NPIMap

Organization Active NPI

Abingdon Physician Partners

  • Surgery Physician
  • Abingdon, VA
National Provider Identifier
1962483131
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
ABINGDON PHYSICIAN PARTNERS
Practice address
16000 Johnston Memorial Dr Ste 101
Abingdon, VA 24211-7664
Phone
(276) 258-1777
Fax
(276) 258-1778
NPI assigned
Nov 7, 2005
Organization subpart
Yes
Parent organization
ABINGDON PHYSICIAN PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Authorized official

Name
John Jeter
Title
CFP
Phone
(276) 258-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

16000 Johnston Memorial Dr Ste 101
Abingdon, VA 24211-7664

Mailing address

16000 Johnston Memorial Dr Ste 101
Abingdon, VA 24211-7664
Phone (276) 258-1777

Other identifiers 1

IdentifierTypeStateIssuer
CA5562OtherRAILROAD MEDICARE NUMBER

Other names 1

  • Abingdon Surgical Associats Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Abingdon Physician Partners Dba Highlands Internal Medicine14 organizations share this tax ID, including this one
Part of
Abingdon Physician Partners Dba Highlands Internal Medicine

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419292800000",
    "number": "1962483131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR STE 101",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117664",
            "telephone_number": "276-258-1777",
            "fax_number": "276-258-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 JOHNSTON MEMORIAL DR STE 101",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117664",
            "telephone_number": "276-258-1777",
            "fax_number": "276-258-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABINGDON PHYSICIAN PARTNERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABINGDON PHYSICIAN PARTNERS",
        "enumeration_date": "2005-11-07",
        "last_updated": "2014-12-23",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFP",
        "authorized_official_telephone_number": "276-258-1777"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "CA5562",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abingdon Surgical Associats",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abingdon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.