PROFESSIONAL MANAGEMENT SERVICES, LLC (NPI# 1356720437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356720437 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL MANAGEMENT SERVICES, LLC |
| Other Organization Name | VIRGINIA ADDICTION MEDICINE |
| Practice Address |
6138 Redwood Square Ctr Suite 204 Centreville VA 20121-4264 |
| Mailing Address |
2791 Valley Ave Winchester VA 22601 |
| Practice Telephone | 7032295453 |
| Practice Fax Number | 8883528653 |
| Mailing Telephone | 7032295453 |
| Mailing Fax Number | 8883528653 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2016-12-29 |
| Authorized Official Name | MRS. BIRGIT GABRIELE WHYARD (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 7032295453 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171W00000X | Contractor | Other Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Virginia Addiction Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699731810 | Professional Management Services, LLC | Podiatrist | 707 Old Crossing Dr, Baltimore, MD 21208-3308 | 2006-04-25 |
| 1144653288 | Professional Management Services, LLC | Durable Medical Equipment & Medical Supplies | 707 Old Crossing Dr, Baltimore, MD 21208-3308 | 2013-08-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PROFESSIONAL MANAGEMENT SERVICES, LLC | 7600 Ne 41st St, Suite 310, Vancouver, WA 98662-6791 |
| Street Address |
6138 REDWOOD SQUARE CTR SUITE 204 |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20121-4264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356906994 | Everyone Inc. | Durable Medical Equipment & Medical Supplies | 6362 James Harris Way, Centreville, VA 20121 | 2019-05-09 |
| 1154845139 | Dien Tu | Pharmacist | 6321 Powder Flask Ct., Centreville, VA 20121 | 2017-08-01 |
| 1053865337 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Highway, #109b, Centreville, VA 20121 | 2016-08-04 |
| 1265829808 | Trisha Yamamoto | Chiropractor | 14215 E. Centreville Square, Centreville, VA 20121 | 2015-04-21 |
| 1811305733 | Catherine Elizabeth Sims, LLC | Clinic/Center | 6705 Bay Valley Lane, Centreville, VA 20121 | 2014-07-23 |
| 1194138438 | All In A Day Senior Care Services.com | Home Health | 6913 Confederate Ridge Lane, Centerville, VA 20121 | 2014-06-04 |
| 1447519483 | James Hamilton | Occupational Therapy Assistant | 6220 William Mosby Dr, Centreville, VA 20121 | 2012-05-11 |
| 1609158674 | Rena Thuman | Dentist | 14245-f Centreville Square, Centreville, VA 20121 | 2011-09-15 |
| 1134426372 | One Stop Pharmacy Inc | Pharmacy | 13818-b Braddock Rd, Centreville, VA 20121 | 2011-02-24 |
| 1225267495 | Michael Andrew Hartman | Family Medicine | 6201 Centerville Rd, # 100, Centreville, VA 20121 | 2009-07-09 |
| Find all providers in zip 20121 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306395819 | Ciganek LLC | Family Medicine | 633 Railroad Ave, Centreville, MD 21617-1144 | 2016-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477177590 | Appalachian Counseling and Medical, LLC | Family Medicine | 142 Mall Church Rd, Cedar Bluff, VA 24609-7081 | 2020-06-04 |
| 1699397786 | Care Connect Behavioral Health, LLC | Family Medicine | 3520 High St Ste 100, Portsmouth, VA 23707-3126 | 2020-05-12 |
| 1083252704 | Kimberly Albero | Family Medicine | 1801 Wickham Pl, Charlottesville, VA 22901-9235 | 2019-12-12 |
| 1154898997 | Regional Health Providers LLC | Family Medicine | 3917 Old Lee Hwy Ste 11d, Fairfax, VA 22030-2431 | 2018-10-30 |
| 1568977940 | Renaissance Medical Care | Family Medicine | 284 Blevins Boulevard, Bristol, VA 24202 | 2017-12-07 |
| 1376054395 | Virginia Calyx Professional Services, LLC | Family Medicine | 681 Hioaks Rd Ste C, Richmond, VA 23225-4043 | 2017-10-17 |
| 1871026831 | Masaru Nishiaoki | Family Medicine | 501 N 2nd St # 100, Richmond, VA 23219-1359 | 2017-04-06 |
| 1083146302 | Affinity Healthcare Group Franklin LLC | Family Medicine | 6806 Forest Lake Ct, Suffolk, VA 23435-2935 | 2017-03-28 |
| 1437699766 | Affinity Healthcare Group Newport News, LLC | Family Medicine | 6000 Jefferson Ave, #b, Newport News, VA 23605-3266 | 2017-03-06 |
| 1952852261 | Watauga Recovery Center Wytheville | Family Medicine | 255 Holston Rd, Wytheville, VA 04382-4448 | 2016-10-21 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 20121 |
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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.