Active NPI
Jerry A Germroth, M.D.
- Internal Medicine Physician
- Woodstock, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101034309
- Practice address
- 759 S Main St
Suite 300
Woodstock, VA 22664-1127 - Phone
- (540) 459-1540
- Fax
- (540) 459-1486
- NPI assigned
- Jul 19, 2005
- Last updated
- Mar 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101034309 | VA | Primary |
Addresses
Primary practice location
759 S Main St
Suite 300
Woodstock, VA 22664-1127
Mailing address
220 Campus Blvd
Ste 100
Winchester, VA 22601-2888
Phone (540) 678-3588
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006015808 | Medicaid | VA | |
| 012268 | Other | VA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101034309 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Front Royal, LLC | Internal Medicine | Past | Accepting new patients |
| Hospitalist Medicine Physicians of Virginia LLC | Internal Medicine | Past | Accepting new patients |
Locations
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
220 Campus Blvd
Ste 200
Winchester, VA 22601
Phone (540) 536-0307
759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100
759 S Main St
Ste 300
Woodstock, VA 22664
Phone (540) 459-1540
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1275532418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 CAMPUS BLVD",
"address_2": "STE 100",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226012888",
"telephone_number": "540-678-3588",
"fax_number": "540-678-9025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 S MAIN ST",
"address_2": "SUITE 300",
"city": "WOODSTOCK",
"state": "VA",
"postal_code": "226641127",
"telephone_number": "540-459-1540",
"fax_number": "540-459-1486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERMROTH",
"first_name": "JERRY",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101034309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006015808",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "012268",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.