Individual provider Active NPI

Thomas M Cardwell, M.D

  • Psychiatry Physician
  • Woodstock, VA
National Provider Identifier
1306883178
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101050424 Issued in VA
Practice address
759 S Main St
Woodstock, VA 22664-1127
Phone
(540) 459-1111
Fax
(540) 459-1293
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101050424 VA Primary

Addresses

Primary practice location

759 S Main St
Woodstock, VA 22664-1127

Mailing address

755 S Main St
Suite 102
Woodstock, VA 22664-1143
Phone (540) 459-1262

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tcardwell124447@soc.inova.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050316000820 VA Practitioner - Psychiatry 5890744825 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Memorial Hospital, Inc. CurrentSince Jun 12, 2006 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Jun 12, 2006 Accepting new patients
Shenandoah Memorial Hospital, Inc. Past Accepting new patients
Valley Physician Enterprise, Inc. Past Accepting new patients
Sentara RMH Medical Center Past Accepting new patients
Northwestern Community Services Board Psychiatry PastSince Nov 1, 2006 Accepting new patients
Sentara RMH Medical Center Past Accepting new patients
Valley Physician Enterprise Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

755 S Main St
Ste 102
Woodstock, VA 22664
Phone (540) 459-1262

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • Direct secure messaging: tcardwell124447@valleyhealth.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1306883178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 S MAIN ST",
            "address_2": "SUITE 102",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641143",
            "telephone_number": "540-459-1262",
            "fax_number": "540-459-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 S MAIN ST",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641127",
            "telephone_number": "540-459-1111",
            "fax_number": "540-459-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDWELL",
        "first_name": "THOMAS",
        "middle_name": "M",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101050424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcardwell124447@soc.inova.org",
            "affiliation": "N",
            "address_1": "759 S Main St",
            "city": "Woodstock",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226641127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Woodstock, VA

Sources for this page

Verify at the official NPI Registry.