Commonwealth Family Physicians, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COMMONWEALTH FAMILY PHYSICIANS, INC.

Practice address

445 Commonwealth Blvd E
Martinsville, VA 24112-2014

Phone

(276) 632-3841

Fax

(276) 632-2437

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Myron Edward Eller Jr., M.D.

Title

Ceo/President

Phone

(276) 632-3841

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

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

• Joseph A Brown, MD

  • Gastroenterology Physician
  • Abingdon, VA
  • NPI 1356320881
  NPD (past)
• Donna G Warner, MSN, FNP

  • Family Nurse Practitioner
  • Arlington, VA
  • NPI 1154389393
  NPD (past)
• Christy Lianne Gambill, PA-C

  • Physician Assistant
  • Eden, NC
  • NPI 1184737678
  NPD (past)
• Thomas A Tirone, MD

  • Surgery Physician
  • Clearwater, FL
  • NPI 1053387787
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972616431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 COMMONWEALTH BLVD E",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122014",
            "telephone_number": "276-632-3841",
            "fax_number": "276-632-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 COMMONWEALTH BLVD E",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122014",
            "telephone_number": "276-632-3841",
            "fax_number": "276-632-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH FAMILY PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLER",
        "authorized_official_first_name": "MYRON",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "276-632-3841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP NUMBER",
            "identifier": "466796",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CB1505",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Paige Clemons
• Katelin B Clifton, COTA
• Morgan Mays Cockerham, FNP
• Martha Willis Cole
• May Ann Gaviola Coleman, FNP-BC, NP-C
• Commonwealth of Virginia State Board of Health
• Compassionate Care Pediatrics, LLC
• Katie Wilson Conklin, LPC
• Kelsey Sarah Conlon
• Robert Shane Cooper, COTA/L

• All providers in Martinsville, VA
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.