Out of the Box Medical, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

OUT OF THE BOX MEDICAL, LLC

Practice address

3076 General Puller Highway
Saluda, VA 23149-2314

Phone

(804) 286-9011

Fax

(804) 286-9275

NPI assigned

May 19, 2021

Last updated

May 19, 2021By 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

Dr. Carla Lynette King, MDNPI 1851362370

Title

Owner

Phone

(804) 286-9011

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Carla L King, MD

  • Pediatrics Physician
  • Saluda, VA
  • NPI 1851362370
  NPD Authorized official

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1558935809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1233",
            "city": "SALUDA",
            "state": "VA",
            "postal_code": "231491233",
            "telephone_number": "804-286-9011",
            "fax_number": "804-286-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3076 GENERAL PULLER HIGHWAY",
            "city": "SALUDA",
            "state": "VA",
            "postal_code": "231492314",
            "telephone_number": "804-286-9011",
            "fax_number": "804-286-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUT OF THE BOX MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-286-9011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972636330",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher W Marshall, D.D.S.
• Middlesex County Public Schools
• Eric Noel Miller, DDS
• Amanda Moore, R.N
• Jeanne A T Norris, SLP
• Patrick Henry Hospital, Inc. (Riverside Convalescent Center, Saluda)
• Darryl John Pirok, DDS MS
• Precision Health Management Inc
• Katrina Rhodes, MD
• Riverside Physician Services Inc (Riverside Gloucester Nursing Care)

• Pediatrics Physician in Saluda, VA
• Providers in Saluda, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.