Organization Active NPI

Heart of Virginia PC

  • Cardiovascular Disease Physician
  • Martinsville, VA
National Provider Identifier
1841452018
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101042801 Issued in VA
Legal business name
HEART OF VIRGINIA PC
Practice address
26 Broad St
Martinsville, VA 24112-2802
Phone
(276) 632-4200
Fax
(276) 634-5312
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Dr. Jack A Painter, M.D.
Title
President
Phone
(276) 632-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 0101042801 VA Primary

Addresses

Primary practice location

26 Broad St
Martinsville, VA 24112-2802

Mailing address

26 Broad St
Martinsville, VA 24112-2802
Phone (276) 632-4200

Other identifiers 1

IdentifierTypeStateIssuer
1275692717OtherNPI

National Provider Directory

National Provider Directory

Locations

26 Broad St
Martinsville, VA 24112
Phone (276) 632-4200

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1841452018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 BROAD ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122802",
            "telephone_number": "276-632-4200",
            "fax_number": "276-634-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 BROAD ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122802",
            "telephone_number": "276-632-4200",
            "fax_number": "276-634-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF VIRGINIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "PAINTER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-632-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101042801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275692717",
            "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 17, 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.