COMPLETE CARE MEDICAL GROUP LLC (NPI# 1982151577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982151577 |
| Entity Type | Organization |
| Organization Name | COMPLETE CARE MEDICAL GROUP LLC |
| Practice Address |
41 Peach Grove Ln Montross VA 22520-2756 |
| Practice Telephone | 8044103322 |
| Practice Fax Number | 8046270010 |
| Mailing Telephone | 8044103322 |
| Mailing Fax Number | 8046270010 |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2017-02-15 |
| Authorized Official Name | MS. ASHLEY K WILLIAMS (OPERATIONS MANAGER) |
| Authorized Official Telephone | 8048237707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 010300694 | VA | Podiatric Medicine & Surgery Service Providers |
| Y | 207N00000X | Dermatology | 0101236987 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982152906 | Complete Care Medical Group LLC | Internal Medicine | 1413 Highway 17 S, Suite 1200, Surfside Beach, SC 29575-6040 | 2016-09-19 |
| 1982179297 | Complete Care Medical Group LLC | Internal Medicine | 1350 E Mckellips Rd Ste 5, Mesa, AZ 85203-2739 | 2018-10-12 |
| Street Address |
41 PEACH GROVE LN |
| City | MONTROSS |
| State | VA |
| Zip Code | 22520-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558862599 | David Gongora | Dentist | Blvd El Mirador #548 - 1, Tijuana, BAJA CALIFORNIA 22520 | 2018-02-26 |
| 1487177341 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 15748 Kings Hwy, Po Box 429, Montross, VA 22520 | 2017-07-24 |
| 1730488172 | Tonya Sanders | Pharmacist | 15748 Kings Highway Rt 3, Rite Aid, Montross, VA 22520 | 2011-03-24 |
| 1407039126 | Westmoreland County | Ambulance | 111 Polk Street, Montross, VA 22520 | 2007-12-17 |
| 1952449084 | Penny Page Snyder-morris | Nurse Practitioner | 18849 Kings Highway, Montross, VA 22520 | 2007-02-01 |
| 1245252329 | Montross Volunteer Rescue Squad | Ambulance | 72 Llyells St, Montross, VA 22520 | 2006-07-24 |
| 1487191037 | Complete Care Medical Group | Durable Medical Equipment & Medical Supplies | 721 Charlotte St., Tappahannock, VA 22520 | 2017-01-20 |
| 1972948560 | Abraham Mohammed Younoszai | Dentist | 18849 Kings Hwy, Montross, VA 22520 | 2013-05-08 |
| 1306975875 | Central Virginia Health Services Inc | Clinic/Center | 18849 Kings Highway, Montross, VA 22520 | 2007-03-02 |
| 1558465658 | Westmoreland County Dental Clinic | Public Health or Welfare | 18849 Kings Hwy, Montoss, VA 22520 | 2006-09-11 |
| Find all providers in zip 22520 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902428709 | Clinical Dermatology Center, LLC | Dermatology | 14500 Avion Pkwy Ste 100, Chantilly, VA 20151-1108 | 2020-05-14 |
| 1760029904 | Loudoun Medical Group . P.c | Dermatology | 24560 Southpoint Dr Ste 230, Aldie, VA 20105-3504 | 2019-12-06 |
| 1588210330 | Brandi M Horner | Dermatology | 7650 E Parham Road, Ste 110, Richmond, VA 23294-4367 | 2019-08-16 |
| 1194383372 | Clarity Acne and Aesthetics LLC | Dermatology | 3345 Bridge Rd Ste 900, Suffolk, VA 23435-1848 | 2019-06-03 |
| 1356821235 | Sdm Virginia LLC | Dermatology | 4198 Cox Rd Ste 109, Glen Allen, VA 23060-3328 | 2018-08-20 |
| 1851877336 | Keri Church | Dermatology | 19455 Deerfield Ave Ste 311, Lansdowne, VA 20176-8102 | 2018-07-17 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1710479936 | Integrated Dermatology of Gloucester, LLC | Dermatology | 6790 Wood Ridge Dr, Gloucester, VA 23061-4377 | 2018-06-04 |
| 1477077071 | Dulles Dermatology Associates, Pllc | Dermatology | 24430 Stone Springs Blvd Ste 275, Dulles, VA 20166-2247 | 2017-07-26 |
| 1487186466 | Integrated Dermatology of Reston, LLC | Dermatology | 1886 Metro Center Dr Ste 650, Reston, VA 20190-5294 | 2017-03-30 |
| 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.