NPIMap

Organization Active NPI

Royal Oak Pediatric Associates, Inc

  • Pediatrics Physician
  • Marion, VA
National Provider Identifier
1114295110
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ROYAL OAK PEDIATRIC ASSOCIATES, INC
Practice address
590 Radio Hill Rd
Marion, VA 24354-4224
Phone
(276) 783-8183
Fax
(276) 783-9267
NPI assigned
Dec 5, 2011
Last updated
Dec 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Anita Henley, DONPI 1336354117
Title
Owner
Phone
(276) 783-8183

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
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

590 Radio Hill Rd
Marion, VA 24354-4224

Mailing address

590 Radio Hill Rd
Marion, VA 24354-4224
Phone (276) 783-8183

National Provider Directory

National Provider Directory

Locations

310 Cummings St
#B
Abingdon, VA 24210
Phone (276) 525-4603

1020 Terrace Dr
Ste 101
Marion, VA 24354
Phone (276) 783-3183

929 N Main St
Marion, VA 24354
Phone (276) 783-8183

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": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1114295110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 RADIO HILL RD",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544224",
            "telephone_number": "276-783-8183",
            "fax_number": "276-783-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 RADIO HILL RD",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544224",
            "telephone_number": "276-783-8183",
            "fax_number": "276-783-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL OAK PEDIATRIC ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "HENLEY",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-783-8183",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.