CHARLES PHILLIP HURLBURT (NPI# 1649213315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649213315 |
| Entity Type | Individual |
| Full Name | CHARLES PHILLIP HURLBURT |
| Credential | M.D. |
| Practice Address |
7021 W Lee Hwy Suite C Rural Retreat VA 24368-2933 |
| Practice Telephone | 8665953662 |
| Practice Fax Number | 2766866046 |
| Mailing Telephone | 8665953662 |
| Mailing Fax Number | 2766866046 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2012-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101048104 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 007610432 | 05 | |
| VA | 010204968 | 05 |
| Street Address |
7021 W LEE HWY SUITE C |
| City | RURAL RETREAT |
| State | VA |
| Zip Code | 24368-2933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730610981 | Blue Ridge Medical Management Corporation | Nurse Practitioner | 7021 W Lee Hwy, Ste C2, Rural Retreat, VA 24368-2933 | 2017-03-21 |
| 1124443957 | Cassidy Hensley | Nurse Practitioner | 7021 W Lee Hwy, Suite C, Rural Retreat, VA 24368-2933 | 2014-03-04 |
| 1356651897 | Jan Doane Rasnake | Nurse Practitioner | 7021 W Lee Hwy, Suite C, Rural Retreat, VA 24368-2933 | 2010-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770914053 | Sondra Alicia Monahan | Occupational Therapy Assistant | 694 Ward Branch Road, Rural Retreat, VA 24368 | 2013-12-11 |
| 1134466055 | Jeanie Lea Gonzalez | Pharmacist | 7059 West Lee Hwy, Rural Retreat, VA 24368 | 2013-01-11 |
| 1275805863 | Family Preservation Services, Inc. | Community/Behavioral Health | 514 North Main Street, Rural Retreat, VA 24368 | 2012-01-30 |
| 1871633024 | Lee Anne Francis Lefler | Pharmacy Technician | 7059 West Lee Highway, Rural Retreat, VA 24368 | 2007-02-07 |
| 1457446262 | Stampers Health Enterprises Inc | Durable Medical Equipment & Medical Supplies | 544 North Main St, Rural Retreat, VA 24368 | 2006-10-04 |
| 1356445589 | Michael W. Spraker | Dentist | 7061 West Lee Hwy, Rural Retreat, VA 24368 | 2006-09-08 |
| 1407804420 | Holly Lynn Smith | Legal Medicine | 306 South Main St., Rural Retreat, VA 24368 | 2006-05-04 |
| 1750725024 | Blue Ridge Medical Management Corporation | Orthopaedic Surgery | 7021 West Lee Highway, Suite B, Rural Retreat, VA 24368 | 2013-04-17 |
| 1811269640 | Blue Ridge Medical Management Corporation | Nurse Practitioner | 7021 West Lee Highway, Suite B, Rural Retreat, VA 24368 | 2012-02-09 |
| 1447543996 | Blue Ridge Medical Management Corporation | Family Medicine | 7021 West Lee Highway, Suite C, Rural Retreat, VA 24368 | 2011-05-17 |
| Find all providers in zip 24368 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043403751 | Kimberly Kay Lacy | Family Medicine | 445 Gienow Rd, Rural Retreat, VA 24368-3210 | 2007-08-26 |
| 1356347082 | Smyth County Community Hospital | Family Medicine | 7021 West Lee Highway, Rural Retreat, VA 24368-0000 | 2005-06-27 |
| 1588910756 | Royal Oak Medical Associates PC | Family Medicine | 445 Gienow Rd, Rural Retreat, VA 24368-3210 | 2012-07-25 |
| 1447543996 | Blue Ridge Medical Management Corporation | Family Medicine | 7021 West Lee Highway, Suite C, Rural Retreat, VA 24368 | 2011-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356554 | Sarah Keaton | Family Medicine | 380 Maple Rd, Callands, VA 24530-2538 | 2020-11-05 |
| 1306443684 | Montage Health and Wellness Corp | Family Medicine | 305 E Market St Ste O, Leesburg, VA 20176-4169 | 2020-10-08 |
| 1770190191 | First Care Collaborative | Family Medicine | 4053 Taylor Rd Ste K, Chesapeake, VA 23321-5526 | 2020-09-29 |
| 1326652900 | Liliana Kim | Family Medicine | 2908 Pepperlin Dr, Virginia Beach, VA 23456-3524 | 2020-09-01 |
| 1609489483 | Thompson Md LLC | Family Medicine | 7906 Andrus Rd Ste 8, Alexandria, VA 22306-3169 | 2020-08-31 |
| 1811509599 | Crystal Dawn Lowder-tibbs | Family Medicine | 1054 Boones Mill Rd, Boones Mill, VA 24065-4318 | 2020-08-23 |
| 1578173837 | Ohio Valley Physicians Inc | Family Medicine | 1520 Slate Creek Rd Ste 201, Grundy, VA 24614-6975 | 2020-08-03 |
| 1346859188 | Cprpm, Pllc | Family Medicine | 113 Cold Branch Rd, Forest, VA 24551-2111 | 2020-07-28 |
| 1134737265 | Joshua Fleming | Family Medicine | 1125 Old Graves Mill Rd Apt 316, Lynchburg, VA 24502-4312 | 2020-07-15 |
| 1457978751 | Donald Arthur Olson | Family Medicine | 1900 Holten Ave E, Big Stone Gap, VA 24273 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
| City | RURAL RETREAT |
| Zip Code | 24368 |
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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.