DR. BETHANY ELLEN ELZA


Address: 25 Northridge Ln, Lexington, VA 24450-3399
Phone: 5404648700

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 5409817000

Office Location

Street Address 25 NORTHRIDGE LN
City LEXINGTON
State VA
Zip Code 24450-3399

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
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Competitor

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City LEXINGTON
Zip Code 24450

Improve Information

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Dataset Information

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.

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