Shenandoah Valley Anesthesia Services PLLC
Organization Active NPI Anesthesiology Physician · Rockingham, VA
NPI 1346768249 · NPPES record last updated May 12, 2021
Key facts
- NPI
- 1346768249
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- SHENANDOAH VALLEY ANESTHESIA SERVICES PLLC
- Practice address
- 3322 Emmaus Rd
Rockingham, VA 22801-2685 - Phone
- (540) 437-0087
- Fax
- (540) 642-1357
- NPI assigned
- Aug 31, 2017
- Organization subpart
- No
Authorized official
- Name
- Javier Pou, MD
- Title
- Member
- Phone
- (540) 437-1208
Practitioners 6
-
George James Antonio II, CRNA
-
Claudine H Desamours, M.D.
-
Carly M Hunt, MD
-
Hany Samir Salah, D.O.
-
Javier A Pou, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181129001117 | VA | Part B Supplier - Clinic/Group Practice | 0143564393 |
Receives reassigned benefits from 5 practitioners Practice locations: Rockingham, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes |
Addresses
Primary practice location
3322 Emmaus Rd
Rockingham, VA 22801-2685
Mailing address
PO Box 79866
Baltimore, MD 21279-0866
Phone (540) 437-1208
Other providers in Rockingham, VA
- Richard Andrew Seefried
- Sentara RMH Medical Center
- Michelle Leah Shaub
- Shenandoah Nephrology, PLC
- Shenandoah Oral and Facial Surgery, PLC
- Shenandoah Valley Radiation Oncology Associates, PC
- Kelly Shenk
- Shifa Institute PLC
- Elvira Nicole Shulgan
- Fouzia Siddiqui
All providers in Rockingham, VA · Anesthesiology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.