Southside Pulmonary and Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101046990 Issued in VA

Legal business name

SOUTHSIDE PULMONARY AND INTERNAL MEDICINE PC

Practice address

202 E Ferrell St
South Hill, VA 23970-2104

Phone

(434) 447-3899

Fax

(434) 447-7120

NPI assigned

Mar 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne B Kaiser, M.D.

Title

President Corp.

Phone

(434) 447-3899

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277164800000",
    "number": "1598905309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 155",
            "address_2": "202 E. FERRELL ST.",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "23970",
            "telephone_number": "434-447-3899",
            "fax_number": "434-447-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E FERRELL ST",
            "city": "SOUTH HILL",
            "state": "VA",
            "postal_code": "239702104",
            "telephone_number": "434-447-3899",
            "fax_number": "434-447-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE PULMONARY AND INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2010-06-22",
        "status": "A",
        "authorized_official_last_name": "KAISER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT CORP.",
        "authorized_official_telephone_number": "434-447-3899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101046990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "086255",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007597",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• South Hill Wellness Center LLC
• South Sound Inpatient Physicians, PLLC (Sound Physicians of Virginia)
• Southern Virginia Counseling Service LLC
• Southside Medical Management (South HIll Family Medicine Inc RHC)
• Southside Medical Management Inc (South Hill Family Medicine)
• Southside Rescue Squad Inc
• Ketty M Spain, FNP
• Gabrielle Spainhour, LPTA
• Speech Beyond Words Therapy Services
• Vonda T Stanley, FNP

• Internal Medicine Physician in South Hill, VA
• Providers in South Hill, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.