NPIMap

Organization Active NPI

Centra Health, Inc.

  • Diagnostic Radiology Physician
  • Lynchburg, VA
National Provider Identifier
1942376579
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CENTRA HEALTH, INC.
Practice address
1330 Oak LN
Lynchburg, VA 24503-2513
Phone
(434) 947-4072
NPI assigned
Nov 27, 2006
Organization subpart
Yes
Parent organization
CENTRA HEALTH, INC.As reported in NPPES

Authorized official

NPPES NPI Registry
Name
Lewis Addison
Title
Administrator
Phone
(434) 947-3777

National Provider Directory

National Provider Directory
Tax ID family
Centra Health Inc Ta L37 organizations share this tax ID, including this one
Part of
Centra Health Inc Ta L

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

NPPES NPI Registry

Primary practice location

1330 Oak LN
Lynchburg, VA 24503-2513

Mailing address

1204 Fenwick Dr
Lynchburg, VA 24502-2112

Other names 1

NPPES NPI Registry
  • Breast Imaging Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2008.

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1942376579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 FENWICK DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 OAK LN",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245032513",
            "telephone_number": "434-947-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRA HEALTH, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRA HEALTH, INC.",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "ADDISON",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "434-947-3777"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Breast Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 4, 2008; 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.