Thomas E Renfro, MD
Individual provider Active NPI Internal Medicine Physician · Coeburn, VA
NPI 1497726376 · NPPES record last updated Feb 22, 2017
Key facts
- NPI
- 1497726376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0101039754 (VA)
- Practice address
- 515 Front St W
Coeburn, VA 24230-3607 - Phone
- (276) 395-2389
- Fax
- (276) 395-6634
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Virginia School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Norton Community Physician Services LLC
Practice addresses (Care Compare)
100 15TH St NW
Suite 307
Norton, VA 24273-1616
Phone (276) 439-1140
515 Front St W
Coeburn, VA 24230-3607
Phone (276) 395-2389
Hospital & facility affiliations
- Lonesome Pine Hospital
- Russell County Hospital
- Wellmont Holston Valley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080429000233 | VA | Practitioner - Internal Medicine | 1658459805 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101039754 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norton Community Physician Services LLC | Internal Medicine | Current | Accepting new patients |
| Wellmont Medical Associates, Inc. | Current |
Accepting new patients | |
| Norton Community Physicians Services LLC | Current |
Accepting new patients | |
| Wellmont Medical Associates Inc | Current |
Accepting new patients | |
| Mountain States Health Alliance | Current | Accepting new patients | |
| Norton Community Physician Services LLC | Internal Medicine | Current |
Accepting new patients |
| Mountain States Health Alliance | Current |
Accepting new patients | |
| Mountain States Health Alliance | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Wellmont Physician Services Inc | Internal Medicine | Past | Accepting new patients |
Locations
391 Falls Dr NW
Abingdon, VA 24210
Phone (276) 628-4406
1990 Holton Ave E
Big Stone Gap, VA 24219
Phone (276) 523-3111
323 Cloverleaf Sq
#1
Big Stone Gap, VA 24219
Phone (276) 523-6715
98 15th St NW
Ste 208
Norton, VA 24273
Phone (276) 679-7600
100 15th St NW
#307
Norton, VA 24273
Phone (276) 439-1140
16431 Wise St
Saint Paul, VA 24283
Phone (276) 762-2300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101039754 | VA | Yes |
Addresses
Primary practice location
515 Front St W
Coeburn, VA 24230-3607
Mailing address
515 Front St W
Coeburn, VA 24230-3607
Phone (276) 395-2389
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497726376 | Medicaid | VA | |
| 6466581300 | Medicaid | KY |
Other providers in Coeburn, VA
- Pro Med Ambulance Company
- R & S Helping Hands
- Cathy D Ramey
- Christopher Jackie Ratliff
- Mark Anthony Raymond
- Restoring Minds Therapy, LLC
- Margaret Ann Ring
- Michael Ring
- Cara Robinson
- Sandy Ridge Rescue Squad
All providers in Coeburn, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.