DR. BETHANY ELLEN ELZA (NPI# 1619409166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619409166 |
Entity Type | Individual |
Full Name | DR. BETHANY ELLEN ELZA |
Other Name | BETHANY ELLEN BOGGESS |
Credential | DO |
Practice Address |
25 Northridge Ln Lexington VA 24450-3399 |
Mailing Address |
385 Hufton Brook Ln Blue Ridge VA 24064-3286 |
Practice Telephone | 5404648700 |
Mailing Telephone | 5408554908 |
Enumeration Date | 2017-04-03 |
Last Update Date | 2020-07-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 0102206179 | VA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 0116030524 | VA | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 5409817000 |
Street Address |
25 NORTHRIDGE LN |
City | LEXINGTON |
State | VA |
Zip Code | 24450-3399 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558345066 | James M. Kennedy Jr. | Pediatrics | 25 Northridge Ln, Lexington, VA 24450-3399 | 2005-11-30 |
1558971531 | Kathleen Carew Lamontagne | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2020-08-05 |
1528620374 | Denise Oinonen | Social Worker | 25 Northridge Ln, Lexington, VA 24450-3399 | 2019-07-02 |
1992369417 | Jeremy Ray Lovelace | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2019-04-30 |
1649757691 | Hamzeh Al Qublan | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2018-07-23 |
1366864563 | Zachary Ross Taylor | Counselor | 25 Northridge Ln, Lexington, VA 24450-3399 | 2014-01-08 |
1205267002 | Rockbridge Area Free Clinic | Clinic/Center | 25 Northridge Ln, Lexington, VA 24450-3399 | 2013-12-03 |
1821424698 | Helen Knight Farrar | Social Worker | 25 Northridge Ln, Lexington, VA 24450-3399 | 2013-09-24 |
1629319694 | Jamie Chapman Clark | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2013-03-15 |
1295090892 | Erin Farabaugh Cassilly | Dentist | 25 Northridge Ln, Lexington, VA 24450-3399 | 2012-07-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912561887 | Molly Elizabeth Pallavicini | Counselor | Rockbridge Area Health Center, 25 Northridge Lane, Lexington, VA 24450 | 2019-04-26 |
1598213340 | Elizabeth Larock | Contractor | 712 N. Main Street, Lexington, VA 24450 | 2016-09-21 |
1861872343 | Dominique Boone Tarber | Psychologist | 309 Letcher Avenue, Virginia Military Institute, Lexington, VA 24450 | 2015-06-01 |
1407254147 | Americare Plus, LLC. | In Home Supportive Care | 155 South Main Street, Lexington, VA 24450 | 2014-12-11 |
1710242219 | Matthew Earle Bryant | Family Medicine | 146 S Main St Ste 3, Lexington, VA 24450 | 2012-07-10 |
1861778391 | Marco Giuliani | Specialist/Technologist | 508 Brooke Lane, Clarkson-mckenna Hall, Lexington, VA 24450 | 2011-10-28 |
1356668552 | Chad Joseph Kelland | Psychologist | 129 S Randolph St Ste 1, Lexington, VA 24450 | 2010-04-27 |
1972744779 | Kelly Lynne Mcmullen | Specialist/Technologist | 215 Cameron Hall, Virginia Military Institute, Lexington, VA 24450 | 2009-03-09 |
1669621835 | Rebecca Lowry | Specialist/Technologist | 200 Washington Ave, Lexington, VA 24450 | 2008-09-12 |
1205929114 | Scott Brian Dubit | Family Medicine | 650 N. Lee Highway, Suite 2, Lexington, VA 24450 | 2006-10-02 |
Find all providers in zip 24450 |
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. |
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1841890431 | Alishia Gayle Euler | Family Medicine | 730 Della Dr, Lexington, KY 40504-3610 | 2020-11-01 |
1053919514 | Kelli Lichte | Family Medicine | 601 S 13 Hwy, Lexington, MO 64067-1511 | 2020-10-15 |
1851906267 | Avneet Nagra | Family Medicine | 162 Montauk Dr, Lexington, SC 29072-6776 | 2020-09-11 |
1922624774 | Cindy Viers | Family Medicine | 310 Oxford Rd, Lexington, OH 44904-1039 | 2020-06-17 |
1992338818 | Sarah Angelina Clem | Family Medicine | 2251 War Admiral Way Ste 125, Lexington, KY 40509-2546 | 2020-02-19 |
1073144481 | Bluegrass Primary Health Care Center, Inc. | Family Medicine | 224 N Martin Luther King Blvd Ste 200, Lexington, KY 40507-2133 | 2020-02-04 |
1952955056 | Preferred Injury Physicians LLC | Family Medicine | 2700 Old Rosebud Rd Ste 330, Lexington, KY 40509-8630 | 2019-07-26 |
1144888579 | Lexington Regional Health Center | Family Medicine | 1101 Buffalo Bnd Ste A, Lexington, NE 68850-1528 | 2019-05-31 |
1881258085 | Mallory Jade Guagenti | Family Medicine | 3399 Tates Creek Rd Ste 230, Lexington, KY 40502-7404 | 2019-04-24 |
1699230540 | Novant Medical Group. Inc. | Family Medicine | 4705 S Highway 150, Lexington, NC 27295-5203 | 2019-02-05 |
Find all providers in LEXINGTON |
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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.