Shenandoah Nephrology, PLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

SHENANDOAH NEPHROLOGY, PLC

Practice address

4057 Quarles CT
Rockingham, VA 22801-8717

Phone

(540) 208-7002

Fax

(540) 217-2339

NPI assigned

May 15, 2018

Last updated

Nov 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Terry Overby, MD

Title

Doctor

Phone

(540) 208-7002

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 3

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.

• Jessica Adams Mims, PA-C

  • Physician Assistant
  • Rockingham, VA
  • NPI 1972947430
  Medicare reassignment Care Compare group NPD
• Andrew Waligora, M.D.

  • Nephrology Physician
  • Rockingham, VA
  • NPI 1699731521
  Medicare reassignment Care Compare group NPD
• Constance Wenger, PA-C

  • Medical Physician Assistant
  • Harrisonburg, VA
  • NPI 1881001238
  Medicare reassignment

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541721600000",
    "number": "1174013171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4057 QUARLES CT",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018717",
            "telephone_number": "540-208-7002",
            "fax_number": "540-217-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4057 QUARLES CT",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018717",
            "telephone_number": "540-208-7002",
            "fax_number": "540-217-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH NEPHROLOGY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-11-09",
        "status": "A",
        "authorized_official_last_name": "OVERBY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "540-208-7002",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erwin Secretov, M.D.
• Richard Andrew Seefried, M.D.
• Celia Dean Selfe, LCSW
• Sentara RMH Medical Center (Sentara to Home Pharmacy at SRMH)
• Michelle Leah Shaub, D.O.
• Shenandoah Oral and Facial Surgery, PLC
• Shenandoah Valley Anesthesia Services PLLC
• Shenandoah Valley Radiation Oncology Associates, PC
• Kelly Shenk, DPT
• Shifa Institute PLC

• Nephrology Physician in Rockingham, VA
• Providers in Rockingham, VA by specialty
• Nephrology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.