Compassionate Care Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101056392 Issued in VA

Legal business name

COMPASSIONATE CARE PEDIATRICS, LLC

Practice address

315 Hospital Dr
Ste 101
Martinsville, VA 24112-1945

Phone

(276) 252-1948

NPI assigned

Feb 20, 2017

Last updated

Apr 21, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Luis A Matos, MDNPI 1972506509

Title

Supervising Physician

Phone

(276) 252-1948

Specialties & licenses 2

Addresses

Other names 1

• Compassionate Care Peds Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luis Angel Matos, M.D., MBA

  • Allergy Physician
  • Forest, VA
  • NPI 1972506509

  Pediatrics

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1154860310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR",
            "address_2": "STE 101",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121945",
            "telephone_number": "276-252-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR",
            "address_2": "STE 101",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121945",
            "telephone_number": "276-252-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE CARE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-20",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SUPERVISING PHYSICIAN",
        "authorized_official_telephone_number": "276-252-1948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0101056392",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101056392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Care Peds",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Morgan Mays Cockerham, FNP
• Martha Willis Cole
• May Ann Gaviola Coleman, FNP-BC, NP-C
• Commonwealth Family Physicians, Inc.
• Commonwealth of Virginia State Board of Health (Henry-Martinsville Health Department)
• Katie Wilson Conklin, LPC
• Kelsey Sarah Conlon
• Robert Shane Cooper, COTA/L
• Amber Triplett Corns, MS, ATC
• Mackenzie Quinn Coulson, LPC

• Pediatrics Physician in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.