Organization Active NPI

St Marys Medical Center PLC

  • Internal Medicine Physician
  • Hillsville, VA
National Provider Identifier
1902913643
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
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
Last updated
Mar 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Authorized official

Name
Mr. Medhat N Elmasry, MDNPI 1528247772
Title
Owner
Phone
(276) 728-3332

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 0101054724 VA Primary

Addresses

Primary practice location

430 West Stuart Drive
Hillsville, VA 24343

Mailing address

PO Box 1805
Hillsville, VA 24343
Phone (276) 728-3332

National Provider Directory

National Provider Directory

Locations

430 W Stuart Dr
Hillsville, VA 24343
Phone (276) 728-3332

Practitioners & affiliated clinicians

Practitioners 2

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsville, VA

Sources for this page

  • 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.