Organization Active NPI

Robert Moore Pickral & David a Ellington PTRS

  • Preferred Provider Organization
  • Lexington, VA
National Provider Identifier
1194783092
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
0101036661 Issued in VA
Legal business name
ROBERT MOORE PICKRAL & DAVID A ELLINGTON PTRS
Practice address
146 S Main St
Lexington, VA 24450-2356
Phone
(540) 463-9158
Fax
(540) 463-4218
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Authorized official

Name
Dr. Robert M Pickral, MD
Title
Owner
Phone
(540) 463-9158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 0101036661 VA Primary

Addresses

Primary practice location

146 S Main St
Lexington, VA 24450-2356

Mailing address

146 S Main St
Lexington, VA 24450-2356
Phone (540) 463-9158

Other names 1

  • Lexington Family Practice Doing business as

National Provider Directory

National Provider Directory

Locations

3016 Longtown Commons Dr
Ste 105
Columbia, SC 29229
Phone (803) 314-0529

105 Brevard Pkwy
Lexington, SC 29073
Phone (803) 951-1880

146 E Hospital Dr
Ste 410
West Columbia, SC 29169
Phone (803) 739-3550

146 S Main St
Lexington, VA 24450
Phone (540) 463-4001

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1194783092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 S MAIN ST",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502356",
            "telephone_number": "540-463-9158",
            "fax_number": "540-463-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 S MAIN ST",
            "city": "LEXINGTON",
            "state": "VA",
            "postal_code": "244502356",
            "telephone_number": "540-463-9158",
            "fax_number": "540-463-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT MOORE PICKRAL & DAVID A ELLINGTON PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "PICKRAL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-463-9158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "VA",
            "license": "0101036661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.