Active NPI
Sher Zaman Khan, MD
- Emergency Medicine Physician
- Tazewell, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101055209
- Practice address
- 388 Ben Bolt Ave
Tazewell, VA 24651 - Phone
- (276) 988-8740
- Fax
- (276) 988-5941
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101055209 | VA | Primary |
Addresses
Primary practice location
388 Ben Bolt Ave
Tazewell, VA 24651
Mailing address
388 Ben Bolt Ave
Tazewell, VA 24651-5386
Phone (276) 988-8740
Other practice location 1
12033 Agency Rd
parker
Parker, AZ 85344-7718
Phone (928) 669-3296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403890 | Medicaid | AS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100712000290 | VA | Practitioner - Internal Medicine | 1456387414 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Emergency Services, Inc. | Emergency Medicine | Current | Accepting new patients |
| Carilion Tazewell Community Hospital | Current | Accepting new patients | |
| Ohio Valley Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Carilion Medical Center | Current | Accepting new patients | |
| Ohio Valley Physicians Inc | Current | Accepting new patients |
Locations
1535 Slate Creek Rd
Grundy, VA 24614
Phone (276) 935-1125
159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000
2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128
213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677
1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222
388 Ben Bolt Ave
Tazewell, VA 24651
Phone (276) 988-2506
Interoperability endpoints
- skhan21393@direct.carilionclinic.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Huntington, WV
- NPI 1962433177
Emergency Medicine, VA
-
- Emergency Medicine Physician
- Booneville, MS
- NPI 1326007915
Emergency Medicine, VA
-
- Rural Health Clinic/Center
- Eastern, KY
- NPI 1164129599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551052800000",
"number": "1730102807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 BEN BOLT AVE",
"city": "TAZEWELL",
"state": "VA",
"postal_code": "246515386",
"telephone_number": "276-988-8740",
"fax_number": "276-988-5941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 BEN BOLT AVE",
"city": "TAZEWELL",
"state": "VA",
"postal_code": "24651",
"telephone_number": "276-988-8740",
"fax_number": "276-988-5941"
}
],
"practiceLocations": [
{
"address_1": "12033 Agency Rd",
"address_2": "parker",
"address_purpose": "LOCATION",
"city": "Parker",
"state": "AZ",
"postal_code": "853447718",
"country_code": "US",
"telephone_number": "928-669-3296",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHAN",
"first_name": "SHER",
"middle_name": "ZAMAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2019-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101055209",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "403890",
"state": "AS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tazewell, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.