CENTRA HEALTH, INC. (NPI# 1942376579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942376579 |
| Entity Type | Organization |
| Organization Name | CENTRA HEALTH, INC. |
| Other Organization Name | BREAST IMAGING CENTER |
| Practice Address |
1330 Oak Ln Lynchburg VA 24503-2513 |
| Mailing Address |
1204 Fenwick Dr Lynchburg VA 24502-2112 |
| Practice Telephone | 4349474072 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2008-03-04 |
| Authorized Official Name | LEWIS ADDISON (ADMINISTRATOR) |
| Authorized Official Telephone | 4349473777 |
| Is Organization Subpart | Y |
| Parent Organization Name | CENTRA HEALTH, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Breast Imaging Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407256274 | Centra Health, Inc. | General Acute Care Hospital | 291 Mccbride Lane, Gretna, VA 24557-0291 | 2014-08-29 |
| 1568722072 | Centra Health, Inc. | Pharmacy | 1331 Oak Ln, Lynchburg, VA 24503-2501 | 2012-05-18 |
| 1306911664 | Centra Health, Inc. | Radiology | 20293 Timberlake Rd, Lynchburg, VA 24502-7202 | 2006-11-22 |
| 1932403813 | Centra Health, Inc. | General Acute Care Hospital | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2011-01-06 |
| 1275726234 | Centra Health, Inc. | Radiology | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2007-08-23 |
| Street Address |
1330 OAK LN |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24503-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225035520 | Carole Stephens Read | Audiologist | 1330 Oak Ln, Suite 204, Lynchburg, VA 24503-2513 | 2005-06-30 |
| 1538584800 | Centra Medical Group, LLC | Plastic Surgery | 1330 Oak Ln, Suite 100, Lynchburg, VA 24503-2513 | 2014-02-24 |
| 1497919740 | Keith Dwayne Pitzer | Plastic Surgery | 1330 Oak Ln, Suite 100, Lynchburg, VA 24503-2513 | 2008-07-16 |
| 1831357979 | Centra Medical Group, LLC | Urology | 1330 Oak Ln, Suite 203, Lynchburg, VA 24503-2513 | 2008-05-27 |
| 1558496117 | Henry B Wilson | Specialist | 1330 Oak Ln, Suite 100, Lynchburg, VA 24503-2513 | 2007-02-23 |
| 1265572945 | Judith A. Perrotto | Radiology | 1330 Oak Ln, Lynchburg, VA 24503-2513 | 2007-02-08 |
| 1831272103 | Central Virginia Audiology Services Inc | Audiologist | 1330 Oak Ln, Suite 204, Lynchburg, VA 24503-2513 | 2006-10-23 |
| 1174614416 | Plastic Surgery Associates of Lynchburg, Inc. | Plastic Surgery | 1330 Oak Ln, Suite 100, Lynchburg, VA 24503-2513 | 2006-09-28 |
| 1558466201 | Mark Douglas Macgregor | Physician Assistant | 1330 Oak Ln, Ste 101, Lynchburg, VA 24503-2513 | 2006-09-14 |
| 1033120852 | Sebastian J Ksionski | Family Medicine | 1330 Oak Ln, Lynchburg, VA 24503 | 2006-08-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661859 | Better Way Psychiatry Pllc | Psychiatry & Neurology | 4925 Boonsboro Road, Pmb 137, Lynchburg, VA 24503 | 2020-08-25 |
| 1164845632 | Andrew Joseph Anderson | Family Medicine | 4327 Boonsboro Rd Ste 5, Lynchburg, VA 24503 | 2014-02-03 |
| 1407139421 | William Carter Wingfield Sr. | Pharmacist | 5006 Old Boonsboro Rd, Lynchburg, VA 24503 | 2011-09-26 |
| 1912226382 | The Way Congregational Church | Voluntary or Charitable | 3305 Rivermont Avenue, Lynchburg, VA 24503 | 2010-05-25 |
| 1659549897 | Elizabeth Ann Bolton | Speech-Language Pathologist | 302 Rowland Dr., Lynchburg, VA 24503 | 2008-02-11 |
| 1821286485 | Mary Ayers Highton | Nurse Practitioner | 3300 Rivermont Ave., Lynchburg, VA 24503 | 2007-10-09 |
| 1588746044 | Presbyterian Homes and Family Services | Day Training, Developmentally Disabled Services | 150 Linden Avenue, Lynchburg, VA 24503 | 2006-10-20 |
| 1417043910 | Timothy Clinton | Counselor | 2811 Linkhorne Dr., Ste B, Lynchburg, VA 24503 | 2006-10-04 |
| 1730733288 | Joy Lois Knapton | Lactation Consultant, Non-RN | 150 Linden Ave, Lynchburg, VA 24503 | 2019-08-01 |
| 1437606092 | Deborah Opsal | Speech-Language Pathologist | 3300 Rivermont Ave, Outpatient Rehab Administration, Lynchburg, VA 24503 | 2016-09-01 |
| Find all providers in zip 24503 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306911664 | Centra Health, Inc. | Radiology | 20293 Timberlake Rd, Lynchburg, VA 24502-7202 | 2006-11-22 |
| 1144456609 | Lance Anthony Warren | Radiology | 113 Nationwide Dr, Lynchburg, VA 24502-4272 | 2009-06-10 |
| 1275726234 | Centra Health, Inc. | Radiology | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2007-08-23 |
| 1245423201 | Centra Health Professional Services, LLC | Radiology | 1901 Tate Springs Rd, Lynchburg, VA 24501-1109 | 2007-08-23 |
| 1295928174 | Matthew Blake Tomlin | Radiology | 113 Nationwide Dr, Lynchburg, VA 24502-4272 | 2007-08-23 |
| 1497955348 | Robert S Brindle | Radiology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2007-07-19 |
| 1972725265 | Audrey E. Graham | Radiology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2007-05-03 |
| 1386861821 | Centra Health Professional Services, LLC | Radiology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2007-04-19 |
| 1265572945 | Judith A. Perrotto | Radiology | 1330 Oak Ln, Lynchburg, VA 24503-2513 | 2007-02-08 |
| 1376619254 | Centra Health Inc | Radiology | 1900 Tate Springs Rd, Lynchburg, VA 24501-1122 | 2006-11-24 |
| Find all providers in LYNCHBURG | ||||
Please comment or provide details below to improve the information on CENTRA HEALTH, INC..
| 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.