Organization Active NPI

Shashi Ayer MD PC

  • Nephrology Physician
  • Farmville, VA
National Provider Identifier
1023020195
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101047258 Issued in VA
Legal business name
SHASHI AYER MD PC
Practice address
1801 E 3Rd St
Farmville, VA 23901-2905
Phone
(434) 392-7615
Fax
(434) 392-7616
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shashi B Ayer, M.D,.FACP, FASN
Title
President
Phone
(434) 392-7615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 0101047258 VA Primary

Addresses

Primary practice location

1801 E 3Rd St
Farmville, VA 23901-2905

Mailing address

PO Box 245
Farmville, VA 23901-0245
Phone (434) 392-7615

Other identifiers 2

IdentifierTypeStateIssuer
6031412MedicaidVA
0000000096744OtherVAANTHEM HEALTH

National Provider Directory

National Provider Directory

Locations

1801 E 3rd St
Farmville, VA 23901
Phone (434) 392-7615

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023020195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239010245",
            "telephone_number": "434-392-7615",
            "fax_number": "434-392-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E 3RD ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012905",
            "telephone_number": "434-392-7615",
            "fax_number": "434-392-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASHI AYER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AYER",
        "authorized_official_first_name": "SHASHI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-392-7615",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,.FACP, FASN"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101047258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6031412",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM HEALTH",
            "identifier": "0000000096744",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmville, VA

Sources for this page

  • 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.