NPIMap

Organization Active NPI

Smyth County Community Hospital

  • Obstetrics & Gynecology Physician
  • Marion, VA
National Provider Identifier
1376549261
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
H1902 Issued in VA
Legal business name
SMYTH COUNTY COMMUNITY HOSPITAL
Practice address
1070 Terrace Dr
Marion, VA 24354
Phone
(276) 781-2225
Fax
(276) 783-8843
NPI assigned
Jun 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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

Authorized official

Name
Mrs. Lindy P. White
Title
Ceo
Phone
(276) 782-1240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X H1902 VA Primary

Addresses

Primary practice location

1070 Terrace Dr
Marion, VA 24354

Mailing address

1070 Terrace Dr
Marion, VA 24354
Phone (276) 781-2225

Other identifiers 1

IdentifierTypeStateIssuer
139707OtherVAANTHEM

Other names 1

  • Smyth Regional OB-GYN Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031229000522 VA Part B Supplier - Clinic/Group Practice 0446168496 Receives reassigned benefits from 5 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Glade Spring, VA

National Provider Directory

National Provider Directory

Ownership & related parties

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1376549261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 TERRACE DR",
            "city": "MARION",
            "state": "VA",
            "postal_code": "24354",
            "telephone_number": "276-781-2225",
            "fax_number": "276-783-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 TERRACE DR",
            "city": "MARION",
            "state": "VA",
            "postal_code": "24354",
            "telephone_number": "276-781-2225",
            "fax_number": "276-783-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMYTH COUNTY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "LINDY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "276-782-1240",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "H1902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "139707",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smyth Regional OB-GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.