Individual provider Active NPI

Stephen F Palmerton, CRNA

  • Certified Registered Nurse Anesthetist
  • Woodstock, VA
National Provider Identifier
1629054036
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0001102586 Issued in VA
Practice address
759 South Main Street
Woodstock, VA 22664
Phone
(540) 459-1111
Fax
(540) 459-1293
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0001102586 VA Primary

Addresses

Primary practice location

759 South Main Street
Woodstock, VA 22664

Mailing address

759 South Main Street
Woodstock, VA 22664
Phone (540) 459-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041016000172 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436119195 Reassigns benefits to 4 organizations
I20190307002592 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 9436119195 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001102586VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Memorial Hospital Current Accepting new patients
Jefferson Memorial Hospital CurrentSince Jan 21, 2019 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince May 10, 2017 Accepting new patients
Jefferson Memorial Hospital CurrentSince Jan 21, 2019 Accepting new patients
CMH Physician Services, LLC CurrentSince Apr 4, 2022 Accepting new patients
Shenandoah Memorial Hospital Inc. CurrentSince May 10, 2017 Accepting new patients
Winchester Anesthesiologists Inc CurrentSince Aug 7, 2017 Accepting new patients
CMH Physician Services, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
MCV Associated Physicians CurrentSince Sep 9, 2024 Accepting new patients
Anesthesia Associates of Richmond, Inc Past Accepting new patients

Locations

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

874 Fox Dr
Winchester, VA 22603
Phone (540) 662-0990

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1629054036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 SOUTH MAIN STREET",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "22664",
            "telephone_number": "540-459-1111",
            "fax_number": "540-459-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 SOUTH MAIN STREET",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "22664",
            "telephone_number": "540-459-1111",
            "fax_number": "540-459-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMERTON",
        "first_name": "STEPHEN",
        "middle_name": "F",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0001102586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.