NPIMap

Organization Active NPI

Mountainview Pediatrics, P.C.

  • Pediatrics Physician
  • Marion, VA
National Provider Identifier
1528070216
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101231927 Issued in VA
Legal business name
MOUNTAINVIEW PEDIATRICS, P.C.
Practice address
1204 N Main St
Marion, VA 24354-4312
Phone
(276) 783-2511
Fax
(276) 783-2532
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Mrs. Ginger Testerman Sheets
Title
Practice Manager
Phone
(276) 783-2511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 0101231927 VA Primary

Addresses

Primary practice location

1204 N Main St
Marion, VA 24354-4312

Mailing address

1204 N Main St
Marion, VA 24354-4312
Phone (276) 783-2511

Other identifiers 5

IdentifierTypeStateIssuer
010088577MedicaidVA
1851617831MedicaidVA
006737587MedicaidVA
1467657692MedicaidVA
1750388791MedicaidVA

National Provider Directory

National Provider Directory

Locations

1204 N Main St
Marion, VA 24354
Phone (276) 783-2511

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1528070216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N MAIN ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544312",
            "telephone_number": "276-783-2511",
            "fax_number": "276-783-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N MAIN ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544312",
            "telephone_number": "276-783-2511",
            "fax_number": "276-783-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINVIEW PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "SHEETS",
        "authorized_official_first_name": "GINGER",
        "authorized_official_middle_name": "TESTERMAN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "276-783-2511",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101231927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010088577",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851617831",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006737587",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467657692",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750388791",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.