NPIMap

Organization Active NPI

Shenandoah Memorial Hospital

Doing business as Shenandoah Surgical Services

  • Surgery Physician
  • Woodstock, VA
National Provider Identifier
1649444704
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SHENANDOAH MEMORIAL HOSPITAL
Doing business as
Shenandoah Surgical Services
Practice address
759 S Main St
Woodstock, VA 22664-1127
Phone
(540) 459-1111
Fax
(540) 459-1293
NPI assigned
Apr 18, 2008
Last updated
Jul 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Teresa A Taylor
Title
Director
Phone
(540) 459-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

759 S Main St
Woodstock, VA 22664-1127

Mailing address

759 S Main St
Woodstock, VA 22664-1127
Phone (540) 459-1111

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidVA

Other names 1

  • Shenandoah Surgical Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Care Management16 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": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1649444704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 S MAIN ST",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641127",
            "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 S MAIN ST",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641127",
            "telephone_number": "540-459-1111",
            "fax_number": "540-459-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "540-459-1111"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shenandoah Surgical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 7, 2008; 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.