CHILDRENS MEDICAL CENTER LTD (NPI# 1558497297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558497297 |
| Entity Type | Organization |
| Organization Name | CHILDRENS MEDICAL CENTER LTD |
| Practice Address |
15 Cleveland Avenue Suite 14 Children Medical Center Ltd Martinsville VA 24112 |
| Practice Telephone | 2766329714 |
| Practice Fax Number | 2766320620 |
| Mailing Telephone | 2766329714 |
| Mailing Fax Number | 2766320620 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN B LAFAVE (PRESIDENT CHILDRENS MEDICAL CENTER) |
| Authorized Official Telephone | 2766329714 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
15 CLEVELAND AVENUE SUITE 14 CHILDREN MEDICAL CENTER LTD |
| City | MARTINSVILLE |
| State | VA |
| Zip Code | 24112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417073313 | John Hamilton Walrod | Dentist | 15 Cleveland Avenue, Suite 4, Martinsville, VA 24112 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
| 1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
| 1780184523 | Susan Fullerton | Speech-Language Pathologist | 288 Lancer Lane, Martinsville, VA 24112 | 2018-02-19 |
| 1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
| 1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
| 1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
| 1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
| 1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
| 1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
| 1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
| Find all providers in zip 24112 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164673232 | Sreenivas Dutt Gunturu | Pediatrics | 1109 Brookdale Street, Martinsville, VA 24112 | 2008-10-07 |
| 1861664930 | Elliott Stuart Oldman | Pediatrics | 60 Hillcrest Rd, Martinsville, NJ 08836-2334 | 2008-03-29 |
| 1871590802 | Amy E Simpson | Pediatrics | 1949 Hospital Dr, Martinsville, IN 46151-1861 | 2005-07-05 |
| 1942651054 | Children First Pediatrics of Virginia, P.C. | Pediatrics | 314 Fairy Street Ext, Suite A, Martinsville, VA 24112-1913 | 2016-06-29 |
| 1144574930 | Mary Quentin Barnes | Pediatrics | 15 Cleveland Ave, 14, Martinsville, VA 24112-2937 | 2012-11-01 |
| 1588955215 | Justin Timothy Fuller | Pediatrics | 1949 Hospital Dr, Martinsville, IN 46151-1861 | 2011-04-28 |
| 1942479274 | Elizabeth Weick Roycroft | Pediatrics | 295 Commonwealth Blvd W, Martinsville, VA 24112-1820 | 2008-02-20 |
| 1457331860 | Mary Noonan | Pediatrics | 1109 Brookdale St, Suite C, Martinsville, VA 24112-4543 | 2006-01-20 |
| 1811976319 | Kathryn Cabot Self | Pediatrics | 1109 Brookdale St, Suite C, Martinsville, VA 24112-4543 | 2006-01-12 |
| 1093798357 | Christa Marie Thornberry | Pediatrics | 15 Cleveland Ave, Ste 14 Childrens Medical Center Ltd, Martinsville, VA 24112-2937 | 2005-11-21 |
| Find all providers in MARTINSVILLE | ||||
| City | MARTINSVILLE |
| Zip Code | 24112 |
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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.