Shenandoah Oncology, PC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

SHENANDOAH ONCOLOGY, PC

Practice address

400 Campus Blvd Ste 100
Winchester, VA 22601-6906

Phone

(540) 662-1108

Fax

(540) 662-1108

NPI assigned

Jun 18, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Lorna Groese

Title

Revenue Cycle Manager

Phone

(540) 662-1108

Specialties & licenses 10

Addresses

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

Tax ID family

Shenandoah Oncology PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Shenandoah Oncology, PC

  • Specialist
  • Winchester, VA
  • NPI 1972956605
  NPD tax ID

Locations

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendra Diane Atherton, CRNP

  • Family Nurse Practitioner
  • Winchester, VA
  • NPI 1891009775
  Medicare reassignment Care Compare group NPD
• Christian Barlow, M.D.

  • Hematology & Oncology Physician
  • Winchester, VA
  • NPI 1477948271
  Medicare reassignment Care Compare group NPD
• Jill T Defibaugh, NP

  • Nurse Practitioner
  • Winchester, VA
  • NPI 1225018914
  Medicare reassignment Care Compare group NPD
• Jessica Nicole Fauver, FNP-C

  • Family Nurse Practitioner
  • Winchester, VA
  • NPI 1972102333
  Medicare reassignment Care Compare group NPD
• Bruce L Flax, M.D.

  • Radiation Oncology Physician
  • Winchester, VA
  • NPI 1366462640
  Medicare reassignment Care Compare group NPD
• Jonathan Hanson, FNP

  • Family Nurse Practitioner
  • Winchester, VA
  • NPI 1457395089
  Medicare reassignment Care Compare group NPD
• William A Houck III, M.D.

  • Hematology & Oncology Physician
  • Winchester, VA
  • NPI 1568406288
  Medicare reassignment Care Compare group NPD
• Laurie H Hudson, FNP-C

  • Family Nurse Practitioner
  • Winchester, VA
  • NPI 1073567269
  Medicare reassignment Care Compare group NPD
• Rodney Huff, FNP

  • Family Nurse Practitioner
  • Winchester, VA
  • NPI 1205870490
  Medicare reassignment Care Compare group NPD
• Richard M Ingram, M.D.

  • Hematology & Oncology Physician
  • Winchester, VA
  • NPI 1669416350
  Medicare reassignment Care Compare group NPD
• Matthew Page Jones, MD

  • Hematology & Oncology Physician
  • Winchester, VA
  • NPI 1548255755
  Medicare reassignment Care Compare group NPD
• Kristin V Kowalchik, MD

  • Radiation Oncology Physician
  • Winchester, VA
  • NPI 1710130828
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1124381959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CAMPUS BLVD",
            "address_2": "SUITE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012873",
            "telephone_number": "540-662-1108",
            "fax_number": "540-667-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016906",
            "telephone_number": "540-662-1108",
            "fax_number": "540-662-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH ONCOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "GROESE",
        "authorized_official_first_name": "LORNA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "540-662-1108",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101019275",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101040514",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101041458",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101055301",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101236276",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101242990",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "VA",
            "license": "0101257872",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "VA",
            "license": "0101258428",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "VA",
            "license": "0101045858",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shenandoah Health Associates, LLC
• Shenandoah Memorial Hospital, Inc.
• Shenandoah Oncology Assoc PC
• Shenandoah Oncology Associates
• Shenandoah Oncology Associates, PC
• Shenandoah Oncology, PC
• Shenandoah Optical Inc.
• Shenandoah Oral & Maxillofacial Surgery Inc
• Shenandoah Plastic Surgery
• Shenandoah Professional Counseling, LLC

• Hematology & Oncology Physician in Winchester, VA
• Providers in Winchester, VA by specialty
• Hematology & Oncology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.