Organization Active NPI

Mountain Surgical, PLC

  • Specialist
  • Marion, VA
National Provider Identifier
1861608507
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101226304 Issued in VA
Legal business name
MOUNTAIN SURGICAL, PLC
Practice address
596 Radio Hill Rd
Marion, VA 24354-4224
Phone
(276) 783-6200
Fax
(888) 890-5913
NPI assigned
May 16, 2007
Last updated
Jun 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Authorized official

Name
Dr. Robert Ampudia, MDNPI 1437127610
Title
Physician
Phone
(276) 783-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101226304 VA Primary

Addresses

Primary practice location

596 Radio Hill Rd
Marion, VA 24354-4224

Mailing address

596 Radio Hill Rd
Marion, VA 24354-4224
Phone (276) 783-6200

National Provider Directory

National Provider Directory

Locations

596 Radio HL Rd
Marion, VA 24354
Phone (276) 783-2076

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": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1861608507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 RADIO HILL RD",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544224",
            "telephone_number": "276-783-6200",
            "fax_number": "888-890-5913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 RADIO HILL RD",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544224",
            "telephone_number": "276-783-6200",
            "fax_number": "888-890-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SURGICAL, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "AMPUDIA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "276-783-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101226304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.