Healthcare Provider Details

I. General information

NPI: 1740168533
Provider Name (Legal Business Name): SYNTRILLO HEALTH PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 W MAIN ST STE 100CW113
CHARLOTTESVILLE VA
22902-5005
US

IV. Provider business mailing address

240 W MAIN ST STE 100CW113
CHARLOTTESVILLE VA
22902-5005
US

V. Phone/Fax

Practice location:
  • Phone: 434-202-3450
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARK M MCDONALD
Title or Position: PRESIDENT
Credential: MD
Phone: 770-301-2069