Active NPI
Roy Varghese Thomson, MD
- Pediatrics Physician
- Richlands, VA
National Provider Identifier
1922099365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101048293
- Practice address
- One Clinic Drive
Claypool Hill
Richlands, VA 24641-1100 - Phone
- (276) 964-6771
- Fax
- (276) 964-1206
- NPI assigned
- Nov 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101048293 | VA | Primary |
Addresses
Primary practice location
One Clinic Drive
Claypool Hill
Richlands, VA 24641-1100
Mailing address
PO Box Cvpi
Richlands, VA 24641
Phone (276) 964-6771
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036643 | Other | ANTHEM BCBS | |
| 64008899 | Medicaid | KY | |
| 6710131 | Medicaid | VA | |
| 0110075-000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinch Valley Physicians Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Richlands, VA
- NPI 1912980855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268179200000",
"number": "1922099365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX CVPI",
"city": "RICHLANDS",
"state": "VA",
"postal_code": "24641",
"telephone_number": "276-964-6771",
"fax_number": "276-964-1206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE CLINIC DRIVE",
"address_2": "CLAYPOOL HILL",
"city": "RICHLANDS",
"state": "VA",
"postal_code": "246411100",
"telephone_number": "276-964-6771",
"fax_number": "276-964-1206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMSON",
"first_name": "ROY",
"middle_name": "VARGHESE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2010-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101048293",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "036643",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64008899",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6710131",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0110075-000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richlands, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.