NPIMap

Organization Active NPI

Winchester Medical Center Inc.

Doing business as DBA Winchester Observation Medicine PLLC

  • Emergency Care Clinic/Center
  • Winchester, VA
National Provider Identifier
1487907341
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
WINCHESTER MEDICAL CENTER INC.
Doing business as
DBA Winchester Observation Medicine PLLC
Practice address
1840 Amherst St
Winchester, VA 22601-2808
Phone
(540) 536-8700
Fax
(540) 536-4445
NPI assigned
Oct 17, 2012
Last updated
Jun 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Authorized official

Name
Grady W Philips III
Title
Sr. VP and Coo
Phone
(540) 536-2607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

1840 Amherst St
Winchester, VA 22601-2808

Mailing address

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8700

Other names 1

  • DBA Winchester Observation Medicine PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130214000243 VA Part B Supplier - Clinic/Group Practice 7214181585 Receives reassigned benefits from 46 practitioners
Practice locations: Winchester, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402531200000",
    "number": "1487907341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012808",
            "telephone_number": "540-536-8700",
            "fax_number": "540-536-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012808",
            "telephone_number": "540-536-8700",
            "fax_number": "540-536-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER MEDICAL CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2014-06-12",
        "status": "A",
        "authorized_official_last_name": "PHILIPS",
        "authorized_official_first_name": "GRADY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SR. VP AND COO",
        "authorized_official_telephone_number": "540-536-2607",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Winchester Observation Medicine PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.