NPIMap

Organization Active NPI

Lewis-Gale Physicians, LLC

  • Primary Podiatric Medicine Podiatrist
  • Christiansburg, VA
National Provider Identifier
1114999075
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
01030000975 Issued in VA
Legal business name
LEWIS-GALE PHYSICIANS, LLC
Practice address
2955 Market St
Christiansburg, VA 24073-6575
Phone
(540) 382-8886
Fax
(540) 382-9013
NPI assigned
Feb 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Otis Blackwood
Title
Practice Administrator
Phone
(540) 772-3672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X 01030000975 VA Primary

Addresses

Primary practice location

2955 Market St
Christiansburg, VA 24073-6575

Mailing address

2955 Market St
Christiansburg, VA 24073-6575
Phone (540) 382-8886

Other names 1

  • Lewis-Gale Family Care - Christiansburg Other name

National Provider Directory

National Provider Directory
Tax ID family
Lewis-Gale Physicians LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

2955 Market St
Christiansburg, VA 24073
Phone (540) 382-8886

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114999075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2955 MARKET ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736575",
            "telephone_number": "540-382-8886",
            "fax_number": "540-382-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 MARKET ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240736575",
            "telephone_number": "540-382-8886",
            "fax_number": "540-382-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS-GALE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACKWOOD",
        "authorized_official_first_name": "OTIS",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "540-772-3672"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "VA",
            "license": "01030000975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewis-Gale Family Care - Christiansburg",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Christiansburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.