CENTRA MEDICAL GROUP SURGICAL SPECIALISTS – NPI #1013198779
Colon & Rectal Surgery

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Health Care Provider Taxonomy Code for Colon & Rectal Surgery

CENTRA MEDICAL GROUP SURGICAL SPECIALISTS is a colon & rectal surgeon located in LYNCHBURG, VA. NPPES has assigned the NPI number 1013198779 to CENTRA MEDICAL GROUP SURGICAL SPECIALISTS on November 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTRA MEDICAL GROUP SURGICAL SPECIALISTS” is a dba name, the actual legal business name for this organization is CENTRA MEDICAL GROUP, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208C00000X from the Health Care Provider Taxonomy code set, which is classified as Colon & Rectal Surgery.

The NPI profile was previously updated about 12 years ago on Oct 16, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRA MEDICAL GROUP SURGICAL SPECIALISTS below.

NPI Profile for
CENTRA MEDICAL GROUP, LLC

NPI Number
1013198779
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRA MEDICAL GROUP, LLC
Doing Business As (dba): CENTRA MEDICAL GROUP SURGICAL SPECIALISTS
Primary location
1906 THOMSON DR
LYNCHBURG, VA 24501-1009
Phone: (434) 947-3933 Fax:
Mailing address
2010 ATHERHOLT RD
LYNCHBURG, VA 24501-1106
Phone: Fax:
Organization Subpart
Yes - CENTRA MEDICAL GROUP SURGICAL SPECIALISTS is subpart of another organization.
Authorized Official
LEWIS ADDISON
DIRECTOR
Phone: (434) 200-5047
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208C00000X
- Colon & Rectal Surgery (Primary)
208600000X
- Surgery

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.