Promedical Services, Inc.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

0101102727 Issued in VA

Legal business name

PROMEDICAL SERVICES, INC.

Practice address

30 Monica Blvd
Lynchburg, VA 24502-2269

Phone

(434) 515-1247

NPI assigned

Mar 19, 2015

Last updated

May 28, 2019By 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

Mr. Logan S Bosiger

Title

Practice Manager

Phone

(434) 851-2052

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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.

• Burak Emin Gezen, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Lynchburg, VA
  • NPI 1215185582
  Medicare reassignment Care Compare group NPD
• Murat Gezen, MD

  • Hospitalist Physician
  • Lynchburg, VA
  • NPI 1780668095
  Medicare reassignment Care Compare group NPD
• Jean Jun, DNP

  • Family Nurse Practitioner
  • Lynchburg, VA
  • NPI 1730711003
  NPD (past)

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1639563414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 COMMERCE ST # H",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041719",
            "telephone_number": "434-944-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MONICA BLVD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022269",
            "telephone_number": "434-515-1247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20212 Leesville Rd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245023669",
            "country_code": "US",
            "telephone_number": "434-237-7089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Lillian Ln",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245024378",
            "country_code": "US",
            "telephone_number": "434-333-0503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 Evergreen Ave",
            "address_purpose": "LOCATION",
            "city": "Appomattox",
            "state": "VA",
            "postal_code": "245224501",
            "country_code": "US",
            "telephone_number": "434-352-7420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5615 Seminole Ave",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245022201",
            "country_code": "US",
            "telephone_number": "434-239-2657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "208 Gristmill Dr",
            "address_purpose": "LOCATION",
            "city": "Forest",
            "state": "VA",
            "postal_code": "245512604",
            "country_code": "US",
            "telephone_number": "434-385-8506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Monica Blvd",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245022213",
            "country_code": "US",
            "telephone_number": "434-237-0251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROMEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "BOSIGER",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "434-851-2052",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0101102727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wendoline A Proffitt, P.T.
• Prosperity House of Lynchburg, Inc.
• Prosthetic Concepts LLC
• Rachel Hayley Pruitt, MPAS, PA-C
• Timothy Alan Pryor
• PTC Wellness Centers BWXT

• Geriatric Medicine (Family Medicine) Physician in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Geriatric Medicine (Family Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.