Organization Active NPI

Golden Stone LLC

Doing business as New River Nephrology

  • Internal Medicine Physician
  • Roanoke, VA
National Provider Identifier
1225422777
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101257788 Issued in VA
Legal business name
GOLDEN STONE LLC
Doing business as
New River Nephrology
Practice address
4311 Appleton Ave NW
Roanoke, VA 24017-2111
Phone
(540) 981-9394
Fax
(540) 344-7154
NPI assigned
Mar 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Dr. Feras Goshen, M.D.
Title
Owner
Phone
(540) 981-9394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101257788 VA Primary

Addresses

Primary practice location

4311 Appleton Ave NW
Roanoke, VA 24017-2111

Mailing address

4311 Appleton Ave NW
Roanoke, VA 24017-2111
Phone (540) 981-9394

Other names 1

  • New River Nephrology Doing business as

National Provider Directory

National Provider Directory

Locations

4311 Appleton Ave NW
Roanoke, VA 24017
Phone (540) 520-9856

NPI Registry JSON

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1225422777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 APPLETON AVE NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240172111",
            "telephone_number": "540-981-9394",
            "fax_number": "540-344-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 APPLETON AVE NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240172111",
            "telephone_number": "540-981-9394",
            "fax_number": "540-344-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STONE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "GOSHEN",
        "authorized_official_first_name": "FERAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-981-9394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101257788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New River Nephrology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.