NPIMap

Organization Active NPI

Rappahannock Westminster-Canterbury, Inc.

  • Internal Medicine Physician
  • Irvington, VA
National Provider Identifier
1114549227
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RAPPAHANNOCK WESTMINSTER-CANTERBURY, INC.
Practice address
132 Lancaster Dr
Irvington, VA 22480-9740
Phone
(804) 438-4000
Fax
(804) 438-4027
NPI assigned
May 12, 2020
Last updated
May 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Authorized official

Name
Wade E Bishop, DO
Title
Chief Financial Officer
Phone
(804) 438-4102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

132 Lancaster Dr
Irvington, VA 22480-9740

Mailing address

132 Lancaster Dr
Irvington, VA 22480-9740
Phone (804) 438-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200616000059 VA Part B Supplier - Clinic/Group Practice 6103090345 Receives reassigned benefits from 1 practitioner
Practice locations: Irvington, VA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rappahannock Westminster-Canterbury, Inc.Irvington, VA, CCN 495160 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%) Sep 26, 1980

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

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": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1114549227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 LANCASTER DR",
            "city": "IRVINGTON",
            "state": "VA",
            "postal_code": "224809740",
            "telephone_number": "804-438-4000",
            "fax_number": "804-438-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 LANCASTER DR",
            "city": "IRVINGTON",
            "state": "VA",
            "postal_code": "224809740",
            "telephone_number": "804-438-4000",
            "fax_number": "804-438-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPPAHANNOCK WESTMINSTER-CANTERBURY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "804-438-4102",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, VA

Sources for this page

Verify at the official NPI Registry.