NPIMap

Organization Active NPI

Sprinkle Medical

  • Otolaryngology Physician
  • Martinsville, VA
National Provider Identifier
1780758797
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
SPRINKLE MEDICAL
Practice address
315 Hospital Dr
Suite 108
Martinsville, VA 24112-1945
Phone
(276) 632-0888
Fax
(276) 632-2342
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Mrs. Betty Tester
Title
Office Manager
Phone
(276) 632-0888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

315 Hospital Dr
Suite 108
Martinsville, VA 24112-1945

Mailing address

315 Hospital Dr
Suite 108
Martinsville, VA 24112
Phone (276) 632-0888

Other identifiers 1

IdentifierTypeStateIssuer
261337OtherANTHEM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1780758797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR",
            "address_2": "SUITE 108",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "24112",
            "telephone_number": "276-632-0888",
            "fax_number": "276-632-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 HOSPITAL DR",
            "address_2": "SUITE 108",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121945",
            "telephone_number": "276-632-0888",
            "fax_number": "276-632-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINKLE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "TESTER",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "276-632-0888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "261337",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.