Active NPI
Ronald Clarence Sherowsky, MD
- Diagnostic Radiology Physician
- Wytheville, VA
National Provider Identifier
1114982949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101043771
- Practice address
- 600 W Ridge Rd
Wytheville, VA 24382-1044 - Phone
- (276) 228-0200
- NPI assigned
- Apr 17, 2006
- Last updated
- Jun 3, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101043771 | VA | Primary |
Addresses
Primary practice location
600 W Ridge Rd
Wytheville, VA 24382-1044
Mailing address
1943 Whippoorwill Rd
Wytheville, VA 24382-6011
Phone (276) 625-0996
Other practice location 1
2204 Wilborn Ave
South Boston, VA 24592-1645
Phone (434) 517-3187
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114982949 | Medicaid | VA | |
| 7245131 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Halifax Radiological Associates, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- South Boston, VA
- NPI 1952465064
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1114982949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1943 WHIPPOORWILL RD",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "243826011",
"telephone_number": "276-625-0996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W RIDGE RD",
"city": "WYTHEVILLE",
"state": "VA",
"postal_code": "243821044",
"telephone_number": "276-228-0200"
}
],
"practiceLocations": [
{
"address_1": "2204 Wilborn Ave",
"address_purpose": "LOCATION",
"city": "South Boston",
"state": "VA",
"postal_code": "245921645",
"country_code": "US",
"telephone_number": "434-517-3187",
"fax_number": "434-517-3686",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEROWSKY",
"first_name": "RONALD",
"middle_name": "CLARENCE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101043771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114982949",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7245131",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wytheville, VA
- Martha Walters Sharitz
- Sharp Therapy Services Inc.
- Joel Robert Sharp, PT
- Barbara A Shelton, CERTIFIED OCCUPATION
- Sheridan Anesthesia Services of Virginia, Inc
- Beverly Barton Showalter, LCSW
- Joy Loree Simmons, LPC
- Cassandra Simpson, LPC
- Prashant Kumar Singh, MD
- Patricia Blakesley Singleton, RN MSN FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.