Southwest Virginia Nephrology Medicine, PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

101226961 Issued in VA

Legal business name

SOUTHWEST VIRGINIA NEPHROLOGY MEDICINE, PC

Practice address

4806 Pleasant Hill Dr
Suite 102
Roanoke, VA 24018-3441

Phone

(540) 904-5366

Fax

(540) 904-5598

NPI assigned

Mar 16, 2015

Last updated

Jun 13, 2020By 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

Fletcher G Matthews, MD

Title

Owner/Physician

Phone

(540) 904-5366

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592006400000",
    "number": "1568855427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 PLEASANT HILL DR STE 102",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183440",
            "telephone_number": "540-904-5366",
            "fax_number": "540-904-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4806 PLEASANT HILL DR",
            "address_2": "SUITE 102",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183441",
            "telephone_number": "540-904-5366",
            "fax_number": "540-904-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST VIRGINIA NEPHROLOGY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "FLETCHER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "540-904-5366",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "101226961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southerncare, Inc. (Gentiva II)
• Southwest Medical Clinic
• Southwest Virginia Center for Cosmetic Plastic & Recon Surgery
• Southwest Virginia Eye Center, PLLC (Southwest Virginia Eye Center)
• Southwest Virginia Nephrology LLC
• Southwest Virginia Oral & Maxillofacial Surgery, PLLC
• Ann B Sowers, M.D.
• Steven E. Sowers, D.D.S.
• Camille Suzanne Spain, MS, CCC-SLP
• Angel U Spangler, COTA

• Nephrology Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Nephrology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2020; 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.