TRACY LEE MATHENA (NPI# 1386706018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386706018 |
| Entity Type | Individual |
| Full Name | TRACY LEE MATHENA |
| Credential | MD |
| Practice Address |
600 W Ridge Rd Wythe County Community Hospital Wytheville VA 24382-1044 |
| Mailing Address |
685 Loretto Dr Wytheville VA 24382-2085 |
| Practice Telephone | 2762281775 |
| Practice Fax Number | 2762281776 |
| Mailing Telephone | 2722282216 |
| Enumeration Date | 2006-12-16 |
| Last Update Date | 2009-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101240789 | VA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 0101240789 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100049800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861795338 | Tracy Lynn Mathena | Pharmacist | Us Rt 52 N, Bluewell, WV 24701 | 2010-12-06 |
| Street Address |
600 W RIDGE RD WYTHE COUNTY COMMUNITY HOSPITAL |
| City | WYTHEVILLE |
| State | VA |
| Zip Code | 24382-1044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467451567 | Gordon Jay Settlow | Specialist | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2005-07-20 |
| 1972138493 | Tammy Lynn Guinn | Nurse Practitioner | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2020-03-04 |
| 1275175457 | Carrie Joan Mckinney | Hospitalist | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2019-10-09 |
| 1114585197 | Gary Paul Rogers IIi | Nutritionist | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2019-06-04 |
| 1376008730 | Jeannie Lynn Childress | Nurse Practitioner | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2019-02-09 |
| 1851875710 | Andrew Preston Widener | Nurse Practitioner | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2018-09-17 |
| 1477087500 | Jennifer L Tarter | Nurse Practitioner | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2017-04-15 |
| 1124575592 | Sheridan Anesthesia Services of Virginia, Inc | Anesthesiology | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2016-09-02 |
| 1316347354 | Rebecca Williams | Nurse Practitioner | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2014-08-27 |
| 1225391162 | Anna L. Caldwell | Physician Assistant | 600 W Ridge Rd, Wytheville, VA 24382-1044 | 2012-06-15 |
| Find all providers in the same location | ||||
| 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 |
| 1346474707 | Family Healthcare of Wytheville PC | Family Medicine | 340 Peppers Ferry Rd, Suite C, Wytheville, VA 24382-2056 | 2009-05-13 |
| 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 |
| 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 |
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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.