NPIMap

Organization Active NPI

Centra Health Inc

Doing business as Tate Springs Mammography Center

  • Diagnostic Radiology Physician
  • Lynchburg, VA
National Provider Identifier
1376619254
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CENTRA HEALTH INC
Doing business as
Tate Springs Mammography Center
Practice address
1900 Tate Springs Rd
Lynchburg, VA 24501-1122
Phone
(434) 947-7764
NPI assigned
Nov 24, 2006
Last updated
Dec 27, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRA HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Lewis Addison
Title
Administrator
Phone
(434) 200-4708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

1900 Tate Springs Rd
Lynchburg, VA 24501-1122

Mailing address

1204 Fenwick Dr
Lynchburg, VA 24502-2112

Other names 1

  • Tate Springs Mammography Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Centra Lab37 organizations share this tax ID, including this one
Part of
Centra Lab

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Locations

1900 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 947-3777

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1376619254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 FENWICK DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 TATE SPRINGS RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011122",
            "telephone_number": "434-947-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRA HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRA HEALTH INC",
        "enumeration_date": "2006-11-24",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "434-200-4708"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tate Springs Mammography Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.