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CENTRA VASCULAR SURGERY
NPI 1700170412
Surgery - Vascular Surgery in Lynchburg, VA

Active since May 31, 2011
2410 ATHERHOLT RD, LYNCHBURG, VA 24501(434) 200-5212 Get Directions Write a Review

NPPES record last updated: May 31, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Centra Vascular Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRA VASCULAR SURGERY (NPI 1700170412) is a healthcare organization registered as a vascular surgery in Lynchburg, Virginia and active in the NPI registry since May 2011. The organization lists Arthur Leavitt, Vp Physician Practice Management, as its authorized official.

NPPES Registry Identity

NPI1700170412
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameCENTRA HEALTH PROFESSIONAL SERVICES, LLC
Location Address2410 ATHERHOLT RDLynchburg, VA 24501-2148
Mailing Address1204 Fenwick DrLynchburg, VA 24502-2112
Phone(434) 200-5212
Organization SubpartYes
Authorized OfficialArthur LeavittVp Physician Practice Management · (434) 200-3656
Enumeration DateMay 31, 2011
✔ NPI 1700170412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
2410 ATHERHOLT RD, Lynchburg, VA 24501
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Other Names 1

Doing Business AsCentra Vascular Surgery

Other Identifiers 2

Medicare PINDE2814
Medicare PINC09704

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIC JORDAN MORAN MD
Internal Medicine (Cardiovascular Disease)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 200-5252
DR. EVAN D. OWNBY MD
Internal Medicine (Cardiovascular Disease)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 200-2712
VIRGINIA LEIGH BLEVINS FNP
Nurse Practitioner (Family)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 200-5252
JOHN R HAAS MD
Internal Medicine (Cardiovascular Disease)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 200-5252
DR. MICHAEL COOK MD
Family Medicine
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 200-1800
CARL MOORE MD
Internal Medicine (Interventional Cardiology)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 200-5252
BRIAN J SCHIETINGER MD
Internal Medicine (Cardiovascular Disease)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 200-5252
BROOKE LYNN MATTOX
Physician Assistant (Medical)
2410 ATHERHOLT RD
LYNCHBURG, VA 24501
Campbell County (434) 200-5252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centra Health Professional Services, LLC's NPI number?

The NPI number for Centra Health Professional Services, LLC is 1700170412. It was assigned to this organization in the NPPES registry on May 31, 2011. The provider is doing business as Centra Vascular Surgery.

Where is Centra Health Professional Services, LLC located?

Centra Health Professional Services, LLC is located at 2410 Atherholt Rd, Lynchburg, VA 24501. The listed phone number is (434) 200-5212.

What is Centra Health Professional Services, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Centra Health Professional Services, LLC was last updated on May 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.