Neurology Services of Southwest Virginia

Primary specialty

SpecialistTaxonomy code 174400000X

License

0102036834 Issued in VA

Legal business name

NEUROLOGY SERVICES OF SOUTHWEST VIRGINIA

Practice address

210 Professional Park Dr SE
Suite 12
Blacksburg, VA 24060-6680

Phone

(540) 961-0410

Fax

(540) 961-3925

NPI assigned

Mar 13, 2007

Last updated

Aug 22, 2020By 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

Dr. Steven Douglas Nack, D.O.NPI 1548334519

Title

Owner

Phone

(540) 961-0410

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Steven Douglas Nack, DO

  • Neurology Physician
  • Blacksburg, VA
  • NPI 1548334519
  Authorized official Same address or phone

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235262239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PROFESSIONAL PARK DR SE",
            "address_2": "SUITE 12",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606680",
            "telephone_number": "540-961-0410",
            "fax_number": "540-961-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PROFESSIONAL PARK DR SE",
            "address_2": "SUITE 12",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606680",
            "telephone_number": "540-961-0410",
            "fax_number": "540-961-3925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY SERVICES OF SOUTHWEST VIRGINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NACK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-961-0410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0102036834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie S Neely, LPC
• Brianna Negrete
• Jim Neill, CRNA
• Geralyn Wheeler Neumann, RPA-C
• Neurological Care Clinic PC
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• New River Dermatology PLC
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• New River Periodontics and Dental Implant Center

• Specialist in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Specialist in Virginia

• 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.