DOMINION HEALTH MEDICAL ASSOC (NPI# 1407051873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407051873 |
| Entity Type | Organization |
| Organization Name | DOMINION HEALTH MEDICAL ASSOC |
| Other Organization Name | SENTARA HALIFAX FAMILY MEDICINE |
| Practice Address |
101 Aubrey's Loop Rd South Boston VA 24592 |
| Mailing Address |
P.o. Box 860 South Boston VA 24592 |
| Practice Telephone | 4345173788 |
| Practice Fax Number | 4345173887 |
| Mailing Telephone | 4345173513 |
| Mailing Fax Number | 4345173887 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2015-02-10 |
| Authorized Official Name | CECIL HAZELWOOD (MANAGER (SDHG)) |
| Authorized Official Telephone | 4345173515 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 0101054916 | VA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Sentara Halifax Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669572897 | Dominion Health Medical Assoc | Legal Medicine | 115 College St, Clarksville, VA 23927 | 2006-09-25 |
| 1689772238 | Dominion Health Medical Assoc | Legal Medicine | 946 N. Main St, Chase City, VA 23924 | 2006-09-20 |
| 1568933182 | Dominion Health Medical Assoc | Clinic/Center | 101 Aubreys Loop, South Boston, VA 24592-5054 | 2018-12-07 |
| 1457756322 | Dominion Health Medical Assoc | Pediatrics | 101 Aubreys Loop, South Boston, VA 24592-5054 | 2014-11-04 |
| 1427306315 | Dominion Health Medical Assoc | Specialist | 2232 Wilborn Ave, Suite F, South Boston, VA 24592 | 2012-08-27 |
| 1760740625 | Dominion Health Medical Assoc | Clinic/Center | 2206 Wilborn Ave, South Boston, VA 24592 | 2012-04-30 |
| 1134407570 | Dominion Health Medical Assoc | Clinic/Center | 2204 Wilborn Ave, South Boston, VA 24592 | 2011-08-03 |
| 1639457179 | Dominion Health Medical Assoc | Anesthesiology | 2204 Wilborn Ave, South Boston, VA 24592 | 2011-08-02 |
| 1598928277 | Dominion Health Medical Assoc | Legal Medicine | 2232 Wilborn Ave, Suite C, South Boston, VA 24592 | 2008-07-03 |
| Street Address |
101 AUBREY'S LOOP RD |
| City | SOUTH BOSTON |
| State | VA |
| Zip Code | 24592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966398 | Transformations Center for Health Wellness LLC | Counselor | 2170 Sandy Beach Road, South Boston, VA 24592 | 2019-11-12 |
| 1740830215 | Kirstyn Lokker | Occupational Therapist | 1 High School Circle, South Boston, South Boston, VA 24592 | 2019-09-17 |
| 1841764248 | Nicole Ivey | Occupational Therapy Assistant | 103 Rosehil Rd, South Boston, VA 24592 | 2019-01-18 |
| 1841700960 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 130 Aubreys Loop, South Boston, VA 24592 | 2017-10-03 |
| 1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
| 1316222821 | Family and Children Enrichment Services Inc. | Health Maintenance Organization | 220 Paradise Lane, South Boston, VA 24592 | 2011-10-15 |
| 1326365578 | Brinda Howard | Nurse's Aide | 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 | 2010-04-28 |
| 1356513543 | Betts Medical Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 403 Factory Street, Suite B, South Boston, VA 24592 | 2008-03-27 |
| 1437352945 | Behavioral Health Associates, Inc. | Non-emergency Medical Transport (VAN) | 515 Yancey Ave, South Boston, VA 24592 | 2007-06-11 |
| 1023163573 | Amar A Parikh | Internal Medicine | 2045 Hamilton Boulevard, South Boston, VA 24592 | 2007-01-24 |
| Find all providers in zip 24592 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386737682 | Dominion Health Medical Assoc. | Legal Medicine | 15210 L. P. Bailey Memorial Hwy, South Boston, VA 24592 | 2006-10-02 |
| 1801030119 | Halifax Internal Medicine, Pllc | Legal Medicine | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2009-04-30 |
| 1598928277 | Dominion Health Medical Assoc | Legal Medicine | 2232 Wilborn Ave, Suite C, South Boston, VA 24592 | 2008-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740628007 | Surgical Care of The Virginias, LLC | Legal Medicine | Unit 101 Westwood Commons, Westwood Medical Park, Bluefield, VA 24605-0237 | 2013-06-10 |
| 1194068577 | Kraidy & Alkaffaf, LLC | Legal Medicine | 9025 Kiger Street, Lorton, VA 22079 | 2013-04-03 |
| 1366770547 | Philip R Thomas Md., Ltd | Legal Medicine | 112 Kings Hwy, Suffolk, VA 23432-1117 | 2009-11-25 |
| 1568622868 | Tristate Rural Health Clinic | Legal Medicine | 20757 Riverside Dr, Grundy, VA 24614-6746 | 2008-06-11 |
| 1871784496 | Urgent Care Hayfield | Legal Medicine | 7598 Telegraph Rd, Alexandria, VA 22315-3829 | 2007-08-08 |
| 1629269139 | L. Glenn Christie Md Ltd | Legal Medicine | 7605 Forest Ave Ste 402, Richmond, VA 23229-4939 | 2007-08-08 |
| 1922135193 | Emergicare of Harrisonburg, Inc. | Legal Medicine | 755a Cantrell Ave, Harrisonburg, VA 22801-4366 | 2007-02-27 |
| 1114091931 | Union Mill Pediatrics,pc | Legal Medicine | 13880 Braddock Rd. Ste 201, Centreville, VA 20121 | 2006-11-20 |
| 1578637997 | Lawrence Amos | Legal Medicine | 103 Free Bridge Ln, Charlottesville, VA 22911-8446 | 2006-11-17 |
| 1669572897 | Dominion Health Medical Assoc | Legal Medicine | 115 College St, Clarksville, VA 23927 | 2006-09-25 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BOSTON |
| Zip Code | 24592 |
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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.