PROMEDICAL SERVICES, INC. (NPI# 1639563414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639563414 |
| Entity Type | Organization |
| Organization Name | PROMEDICAL SERVICES, INC. |
| Practice Address |
30 Monica Blvd Lynchburg VA 24502-2269 |
| Mailing Address |
1102 Commerce St # H Lynchburg VA 24504-1719 |
| Practice Telephone | 4345151247 |
| Mailing Telephone | 4349440304 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2019-05-28 |
| Authorized Official Name | MR. LOGAN S BOSIGER (PRACTICE MANAGER) |
| Authorized Official Telephone | 4348512052 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
0101102727 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 208 Gristmill Dr, Forest, VA 245512604 | 4343858506 | |
| 200 Lillian Ln, Lynchburg, VA 245024378 | 4343330503 | |
| 235 Evergreen Ave, Appomattox, VA 245224501 | 4343527420 | |
| 20212 Leesville Rd, Lynchburg, VA 245023669 | 4342377089 | |
| 107 Monica Blvd, Lynchburg, VA 245022213 | 4342370251 | |
| 5615 Seminole Ave, Lynchburg, VA 245022201 | 4342392657 |
| Street Address |
30 MONICA BLVD |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-2269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784085 | Shateka Davis | Physical Therapy Assistant | 30 Monica Blvd, Lynchburg, VA 24502-2269 | 2020-09-12 |
| 1710524061 | Bryan Junius Turner | Physical Therapy Assistant | 30 Monica Blvd, Lynchburg, VA 24502-2269 | 2019-12-05 |
| 1699236349 | Sterling Rose Hargrave | Speech-Language Pathologist | 30 Monica Blvd, Lynchburg, VA 24502-2269 | 2019-03-26 |
| 1235669722 | Allison Dishman | Occupational Therapist | 30 Monica Blvd, Lynchburg, VA 24502-2269 | 2017-06-15 |
| 1295281871 | Select Rehab | Assisted Living Facility | 30 Monica Blvd, Lynchburg, VA 24502 | 2016-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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://wwwtheabfm.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 |
|---|---|---|---|---|
| 1831198464 | Patricia A. Pletke | Family Medicine | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2005-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932694015 | Gibbs Mobile Med, LLC | Family Medicine | 4115 Annandale Rd Ste 203, Annandale, VA 22003-2500 | 2018-06-29 |
| 1215425384 | Primary Gerontology Center LLC | Family Medicine | 4196 Merchant Plz Ste 348, Lake Ridge, VA 22192-5085 | 2018-04-24 |
| 1760994073 | Mk Cognition, Inc | Family Medicine | 807 Cameron St, Alexandria, VA 22314-2409 | 2017-10-26 |
| 1831639111 | Ad Senior Medical LLC | Family Medicine | 5000 Stoneleigh Rd, Henrico, VA 23228-5927 | 2017-03-06 |
| 1992162267 | Virginia Nursing Homes Specialists Pllc | Family Medicine | 41544 Hoddesdon Ct, Aldie, VA 20105-3097 | 2016-01-18 |
| 1881060028 | Dante Jocson | Family Medicine | 9120 Park Ave, Manassas, VA 20110-4351 | 2015-08-11 |
| 1205258829 | Roanoke Adult Medicine LLC | Family Medicine | 1708 Clay St Se, Roanoke, VA 24013-2105 | 2014-01-16 |
| 1336470988 | Ruth Arnetta Jones | Family Medicine | 7515 Chamberlayne Ave., Henrico, VA 23227 | 2010-01-21 |
| 1235313933 | Michael C. Trahos, D.o. | Family Medicine | 6613 Goldsboro Rd, Falls Church, VA 22042-4108 | 2007-12-18 |
| 1477763746 | John R Patterson Md PC | Family Medicine | 2145 Old Pungo Ferry Rd, Virginia Beach, VA 23457-1341 | 2007-05-23 |
| Find all providers with the same taxonomy | ||||
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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.