Organization Active NPI

Coremedx Inc.

  • General Practice Physician
  • Salem, VA
National Provider Identifier
1265170658
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
COREMEDX INC.
Practice address
1461 W Main St
Salem, VA 24153-3120
Phone
(540) 375-9220
Fax
(434) 793-9315
NPI assigned
May 25, 2022
Organization subpart
Yes
Parent organization
COREMEDXAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Isaac Caleb Hill, DCNPI 1427307719
Title
Authorized Official
Phone
(434) 797-4455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1461 W Main St
Salem, VA 24153-3120

Mailing address

441 Piney Forest Rd Ste G
Danville, VA 24540-4154
Phone (434) 793-0700

Other practice location 1

441 Piney Forest Rd Ste G
Danville, VA 24540-4154
Phone (434) 793-0700

Other names 1

  • CoreMedX Salem Doing business as

National Provider Directory

National Provider Directory
Part of
Coremedx Inc

Locations

441 Piney Forest Rd
Ste G
Danville, VA 24540
Phone (434) 793-0700

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1265170658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 PINEY FOREST RD STE G",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245404154",
            "telephone_number": "434-793-0700",
            "fax_number": "434-793-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 W MAIN ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533120",
            "telephone_number": "540-375-9220",
            "fax_number": "434-793-9315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 Piney Forest Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245404154",
            "country_code": "US",
            "telephone_number": "434-793-0700",
            "fax_number": "434-793-9315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COREMEDX INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COREMEDX",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_middle_name": "CALEB",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "434-797-4455",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CoreMedX Salem",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CoreMedX Salem",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.