NPIMap

Organization Active NPI

Valley Gericare Inc

  • Family Medicine Physician
  • Roanoke, VA
National Provider Identifier
1003149915
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VALLEY GERICARE INC
Practice address
2917 Penn Forest Blvd
Ste 518
Roanoke, VA 24018-4374
Phone
(540) 989-3613
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Willicam C Ward, MD
Title
Owner
Phone
(540) 493-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2917 Penn Forest Blvd
Ste 518
Roanoke, VA 24018-4374

Mailing address

424 Graves Mill Rd
Suite 400
Lynchburg, VA 24502-4651
Phone (434) 846-3832

National Provider Directory

National Provider Directory
Tax ID family
Valley Gericare Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

2917 Penn Forest Blvd
Ste 518
Roanoke, VA 24018
Phone (540) 989-3613

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1003149915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 GRAVES MILL RD",
            "address_2": "SUITE 400",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024651",
            "telephone_number": "434-846-3832",
            "fax_number": "434-846-7218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 PENN FOREST BLVD",
            "address_2": "STE 518",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184374",
            "telephone_number": "540-989-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY GERICARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "WILLICAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-493-7200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.