Individual provider Active NPI

Chase King, DO

  • Family Medicine Physician
  • Wytheville, VA
National Provider Identifier
1376907386
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102204971 Issued in VA
Practice address
245 Holston Rd Ste B
Wytheville, VA 24382-4486
Phone
(276) 227-0460
Fax
(276) 227-0711
NPI assigned
Apr 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102204971 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

245 Holston Rd Ste B
Wytheville, VA 24382-4486

Mailing address

245 Holston Rd Ste B
Wytheville, VA 24382-4486
Phone (276) 227-0460

Other practice location 1

208 Medical Park Blvd
Bristol, TN 37620-7343
Phone (423) 989-4050

Other practice location 2

600 W Ridge Rd
Wytheville, VA 24382-1044
Phone (276) 228-0200

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
I20180829001790 VA Practitioner - Family Practice 9335499185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wythe County Physician Practices LLCGroup PAC ID 7517972789, 45 clinicians

Practice addresses (Care Compare)

340 Virginia Ave
Wytheville, VA 24382-1185
Phone (276) 223-1703

342 Virginia Ave
Wytheville, VA 24382-1185
Phone (276) 223-1703

360 Virginia Ave
Wytheville, VA 24382-1185

600 W Ridge Rd
Wytheville, VA 24382-1044
Phone (276) 228-0200

Hospital & facility affiliations

  • Access Home Health Care and Rehabilitation Home health agency, Galax, VA, CCN 497713
  • Wythe Circle Home Care Home health agency, Wytheville, VA, CCN 497094
  • Wythe County Community Hospital Hospital, Wytheville, VA, CCN 490111
  • Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wythe County Physician Practices LLC Family Medicine CurrentSince Sep 10, 2018 Accepting new patients
Emergency Coverage, LLC Family Medicine CurrentSince Sep 29, 2019 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients
Wythe County Physician Practices LLC Past Accepting new patients

Locations

245 Holston Rd
Ste B
Wytheville, VA 24382
Phone (276) 227-0460

360 Virginia Ave
#B
Wytheville, VA 24382
Phone (276) 223-1430

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

1155 N 4th St
Ste 502
Wytheville, VA 24382
Phone (276) 223-1334

Interoperability endpoints

  • Direct secure messaging: chase.king.1@19847.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1376907386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 HOLSTON RD STE B",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243824486",
            "telephone_number": "276-227-0460",
            "fax_number": "276-227-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 HOLSTON RD STE B",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243824486",
            "telephone_number": "276-227-0460",
            "fax_number": "276-227-0711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207343",
            "country_code": "US",
            "telephone_number": "423-989-4050",
            "fax_number": "423-990-3045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 W Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Wytheville",
            "state": "VA",
            "postal_code": "243821044",
            "country_code": "US",
            "telephone_number": "276-228-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "CHASE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102204971",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wytheville, VA

Sources for this page

Verify at the official NPI Registry.