NPIMap

Organization Active NPI

Lewis-Gale Physicians, LLC

  • Rheumatology Physician
  • Low Moor, VA
National Provider Identifier
1649374968
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
0101030911 Issued in VA
Legal business name
LEWIS-GALE PHYSICIANS, LLC
Practice address
1 Arh Lane
Alleghany Regional Hospital
Low Moor, VA 24457
Phone
(540) 772-3707
NPI assigned
Sep 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Otis W Blackwood
Title
Practice Administrator
Phone
(540) 772-5992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 0101030911 VA Primary

Addresses

Primary practice location

1 Arh Lane
Alleghany Regional Hospital
Low Moor, VA 24457

Mailing address

1 Arh Lane
Alleghany Regional Hospital
Low Moor, VA 24457
Phone (540) 772-3707

Other names 1

  • Rheumatology Office at Alleghany Regional Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2050412Lewis Gale Physicians - Alleghany Surgery1 Arh Lane - Suite 300, Low Moor, VA 24457Certificate of waiverNov 27, 2026

National Provider Directory

National Provider Directory
Tax ID family
Lewis-Gale Physicians LLC16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649374968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ARH LANE",
            "address_2": "ALLEGHANY REGIONAL HOSPITAL",
            "city": "LOW MOOR",
            "state": "VA",
            "postal_code": "24457",
            "telephone_number": "540-772-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ARH LANE",
            "address_2": "ALLEGHANY REGIONAL HOSPITAL",
            "city": "LOW MOOR",
            "state": "VA",
            "postal_code": "24457",
            "telephone_number": "540-772-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS-GALE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACKWOOD",
        "authorized_official_first_name": "OTIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "540-772-5992"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101030911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rheumatology Office at Alleghany Regional",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Low Moor, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.