NPIMap

Organization Active NPI

Western Virginia OB-GYN Center PC

  • Obstetrics & Gynecology Physician
  • Roanoke, VA
National Provider Identifier
1316953946
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
101028920 Issued in VA
Legal business name
WESTERN VIRGINIA OB-GYN CENTER PC
Practice address
4231 Colonial Ave
Suite 1
Roanoke, VA 24018-4002
Phone
(540) 774-6000
Fax
(540) 774-5276
NPI assigned
Aug 1, 2006
Last updated
Jul 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Mrs. Judith H Repass
Title
Practice Manager
Phone
(540) 774-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 101028920 VA Primary

Addresses

Primary practice location

4231 Colonial Ave
Suite 1
Roanoke, VA 24018-4002

Mailing address

4231 Colonial Ave
Suite 1
Roanoke, VA 24018-4002
Phone (540) 774-6000

National Provider Directory

National Provider Directory

Locations

4231 Colonial Ave
Ste 1
Roanoke, VA 24018
Phone (540) 774-6000

Practitioners & affiliated clinicians

Practitioners 3

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": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1316953946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4231 COLONIAL AVE",
            "address_2": "SUITE 1",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184002",
            "telephone_number": "540-774-6000",
            "fax_number": "540-774-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4231 COLONIAL AVE",
            "address_2": "SUITE 1",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184002",
            "telephone_number": "540-774-6000",
            "fax_number": "540-774-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN VIRGINIA OB-GYN CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "REPASS",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "540-774-6000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "101028920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.