NPIMap

Organization Active NPI

Royal Oak Medical Associates PC

  • Family Medicine Physician
  • Marion, VA
National Provider Identifier
1720035959
Registry record updated Oct 25, 2007
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
SMYTH COUNTY FAMILY PHYSICIANS
Practice address
1046 Terrace Dr
Marion, VA 24354-4138
Phone
(276) 783-8123
Fax
(276) 783-2879
NPI assigned
May 31, 2006
Organization subpart
Yes
Parent organization
ROYAL OAK MEDICAL ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Authorized official

Name
James E McDowell, MD
Title
Officer
Phone
(276) 783-8123

Specialties & licenses 1

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

Addresses

Primary practice location

1046 Terrace Dr
Marion, VA 24354-4138

Mailing address

1046 Terrace Dr
Marion, VA 24354-4138
Phone (276) 783-8123

Other identifiers 2

IdentifierTypeStateIssuer
240901OtherVAANTHEM GROUP
CD6056OtherVARR MEDICARE

Other names 1

  • SMYTH COUNTY FAMILY PHYSICIANS 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
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
Tax ID family
Royal Oak Medical Assoc PC3 organizations share this tax ID, including this one
Part of
Royal Oak Medical Assoc PC

Other organizations with this tax ID 2

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

Locations

1616 N Main St
Ste C
Marion, VA 24354
Phone (276) 783-7167

1048 Terrace Dr
Ste B
Marion, VA 24354

1048 Terrace Dr
Ste 100
Marion, VA 24354

445 Gienow Rd
Rural Retreat, VA 24368
Phone (276) 686-4007

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 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1720035959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 TERRACE DR",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544138",
            "telephone_number": "276-783-8123",
            "fax_number": "276-783-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 TERRACE DR",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544138",
            "telephone_number": "276-783-8123",
            "fax_number": "276-783-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL OAK MEDICAL ASSOCIATES PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROYAL OAK MEDICAL ASSOCIATES",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "276-783-8123",
        "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": "240901",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CD6056",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMYTH COUNTY FAMILY PHYSICIANS",
            "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 Oct 25, 2007; 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.