NPIMap

Organization Active NPI

Winchester Medical Center

Doing business as Valley Health Pulmonary Specialists

  • Pulmonary Disease Physician
  • Winchester, VA
National Provider Identifier
1053814129
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
WINCHESTER MEDICAL CENTER
Doing business as
Valley Health Pulmonary Specialists
Practice address
190 Campus Blvd Ste 410
Winchester, VA 22601-2872
Phone
(540) 536-5980
Fax
(412) 822-7411
NPI assigned
Mar 14, 2018
Last updated
Jan 18, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
WINCHESTER MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Authorized official

Name
Kelli Fahrenhold
Title
Credentialing
Phone
(800) 655-2656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

190 Campus Blvd Ste 410
Winchester, VA 22601-2872

Mailing address

PO Box 7402
Merrifield, VA 22116-7402
Phone (800) 655-2656

Other practice location 1

1870 Amherst St
Winchester, VA 22601-2873
Phone (800) 655-2656

Other names 1

  • Valley Health Pulmonary Specialists Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031124000061 VA Part B Supplier - Clinic/Group Practice 0244134021 Receives reassigned benefits from 866 practitioners
21 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Winchester, VA; Woodstock, VA; Front Royal, VA; Luray, VA

Other NPIs on the same Medicare enrollment 21

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 21

National Provider Directory

National Provider Directory
Part of
Winchester Medical Center

Practitioners & affiliated clinicians

Practitioners 7

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": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1053814129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7402",
            "city": "MERRIFIELD",
            "state": "VA",
            "postal_code": "221167402",
            "telephone_number": "800-655-2656",
            "fax_number": "412-822-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CAMPUS BLVD STE 410",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012872",
            "telephone_number": "540-536-5980",
            "fax_number": "412-822-7411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1870 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226012873",
            "country_code": "US",
            "telephone_number": "800-655-2656",
            "fax_number": "412-822-7411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WINCHESTER MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINCHESTER MEDICAL CENTER",
        "enumeration_date": "2018-03-14",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "FAHRENHOLD",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "800-655-2656"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Health Pulmonary Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.