Hastings Healthcare, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

HASTINGS HEALTHCARE, LLC

Doing business as

Heastings Medical Clinic of Bridgewater

Practice address

Hastings Medical Clinic of Bridgewater
110 North Main Street Suite a
Bridgewater, VA 22812

Phone

(540) 746-8278

NPI assigned

Oct 21, 2020

Last updated

Sep 6, 2023By 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

Mr. Jonathan Anthony Shomo, PA-CNPI 1689822652

Title

Owner/Agent

Phone

(540) 746-8278

Specialties & licenses 1

Addresses

Other names 1

• Heastings Medical Clinic of Bridgewater Doing business as

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.

• Jonathan Anthony Shomo, PA

  • Medical Physician Assistant
  • Bridgewater, VA
  • NPI 1689822652
  NPD Authorized official

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1225637242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 SHARPES DR",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228011508",
            "telephone_number": "540-746-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HASTINGS MEDICAL CLINIC OF BRIDGEWATER",
            "address_2": "110 NORTH MAIN STREET SUITE A",
            "city": "BRIDGEWATER",
            "state": "VA",
            "postal_code": "22812",
            "telephone_number": "540-746-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASTINGS HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2023-09-06",
        "certification_date": "2020-10-19",
        "status": "A",
        "authorized_official_last_name": "SHOMO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER/AGENT",
        "authorized_official_telephone_number": "540-746-8278",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heastings Medical Clinic of Bridgewater",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Haley
• Robert Roy Hammill, PHD, LAT, ATC, CSCS
• Patricia Harlow, P.T.
• Meghan Durette Harris
• Harry S Crawford III MD PLC
• Meghan Reppert Helbert, LPC
• Margaret Hodnett, ATS
• Timothy Hopson
• Rufus C Huffman, MD
• Whitlee Jo Hughes

• General Practice Physician in Bridgewater, VA
• Providers in Bridgewater, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.