NPIMap

Organization Active NPI

Spectrum Medical Inc

  • Physical Therapist
  • Danville, VA
National Provider Identifier
1326208604
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305002703 Issued in VA
Legal business name
SPECTRUM MEDICAL INC
Doing business as
Spectrum Medical Inc.
Practice address
109 Bridge St Ste 300
Danville, VA 24541-1222
Phone
(434) 793-4711
Fax
(434) 797-2514
NPI assigned
Jun 11, 2008
Last updated
Jun 10, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Authorized official

Name
Dr. Mark C Hermann, MDNPI 1740249416
Title
Physician
Phone
(434) 793-4711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 2305002703 VA Primary

Addresses

Primary practice location

109 Bridge St Ste 300
Danville, VA 24541-1222

Mailing address

109 Bridge St Ste 300
Danville, VA 24541-1222
Phone (434) 793-4711

Other identifiers 1

IdentifierTypeStateIssuer
196175OtherVAANTHEM OF VA BC ID# FOR PHYSICAL THERAPY

Other names 1

  • Spectrum Medical Inc. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.spectrummed.com

National Provider Directory

National Provider Directory

Locations

125 Executive Dr
Ste A
Danville, VA 24541
Phone (434) 793-4711

125 Executive Dr
Ste B
Danville, VA 24541
Phone (434) 793-4711

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1326208604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BRIDGE ST STE 300",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411222",
            "telephone_number": "434-793-4711",
            "fax_number": "434-797-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BRIDGE ST STE 300",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411222",
            "telephone_number": "434-793-4711",
            "fax_number": "434-797-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A",
        "authorized_official_last_name": "HERMANN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "434-793-4711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305002703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM OF VA BC ID# FOR PHYSICAL THERAPY",
            "identifier": "196175",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.spectrummed.com",
            "affiliation": "N",
            "address_1": "109 Bridge St Ste 300",
            "city": "Danville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245411222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Spectrum Medical Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.