Organization Active NPI

Head & Neck Surgery of Central Virginia

  • Otolaryngology Physician
  • Lynchburg, VA
National Provider Identifier
1669609269
Registry record updated Aug 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101222062 Issued in VA
Legal business name
HEAD & NECK SURGERY OF CENTRAL VIRGINIA
Practice address
3029 Old Forest Rd
Lynchburg, VA 24501-2341
Phone
(434) 455-7999
Fax
(434) 455-7997
NPI assigned
Jun 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2009

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

Authorized official

Name
Andrea Ep Kittrell, M.D.NPI 1972500270
Title
Owner
Phone
(434) 455-7999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 0101222062 VA Primary

Addresses

Primary practice location

3029 Old Forest Rd
Lynchburg, VA 24501-2341

Mailing address

3029 Old Forest Rd
Lynchburg, VA 24501-2341
Phone (434) 455-7999

National Provider Directory

National Provider Directory

Locations

3029 Old Forest Rd
Lynchburg, VA 24501
Phone (434) 455-7999

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1669609269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 OLD FOREST RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012341",
            "telephone_number": "434-455-7999",
            "fax_number": "434-455-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 OLD FOREST RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012341",
            "telephone_number": "434-455-7999",
            "fax_number": "434-455-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD & NECK SURGERY OF CENTRAL VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "KITTRELL",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "EP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-455-7999",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101222062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 26, 2009; 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.