Southwest Medical Clinic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SOUTHWEST MEDICAL CLINIC

Practice address

4079 Electric Rd
Roanoke, VA 24018-8442

Phone

(540) 989-5594

Fax

(540) 776-8020

NPI assigned

Feb 22, 2007

Last updated

Jul 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David A Cummings, DONPI 1023002615

Title

Physician-President

Phone

(540) 989-5594

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

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.

• David Andrew Cummings, DO

  • Family Medicine Physician
  • Roanoke, VA
  • NPI 1023002615
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1538294640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4127",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240150127",
            "telephone_number": "540-989-9394",
            "fax_number": "540-344-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4079 ELECTRIC RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240188442",
            "telephone_number": "540-989-5594",
            "fax_number": "540-776-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN-PRESIDENT",
        "authorized_official_telephone_number": "540-989-5594",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.