Oldtown Medical Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OLDTOWN MEDICAL CARE, LLC

Practice address

306 Meadow St
Galax, VA 24333

Phone

(276) 236-5300

NPI assigned

Jan 30, 2013

Last updated

May 24, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Angela H Willey

Title

Practice Owner

Phone

(276) 236-5300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 6

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.

• Amanda Michelle Arnold, FNP

  • Family Nurse Practitioner
  • Troutdale, VA
  • NPI 1811409048
  Medicare reassignment Care Compare group NPD
• Wanda Kay Delong

  • Family Nurse Practitioner
  • Galax, VA
  • NPI 1407506512
  Medicare reassignment Care Compare group NPD
• Wendi Cheryl Helsabeck, FNP

  • Family Nurse Practitioner
  • Galax, VA
  • NPI 1992271209
  Medicare reassignment Care Compare group NPD
• Sherry Elaine Taylor, FNP

  • Family Nurse Practitioner
  • Cana, VA
  • NPI 1952902827
  Medicare reassignment Care Compare group NPD
• Joy K Creed, FNP-C

  • Nurse Practitioner
  • Fries, VA
  • NPI 1679592554
  Medicare reassignment NPD
• Britnie Mason Hamilton, NP-C

  • Family Nurse Practitioner
  • Galax, VA
  • NPI 1750028148
  Medicare reassignment NPD

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1043558745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 MEADOW ST",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243333020",
            "telephone_number": "276-236-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MEADOW ST",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "24333",
            "telephone_number": "276-236-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDTOWN MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "WILLEY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "276-236-5300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Douglas Nielson, M.D.
• NMG Affiliate Practice I LLC (Novant Health Heart and Vascular)
• Garrick Norman, LPTA
• Novant Medical Group, Inc (Novant Health Cardiology Galax)
• Susan Frances O'Connor, DDS
• Steven P Olson, MD
• Treva M. Osborne, LPN
• Woodrow Edward Pack Jr.
• Zachary Lee Page, FNP
• Michael Roy Painter

• Family Medicine Physician in Galax, VA
• Providers in Galax, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; 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.