court, Midlothian, VA 23113 | 2019-10-07 |
| 1023538444 | Kathryn Marie Logsdon | Physical Therapist | 2900 Calcutt Drive, Midlothian, VA 23113 | 2017-06-27 |
| 1801244694 | Anjali N Kalore | Internal Medicine | 10925 Live Oak Ct, Midlothian, VA 23113 | 2016-06-02 |
| 1124415971 | Cara E. Corbelli | Chiropractor | 1520 Huguenot Rd Ste 113, Midlothian, VA 23113 | 2015-04-20 |
| 1922438639 | Orthovirginia, Inc | Orthopaedic Surgery | 13801 St. Francis Blvd, Suite 200, Midlothian, VA 23113 | 2013-11-15 |
| 1811334832 | Kara Keuthan Beatty | Psychiatry & Neurology | 1525 Huguenot Rd Ste 201, Midlothian, VA 23113 | 2013-05-31 |
| 1770854697 | R. Adrian Sorenson Dds and William R. Monacell Dds | Dentist | 14420 Sommerville Ct., Midlothian, VA 23113 | 2012-01-24 |
| 1336418995 | Hush Fine Lingerie LLC | Prosthetic/Orthotic Supplier | 15712 Wc Main Strett, Westchester Commons Shopping Center, Midlothian, VA 23113 | 2011-12-27 |
| 1205118163 | Rebecca Barton | Pharmacist | 10401 Midlothian Tnpk, Midlothian, VA 23113 | 2011-09-15 |
| Find all providers in zip 23113 | ||||
| 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 |
|---|---|---|---|---|
| 1790311603 | Rachell Alissia Sullivan | Family Medicine | 6010 Park View Dr, Midlothian, TX 76065-8933 | 2020-03-23 |
| 1376176586 | Jessie Cheng | Family Medicine | 381 Crofton Village Ter, Midlothian, VA 23114-4750 | 2020-02-16 |
| 1659840981 | Rachel Bailey | Family Medicine | 4421 Stigall Dr, Midlothian, VA 23112-3217 | 2018-11-15 |
| 1326546151 | Bellgrade Medical | Family Medicine | 2621 Promenade Pkwy Ste 101, Midlothian, VA 23113-4905 | 2018-01-26 |
| 1861845844 | Ekaterina Bratysheva | Family Medicine | 13540 Hull Street Road, Midlothian, VA 23112 | 2016-07-14 |
| 1437534864 | Mark Merritt | Family Medicine | 32 Spinnaker Cove Dr, Midlothian, VA 23112-2131 | 2015-07-27 |
| 1902218852 | Katherine Pederson | Family Medicine | 2230 Bryan Pl Ste 200, Midlothian, TX 76065 | 2014-05-27 |
| 1902248941 | Virginia Physicians,inc | Family Medicine | 11301 Polo Pl, Suite B, Midlothian, VA 23113-4803 | 2013-07-18 |
| 1336459171 | Bon Secours St. Francis Medical Center Inc | Family Medicine | 13700 St Francis Blvd Ste 302, Midlothian, VA 23114-3222 | 2010-10-14 |
| 1821309675 | Elias Flores Lara Jr. | Family Medicine | 151 Walton Way Ste 107, Midlothian, TX 76065-8010 | 2010-06-27 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 23113 |
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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.