Organization Active NPI

Southwest Virginia Physicians for Women

Doing business as Abingdon Obstetrics and Gynelogy

  • Specialist
  • Abingdon, VA
National Provider Identifier
1255326245
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SOUTHWEST VIRGINIA PHYSICIANS FOR WOMEN
Doing business as
Abingdon Obstetrics and Gynelogy
Practice address
277 White St NE
Abingdon, VA 24210-2913
Phone
(276) 628-4335
Fax
(276) 628-3195
NPI assigned
Sep 15, 2005
Last updated
Dec 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

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

Authorized official

Name
Dr. Jay Wayne Lavigne, M.D.NPI 1073509568
Title
Owner
Phone
(276) 628-4335

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

277 White St NE
Abingdon, VA 24210-2913

Mailing address

277 White St NE
Abingdon, VA 24210-2913
Phone (276) 628-4335

Other names 1

  • Abingdon Obstetrics and Gynelogy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040614000157 VA Part B Supplier - Clinic/Group Practice 4688658289 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pembroke, VA; Blacksburg, VA; Abingdon, VA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Abingdon Obstetrics and Gynelogy2 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.

Locations

200 Dublin Park Rd
Dublin, VA 24084
Phone (540) 674-2890

277 Hospital Dr
Galax, VA 24333
Phone (276) 236-2909

602 Wenonah Ave
Pearisburg, VA 24134
Phone (540) 921-2734

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448928000000",
    "number": "1255326245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 WHITE ST NE",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102913",
            "telephone_number": "276-628-4335",
            "fax_number": "276-628-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 WHITE ST NE",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102913",
            "telephone_number": "276-628-4335",
            "fax_number": "276-628-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST VIRGINIA PHYSICIANS FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2015-12-01",
        "status": "A",
        "authorized_official_last_name": "LAVIGNE",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-628-4335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abingdon Obstetrics and Gynelogy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; 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.