Active NPI
Southwest Virginia Cardiology PC
- Cardiovascular Disease Physician
- Salem, VA
National Provider Identifier
1447564422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- SOUTHWEST VIRGINIA CARDIOLOGY PC
- Practice address
- 2850 Keagy Rd
Salem, VA 24153-7458 - Phone
- (540) 375-9375
- Fax
- (540) 375-9376
- NPI assigned
- Aug 2, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Prokopchak
- Title
- Office Manager
- Phone
- (540) 375-9375
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
2850 Keagy Rd
Salem, VA 24153-7458
Mailing address
2850 Keagy Rd
Salem, VA 24153-7458
Phone (540) 375-9375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083685911 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2014297 | Southwest Virginia Cardiology, PC | Certificate of waiver | Oct 4, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Cardiology Physician
- Salem, VA
- NPI 1083685911
Cardiovascular Disease
-
- Medical Physician Assistant
- Salem, VA
- NPI 1396134250
-
- Physician Assistant
- Roanoke, VA
- NPI 1477643864
Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396483200000",
"number": "1447564422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 KEAGY RD",
"city": "SALEM",
"state": "VA",
"postal_code": "241537458",
"telephone_number": "540-375-9375",
"fax_number": "540-375-9376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 KEAGY RD",
"city": "SALEM",
"state": "VA",
"postal_code": "241537458",
"telephone_number": "540-375-9375",
"fax_number": "540-375-9376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST VIRGINIA CARDIOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-02",
"last_updated": "2014-04-03",
"status": "A",
"authorized_official_last_name": "PROKOPCHAK",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "540-375-9375"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083685911",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.