Active NPI
Marc Edward Read, MD
- Diagnostic Radiology Physician
- Woodstock, VA
National Provider Identifier
1447253083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101031634
- Practice address
- 759 S Main St
Woodstock, VA 22664-1127 - Phone
- (540) 459-8026
- NPI assigned
- May 27, 2005
- Last updated
- Mar 2, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | 0101031634 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | 0101031634 | VA | Primary |
Addresses
Primary practice location
759 S Main St
Woodstock, VA 22664-1127
Mailing address
PO Box 1807
Winchester, VA 22604-8307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007208235 | Medicaid | VA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101031634 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Medical Imaging Inc | Diagnostic Radiology | Past | Accepting new patients |
| Neurology Center of Excellence | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Woodstock, VA
- NPI 1598768087
-
- Medical Specialty Clinic/Center
- Martinsburg, WV
- NPI 1750710141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1447253083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1807",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226048307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 S MAIN ST",
"city": "WOODSTOCK",
"state": "VA",
"postal_code": "226641127",
"telephone_number": "540-459-8026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "READ",
"first_name": "MARC",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "VA",
"license": "0101031634",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101031634",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007208235",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.