FAMILY HEALTHCARE OF WYTHEVILLE PC (NPI# 1346474707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346474707 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTHCARE OF WYTHEVILLE PC |
| Practice Address |
340 Peppers Ferry Rd Suite C Wytheville VA 24382-2056 |
| Practice Telephone | 2762270200 |
| Practice Fax Number | 2762270202 |
| Mailing Telephone | 2762270200 |
| Mailing Fax Number | 2762270202 |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-09-14 |
| Authorized Official Name | JOHN MICHAEL HARKLESS (OWNER) |
| Authorized Official Telephone | 2762270200 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0102202346 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1346474707 | 05 |
| Street Address |
340 PEPPERS FERRY RD SUITE C |
| City | WYTHEVILLE |
| State | VA |
| Zip Code | 24382-2056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518969138 | Sanjay Rasik Mehta | Internal Medicine | 340 Peppers Ferry Rd, Wytheville, VA 24382-2091 | 2005-08-12 |
| 1164768479 | Kara L Conley | Nurse Practitioner | 340 Peppers Ferry Rd, Wytheville, VA 24382-2091 | 2012-12-14 |
| 1083870455 | John Michael Harkless | Family Medicine | 340 Peppers Ferry Rd, Suite C, Wytheville, VA 24382-2056 | 2008-08-05 |
| 1982775730 | Amedisys Home Health, Inc. of Virginia | Home Health | 340 Peppers Ferry Rd, Suite B, Wytheville, VA 24382-2056 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709118 | Pt Solutions LLC | Physical Therapist | 1050 Holston Road, Wytheville, VA 24382 | 2020-01-10 |
| 1881233377 | Amie S Newberry | Physical Therapist | 1050 Holston Rd, Wytheville, VA 24382 | 2019-12-31 |
| 1174160618 | Erin Leigh Dejesus | Family Medicine | 375 W Ridge Rd, Wytheville, VA 24382 | 2019-12-03 |
| 1629639497 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 425 Grayson Presbyterian Road, Wytheville, VA 24382 | 2019-06-24 |
| 1023527926 | Emily Kingrey | Occupational Therapist | 800 E Main St., Suite 310, Wytheville, VA 24382 | 2017-09-22 |
| 1184149247 | Linda Huber | Driver | 610 E Washington St, Wytheville, VA 24382 | 2017-08-10 |
| 1578987558 | Family Preservation Services, Inc | Community/Behavioral Health | 695 East Marshall Street, Wytheville, VA 24382 | 2014-02-11 |
| 1255774121 | Forest Pharmacy Inc | Pharmacy | 1787 W Lee Highway, Suite B, Wytheville, VA 24382 | 2013-04-10 |
| 1447500400 | Guardian Pharmacy of Virginia LLC | Pharmacy | 860 Stafford Umberger Dr, Wytheville, VA 24382 | 2012-09-17 |
| 1669604385 | Catherine Elizabeth Russell | Physical Therapist | 710 West Ridge Rd, Suites E & F, Wytheville, VA 24382 | 2009-08-13 |
| Find all providers in zip 24382 | ||||
| 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 |
|---|---|---|---|---|
| 1174160618 | Erin Leigh Dejesus | Family Medicine | 375 W Ridge Rd, Wytheville, VA 24382 | 2019-12-03 |
| 1376907386 | Chase King | Family Medicine | 245 Holston Rd Ste B, Wytheville, VA 24382-4486 | 2016-04-06 |
| 1548231053 | Chimer D Moore Jr. | Family Medicine | 360 Virginia Avenue, Wytheville, VA 24382 | 2006-02-01 |
| 1992776538 | Kyoung S Cho | Family Medicine | 342 Virginia Ave, Wytheville, VA 24382-1185 | 2006-01-31 |
| 1770563496 | Kari L Thomas | Family Medicine | 1375 W Ridge Rd, Wytheville, VA 24382-5011 | 2006-01-19 |
| 1407276611 | Gabriel Mosier | Family Medicine | 1375 W Ridge Rd, Wytheville, VA 24382-5011 | 2014-04-27 |
| 1083870455 | John Michael Harkless | Family Medicine | 340 Peppers Ferry Rd, Suite C, Wytheville, VA 24382-2056 | 2008-08-05 |
| 1972622181 | Scotty Garland Dove | Family Medicine | 245 Holston Rd, Suite B, Wytheville, VA 24382-4486 | 2007-03-28 |
| 1386706018 | Tracy Lee Mathena | Family Medicine | 600 W Ridge Rd, Wythe County Community Hospital, Wytheville, VA 24382-1044 | 2006-12-16 |
| 1932119468 | Michael H Stoker | Family Medicine | 342 Virginia Ave, Wytheville, Wytheville, VA 24382-1185 | 2006-08-08 |
| Find all providers in WYTHEVILLE | ||||
| City | WYTHEVILLE |
| Zip Code | 24382 |
Please comment or provide details below to improve the information on FAMILY HEALTHCARE OF WYTHEVILLE PC.
| 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.