Active NPI
Roger F Gildersleeve, MD
- Hospitalist Physician
- Fishersville, VA
National Provider Identifier
1629040159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 0101055287
- Practice address
- 78 Medical Center Dr
Fishersville, VA 22939-2332 - Phone
- (540) 932-4075
- Fax
- (540) 932-5199
- NPI assigned
- Feb 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 0101055287 | VA | Primary |
Addresses
Primary practice location
78 Medical Center Dr
Fishersville, VA 22939-2332
Mailing address
PO Box 388
Fishersville, VA 22939-0388
Phone (540) 932-4629
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21288 | Other | VA | OPTIMA |
| 225193 | Other | VA | SOUTHERN HEALTH |
| 452942 | Other | VA | ANTHEM |
| 5858488 | Other | VA | VA PREMIER |
| 700011613 | Other | VA | CIGNA |
| 2202346 | Other | VA | FIRST HEALTH |
| 005858488 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268697600000",
"number": "1629040159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 388",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229390388",
"telephone_number": "540-932-4629",
"fax_number": "540-932-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 MEDICAL CENTER DR",
"city": "FISHERSVILLE",
"state": "VA",
"postal_code": "229392332",
"telephone_number": "540-932-4075",
"fax_number": "540-932-5199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILDERSLEEVE",
"first_name": "ROGER",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2010-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "VA",
"license": "0101055287",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "21288",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "225193",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "452942",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER",
"identifier": "5858488",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "700011613",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2202346",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005858488",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fishersville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.