Internal Medicine of Blacksburg LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

INTERNAL MEDICINE OF BLACKSBURG LLC

Practice address

3698 S Main St
Blacksburg, VA 24060-7015

Phone

(540) 951-6070

Fax

(540) 951-6071

NPI assigned

Jun 3, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Washington

Title

Vice President

Phone

(703) 650-2907

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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.

• Ann Morris Shawhan, FNP

  • Family Nurse Practitioner
  • Blacksburg, VA
  • NPI 1588777221
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1316985070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3698 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607015",
            "telephone_number": "540-951-6070",
            "fax_number": "540-951-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3698 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607015",
            "telephone_number": "540-951-6070",
            "fax_number": "540-951-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF BLACKSBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "703-650-2907"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316985070",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF5833",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Chad Hyatt, ATC, EMT
• Ashleigh Iannelli, LPC
• Impact Family Dental PLLC
• Sara C Inman, LCSW
• Integrated Self Counseling & Supervision, PLLC
• Sadia Iqbal, DO
• Carissa L Isbell, PHARM. D.
• Ischemic Injured Organs and Limbs Foundation
• Hannah Jacqueline Jackson, PTA
• Kristie Lynn Jackson, NP

• Internal Medicine Physician in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.