NPIMap

Organization Active NPI

Royal Oak Medical Associates PC

  • Family Medicine Physician
  • Marion, VA
National Provider Identifier
1659318525
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROYAL OAK MEDICAL ASSOCIATES PC
Doing business as
FAMILY PHYSICIANS OF MARION
Practice address
1020 Terrace Dr
Suite 200
Marion, VA 24354-4392
Phone
(276) 783-7167
Fax
(276) 783-6432
NPI assigned
Jun 1, 2006
Organization subpart
Yes
Parent organization
ROYAL OAK MEDICAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Robert Van Clampitt, MDNPI 1225090509
Title
Officer
Phone
(276) 782-9751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1020 Terrace Dr
Suite 200
Marion, VA 24354-4392

Mailing address

1020 Terrace Dr
Suite 200
Marion, VA 24354-4392
Phone (276) 783-7167

Other identifiers 3

IdentifierTypeStateIssuer
240906OtherVAANTHEM GROUP
2023362500OtherVABLACK LUNG
CD6056OtherVARR MEDICARE

Other names 1

  • FAMILY PHYSICIANS OF MARION Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050907001191 VA Part B Supplier - Clinic/Group Practice 8729046024 Receives reassigned benefits from 19 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rural Retreat, VA; Marion, VA; Chilhowie, VA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Royal Oak Medical Assoc PC

Locations

1154 Snider St
Marion, VA 24354
Phone (540) 783-7167

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1659318525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 TERRACE DR",
            "address_2": "SUITE 200",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544392",
            "telephone_number": "276-783-7167",
            "fax_number": "276-783-6432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 TERRACE DR",
            "address_2": "SUITE 200",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544392",
            "telephone_number": "276-783-7167",
            "fax_number": "276-783-6432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL OAK MEDICAL ASSOCIATES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROYAL OAK MEDICAL ASSOCIATES",
        "enumeration_date": "2006-06-01",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "CLAMPITT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "276-782-9751",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP",
            "identifier": "240906",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "2023362500",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CD6056",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY PHYSICIANS OF MARION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.