WELLNESSMD @ ACAC LLC (NPI# 1396932323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396932323 |
| Entity Type | Organization |
| Organization Name | WELLNESSMD @ ACAC LLC |
| Practice Address |
406 Albemarle Sq Charlottesville VA 22901-1472 |
| Mailing Address |
406 Albemarle Square Charlottesville VA 22901-1472 |
| Practice Telephone | 4348174280 |
| Practice Fax Number | 4348174281 |
| Mailing Telephone | 4348174280 |
| Mailing Fax Number | 4348174281 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | PHIL G WENDEL (OWNER) |
| Authorized Official Telephone | 4349749890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL TPAN | 00X553W38 | 01 | |
| GROUP PTAN | C10038 | 01 |
| Street Address |
406 ALBEMARLE SQ |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22901-1472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861055907 | Lisa Goldstein | Nurse Practitioner | 406 Albemarle Sq, Charlottesville, VA 22901-7400 | 2019-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641501 | John Mccord | Speech-Language Pathologist | English Meadows, 1220 Crozet Ave, Crozet, VA 22901 | 2020-05-20 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
| 1558855346 | Dana Scott | Counselor | 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 | 2018-06-15 |
| 1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
| 1033620380 | Cheryl K Cottrell | Counselor | 875 East Rio Court, Charlottesville, VA 22901 | 2017-10-13 |
| 1114389640 | Heather Lorin Broach | Physical Therapist | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 | 2016-03-23 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1083988778 | Melissa Stanley | Nurse Practitioner | 1356 River Rd, Charlottesville, VA 22901 | 2012-02-28 |
| 1982977633 | Jea Catherine Brickwedde | Specialist | 716 Rio Rd W, Fa, Charlottesville, VA 22901 | 2012-02-10 |
| Find all providers in zip 22901 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326402116 | Che Monte Torry | Family Medicine | 739 Thimble Shoals Blvd Ste 1008, Newport News, VA 23606-3585 | 2016-04-08 |
| 1063802890 | Ferrum College | Family Medicine | 590 Ferrum Mountain Rd, Hank Norton Center, Ferrum, VA 24088 | 2015-02-02 |
| 1013174523 | Kinjal Sohagia | Family Medicine | 732 Thimble Shoals Blvd Ste 803, Newport News, VA 23606-4218 | 2008-05-21 |
| 1528261674 | Jason Mchugh | Family Medicine | 2613 Taylor Rd Ste 100, Chesapeake, VA 23321-2246 | 2007-06-07 |
| 1073554713 | Teresa Maria Camden | Family Medicine | 5211 W Broad St, 101, Richmond, VA 23230-3009 | 2006-06-10 |
| 1548237993 | Delmas J Bolin | Family Medicine | 25 W Calhoun St, Salem, VA 24153-3836 | 2006-03-03 |
| 1689296360 | Liberty University, Inc | Family Medicine | 1971 University Blvd, Lynchburg, VA 24515-0002 | 2020-05-15 |
| 1245709088 | Access Healthcare Multi-specialty Group, Pllc | Family Medicine | 2103 Graves Mill Rd, Forest, VA 24551-2675 | 2018-11-23 |
| 1124556352 | Bluefield College | Family Medicine | 3000 College Ave, Bluefield, VA 24605-2050 | 2017-06-01 |
| 1295186377 | Aaron S Ferro | Family Medicine | 7101 Jahnke Road, Mob #7175, Richmond, VA 23225 | 2016-06-29 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
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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.