St Marys Medical Center PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101054724 Issued in VA

Legal business name

ST MARYS MEDICAL CENTER PLC

Practice address

430 West Stuart Drive
Hillsville, VA 24343

Phone

(276) 728-3332

Fax

(276) 728-3302

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Medhat N Elmasry, MD

Title

Owner

Phone

(276) 728-3332

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cristie Ann Burnette, NP

  • Family Nurse Practitioner
  • Hillsville, VA
  • NPI 1861053860
  NPD

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267747200000",
    "number": "1902913643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1805",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "24343",
            "telephone_number": "276-728-3332",
            "fax_number": "276-728-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 WEST STUART DRIVE",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "24343",
            "telephone_number": "276-728-3332",
            "fax_number": "276-728-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS MEDICAL CENTER PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-03-05",
        "status": "A",
        "authorized_official_last_name": "ELMASRY",
        "authorized_official_first_name": "MEDHAT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-728-3332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101054724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005855411",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "441545",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicki Martin Snow
• Christopher John Somerville, DPT
• Southwestern Virginia Mental Health Regional Pharmacy
• Southwestern Virginia Training Center
• Sport Kinetic Chiropractic
• Reginia Lynn Stone, LICENSED PHYSICAL TH
• Melissa V Strickland, M.S., LPC, CSAC
• Matthew Steven Surratt
• Jennifer Mae Taylor, RN
• Tri Area Community Health

• Internal Medicine Physician in Hillsville, VA
• Providers in Hillsville, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.