Active NPI
New River Women's Health
- Obstetrics & Gynecology Physician
- Blacksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- NEW RIVER WOMEN'S HEALTH
- Practice address
- 210 Professional Park Dr SE
Suite 9
Blacksburg, VA 24060-6680 - Phone
- (540) 605-7566
- Fax
- (540) 605-7569
- NPI assigned
- May 21, 2015
- Last updated
- Jul 24, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sanam Campbell, MD
- Title
- President
- Phone
- (540) 605-7566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
210 Professional Park Dr SE
Suite 9
Blacksburg, VA 24060-6680
Mailing address
210 Professional Park Drive
Suite 9
Blacksburg, VA 24060-6649
Phone (540) 605-7566
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2102604 | New River Women's Health | Provider-performed microscopy | Sep 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
210 Professional Park Dr SE
Ste 9
Blacksburg, VA 24060
Phone (540) 552-5100
3708 S Main St
Ste D
Blacksburg, VA 24060
Phone (540) 605-7566
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Blacksburg, VA
- NPI 1629309059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432166400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437696000000",
"number": "1811376957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 PROFESSIONAL PARK DRIVE",
"address_2": "SUITE 9",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240606649",
"telephone_number": "540-605-7566",
"fax_number": "540-605-7569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 PROFESSIONAL PARK DR SE",
"address_2": "SUITE 9",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240606680",
"telephone_number": "540-605-7566",
"fax_number": "540-605-7569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW RIVER WOMEN'S HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-21",
"last_updated": "2015-07-24",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "SANAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "540-605-7566",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blacksburg, VA
- New River Valley Community Services (NRVCS Primary Care)
- New River Valley Community Services
- New River Valley Dental, PLLC
- New River Valley Orthopaedics & Sports Medicine, Inc.
- New River Valley Podiatry & Foot Surgery PC
- Bertram J Newmark, M.D.
- Lance Reece Nielson, PH D
- Matthew Niestroy, LABA, BCABA
- Asira Nimukuze
- Lisa Niziolek, MA CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.