Organization Active NPI

New River Women's Health

  • Obstetrics & Gynecology Physician
  • Blacksburg, VA
National Provider Identifier
1811376957
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2015

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20151021001342 VA Part B Supplier - Clinic/Group Practice 2466761002 Receives reassigned benefits from 1 practitioner
Practice locations: Blacksburg, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2102604New River Women's Health210 Professional Dr - Suite 9, Blacksburg, VA 24060Provider-performed microscopySep 24, 2027

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.