Revolution Health Center PLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

0101239018 Issued in VA

Legal business name

REVOLUTION HEALTH CENTER PLC

Practice address

190 James River Rd
Scottsville, VA 24590-3812

Phone

(434) 321-5257

Fax

(434) 321-5259

NPI assigned

Jun 21, 2010

Organization subpart

No

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

Authorized official

Name

Zachary Monroe Bush, MD

Title

President

Phone

(434) 566-7628

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen P Elliott, M.D.

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1437160256
  NPD (past)
• Allan Daniel Lieberman, M.D

  • General Practice Physician
  • North Charleston, SC
  • NPI 1326254012
  NPD (past)
• Alan Boyer McDaniel, M.D.

  • Allergy & Immunology Physician
  • North Charleston, SC
  • NPI 1750300406
  NPD (past)
• William J Weirs, MD

  • Allergy Physician
  • North Charleston, SC
  • NPI 1235174012
  NPD (past)

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1629399977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3048 ALBERENE CHURCH LN",
            "city": "ESMONT",
            "state": "VA",
            "postal_code": "229371516",
            "telephone_number": "434-566-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 JAMES RIVER RD",
            "city": "SCOTTSVILLE",
            "state": "VA",
            "postal_code": "245903812",
            "telephone_number": "434-321-5257",
            "fax_number": "434-321-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION HEALTH CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "MONROE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-566-7628",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101239018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin D Katz, MD
• Anna McGuire, CPM, LM
• Ben Cody Moore
• Greta Marie Myers, PT, DPT
• Paige Nolt, LCSW LLC
• Richard a Joyce
• Rite Aid of Virginia Inc
• Edward Russo Jr., DDS
• Scottsville Family Dentistry
• Scottsville Pharmacy LLC

• Endocrinology, Diabetes & Metabolism Physician in Scottsville, VA
• Providers in Scottsville, VA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.