CENTRA HEALTH PROFESSIONAL SERVICES, LLC (NPI# 1770871733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770871733 |
| Entity Type | Organization |
| Organization Name | CENTRA HEALTH PROFESSIONAL SERVICES, LLC |
| Other Organization Name | PEDIATRIC HOSPITALIST |
| Practice Address |
1901 Tate Springs Rd Lynchburg VA 24501-1109 |
| Mailing Address |
1204 Fenwick Dr Lynchburg VA 24502-2112 |
| Practice Telephone | 4342004729 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |
| Authorized Official Name | ARTHUR LEAVITT (VP PHYSICIAN PRACTICE MANAGEMENT) |
| Authorized Official Telephone | 4342003656 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRA HEALTH PROFESSIONAL SERVICES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pediatric Hospitalist | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043662828 | Centra Health Professional Services, LLC | Internal Medicine | 414 Park Avenue, Danville, VA 24541-9998 | 2016-07-06 |
| 1760776447 | Centra Health Professional Services, LLC | Family Medicine | 10961 Lee Jackson Highway, Big Island, VA 24526 | 2011-05-31 |
| 1811135593 | Centra Health Professional Services, LLC | Physical Medicine & Rehabilitation | 404 Airport Dr, Suite C, Danville, VA 24540-5196 | 2009-02-03 |
| 1346486560 | Centra Health Professional Services, LLC | Family Medicine | 1902 Grace St, Lynchburg, VA 24504-3524 | 2008-12-17 |
| 1497900047 | Centra Health Professional Services, LLC | Urology | 1039 Mayberry Crossing Drive, Moneta, VA 24121 | 2008-11-24 |
| 1538101969 | Centra Health Professional Services, LLC | Physical Medicine & Rehabilitation | 1900 Tate Springs Rd, Suite 16, Lynchburg, VA 24501-1122 | 2006-06-11 |
| 1235480351 | Centra Health Professional Services, LLC | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2012-09-28 |
| 1316298433 | Centra Health Professional Services, LLC | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2012-09-28 |
| 1033471438 | Centra Health Professional Services, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1701 Thomson Dr, Lynchburg, VA 24501-1118 | 2012-06-12 |
| 1770840654 | Centra Health Professional Services, LLC | Orthopaedic Surgery | 1613 Oakwood St, Suite 101, Bedford, VA 24523-1213 | 2012-04-18 |
| Street Address |
1901 TATE SPRINGS RD |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501-1109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415982 | John W Demarino Jr. | Anesthesiology | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2005-05-24 |
| 1578160511 | John Campbell Holcomb | Nurse Practitioner | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2020-10-02 |
| 1992312789 | Ragan Scott | Nurse Practitioner | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2020-09-25 |
| 1154930022 | Angela E Shearer | Nurse Practitioner | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2020-07-27 |
| 1144848375 | Erin Leah Clara Jones | Physician Assistant | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2020-07-14 |
| 1043836828 | Laura D Winch | Occupational Therapist | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2020-06-17 |
| 1194347781 | William Lee Pearce | Nurse Anesthetist, Certified Registered | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2020-05-18 |
| 1326660721 | Shane Michael Clary | Registered Nurse | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2020-05-08 |
| 1770110280 | Brian Robert Harder | Physical Therapist | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2020-03-25 |
| 1154958585 | Allyson Danielle Brasseur | Nurse Anesthetist, Certified Registered | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720606957 | Evidence Based Counseling Solutions | Speech-Language Pathologist | 302 Oakley Ave, Lynchburg, VA 24501 | 2020-07-14 |
| 1740805506 | Ryan Buschmann | Physical Therapist | 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 | 2020-06-08 |
| 1528525276 | Julia M Mcauley-gonzalez | Nurse Practitioner | Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 | 2019-02-28 |
| 1548732795 | Morgan Rose Nails | Chiropractor | 3012 Forest Hills Circle, Lynchburg, VA 24501 | 2018-12-28 |
| 1407346935 | Belva Shelor | Psychologist | 1201 Floyd Street, Lynchburg, VA 24501 | 2018-05-10 |
| 1770092447 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 3204 Old Forest Rd, Lynchburg, VA 24501 | 2017-09-26 |
| 1447774518 | Restoring Peace Counseling Services | Clinic/Center | 3311 Old Forest Rd Ste 101, Lynchburg, VA 24501 | 2017-08-01 |
| 1427578335 | Vinh Thinh T Huynh | Family Medicine | 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 | 2017-06-21 |
| 1811436769 | Jordan Legendre | Student in an Organized Health Care Education/Training Program | 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 | 2017-02-13 |
| 1114465861 | Shanika Harris | Specialist/Technologist | 1501 Lakeside Drive, Lynchburg, VA 24501 | 2017-02-02 |
| Find all providers in zip 24501 | ||||
| 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 |
|---|---|---|---|---|
| 1851788202 | Kirsten Madea | Pediatrics | Community Access Network 800 5th Street, Lynchburg, VA 24502 | 2015-04-23 |
| 1962732628 | Advocates for Families | Pediatrics | 2919 Confederate Ave, Lynchburg, VA 24501-2435 | 2009-12-31 |
| 1942477005 | Olubukola Ojuola | Pediatrics | 2321 Wards Road, Lynchburg, VA 24502-2101 | 2008-05-08 |
| 1154362168 | Robert Skyler Mccurley | Pediatrics | 121 Mcconville Road, Lynchburg, VA 24502 | 2006-06-09 |
| 1376583278 | Laura M Brooks | Pediatrics | 1212 Mcconville Rd, Lynchburg, VA 24502-4536 | 2006-06-08 |
| 1023075371 | Morgan S Mandeville | Pediatrics | 105 Richeson Dr, Lynchburg, VA 24501-2911 | 2006-04-28 |
| 1871557959 | Elizabeth Mumper | Pediatrics | 2015 Tate Springs Rd, Suite 2, Lower Level, Lynchburg, VA 24501-1111 | 2006-04-14 |
| 1588632020 | Katherine Virginia Nichols | Pediatrics | 1212 Mcconville Road, Lynchburg, VA 24502-4536 | 2006-03-10 |
| 1780650143 | Debora Ann Mihaley-sobelman | Pediatrics | 2010 Atherholt Rd, Lynchburg, VA 24501-1106 | 2006-02-27 |
| 1457764649 | Alison Ullman | Pediatrics | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2014-06-05 |
| Find all providers in LYNCHBURG | ||||
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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.