Active NPI
Eleanor Sue Cantrell, M.D.
- Internal Medicine Physician
- Wise, VA
National Provider Identifier
1407823693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101036912
- Practice address
- 134 Roberts Ave SW
Wise, VA 24293-5800 - Phone
- (276) 328-8000
- Fax
- (276) 376-1020
- NPI assigned
- Mar 7, 2006
- Last updated
- Mar 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101036912 | VA | Primary |
| Public Health & General Preventive Medicine Physician | 2083P0901X | 0101036912 | VA |
Addresses
Primary practice location
134 Roberts Ave SW
Wise, VA 24293-5800
Mailing address
134 Roberts Ave SW
Wise, VA 24293-5800
Phone (276) 328-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Department of Health | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wise County Health Department
- Public Health or Welfare Agency
- Wise, VA
- NPI 1790894780
-
dba Southwest Virginia Child Development Clinic
- Public Health or Welfare Agency
- Gate City, VA
- NPI 1851430821
-
dba Scott County Health Department
- Public Health or Welfare Agency
- Gate City, VA
- NPI 1871602730
-
dba Buchanan County Health Department
- Multi-Specialty Clinic/Center
- Grundy, VA
- NPI 1811958200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330646400000",
"number": "1407823693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 ROBERTS AVE SW",
"city": "WISE",
"state": "VA",
"postal_code": "242935800",
"telephone_number": "276-328-8000",
"fax_number": "276-376-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 ROBERTS AVE SW",
"city": "WISE",
"state": "VA",
"postal_code": "242935800",
"telephone_number": "276-328-8000",
"fax_number": "276-376-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTRELL",
"first_name": "ELEANOR",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-07",
"last_updated": "2012-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101036912",
"primary": true
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "VA",
"license": "0101036912",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wise, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.