NPIMap

Organization Active NPI

Watauga Radiological Services PA

  • Diagnostic Radiology Physician
  • Richmond, VA
National Provider Identifier
1023084936
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
WATAUGA RADIOLOGICAL SERVICES PA
Practice address
5711 Chamberlayne Rd
Richmond, VA 23227-2415
Phone
(804) 262-6900
Fax
(804) 266-3530
NPI assigned
Feb 28, 2006
Last updated
May 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Dr. Richard Wayne Geldmeier, M.D.NPI 1891761706
Title
President
Phone
(828) 264-6850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

5711 Chamberlayne Rd
Richmond, VA 23227-2415

Mailing address

5711 Chamberlayne Rd
Richmond, VA 23227-2415
Phone (804) 262-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040228000450 NC Part B Supplier - Clinic/Group Practice 2466349055 Receives reassigned benefits from 5 practitioners
Practice locations: Boone, NC; Linville, NC

National Provider Directory

National Provider Directory

Locations

418 Chestnut Cir
Blowing Rock, NC 28605
Phone (828) 295-3136

155 Furman Rd
Ste 101A
Boone, NC 28607
Phone (828) 262-4402

400 Shadowline Dr
Ste 201A
Boone, NC 28607
Phone (828) 264-6850

5711 Chamberlayne Rd
Richmond, VA 23227
Phone (804) 262-6900

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1023084936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 CHAMBERLAYNE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232272415",
            "telephone_number": "804-262-6900",
            "fax_number": "804-266-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 CHAMBERLAYNE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232272415",
            "telephone_number": "804-262-6900",
            "fax_number": "804-266-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATAUGA RADIOLOGICAL SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "GELDMEIER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-264-6850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.