Country Doctor, LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COUNTRY DOCTOR, LTD

Practice address

35070 Germanna Heights Dr
Ste a
Locust Grove, VA 22508-3108

Phone

(540) 423-1788

Fax

(540) 423-1755

NPI assigned

Jun 1, 2007

Last updated

Sep 25, 2014By 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

Miss Stephanie H. Campau

Title

Office Manager

Phone

(540) 423-1788

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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.

• Robert Hart Prasse II, M.D.

  • Family Medicine Physician
  • Locust Grove, VA
  • NPI 1992802227
  Medicare reassignment

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1467654574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35070 GERMANNA HEIGHTS DR",
            "address_2": "STE A",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "225083108",
            "telephone_number": "540-423-1788",
            "fax_number": "540-423-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35070 GERMANNA HEIGHTS DR",
            "address_2": "STE A",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "225083108",
            "telephone_number": "540-423-1788",
            "fax_number": "540-423-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY DOCTOR, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "CAMPAU",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-423-1788",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Byrne, LPC
• Shalonda Tenille Carson
• Gretchen Carter, FNP
• Marcellous Carter
• Natalia Carter, PT
• Andrea M Crawford, P.A.
• Heidi Nicole Critchfield, NP
• Karen Cruess
• Craig H Cuddy
• Eillen Dankwaah, PHARMD

• Family Medicine Physician in Locust Grove, VA
• Providers in Locust Grove, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.