Organization Active NPI

Pablo M Carpio, MD, PC

  • Primary Care Clinic/Center
  • Tazewell, VA
National Provider Identifier
1871547091
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101051616 Issued in VA
Legal business name
PABLO M CARPIO, MD, PC
Practice address
840 E Fincastle St
Tazewell, VA 24651-1419
Phone
(276) 988-8103
Fax
(276) 988-7858
NPI assigned
May 20, 2006
Last updated
May 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Authorized official

Name
Dr. Pablo M Carpio, M.D.
Title
Director
Phone
(276) 988-8103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0101051616 VA Primary

Addresses

Primary practice location

840 E Fincastle St
Tazewell, VA 24651-1419

Mailing address

PO Box 537
840 E. Fincastle Turnpike
Tazewell, VA 24651-0537
Phone (276) 988-8103

Other identifiers 2

IdentifierTypeStateIssuer
P00404190OtherVARAILROAD MEDICARE
6059503MedicaidVA

National Provider Directory

National Provider Directory

Locations

1630 Fincastle Tpke
Tazewell, VA 24651
Phone (276) 988-8103

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1871547091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "address_2": "840 E. FINCASTLE TURNPIKE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246510537",
            "telephone_number": "276-988-8103",
            "fax_number": "276-988-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E FINCASTLE ST",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246511419",
            "telephone_number": "276-988-8103",
            "fax_number": "276-988-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PABLO M CARPIO, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "CARPIO",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "276-988-8103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101051616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00404190",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6059503",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2010; 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.