Organization Active NPI

Shenandoah Oncology, PC

  • Specialist
  • Winchester, VA
National Provider Identifier
1972956605
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101041458 Issued in VA
Legal business name
SHENANDOAH ONCOLOGY, PC
Practice address
400 Campus Blvd Ste 100
Winchester, VA 22601-6906
Phone
(540) 662-1108
Fax
(540) 450-2244
NPI assigned
Jul 18, 2016
Last updated
Feb 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Lorna Corrine Groese
Title
Business Office Manager
Phone
(540) 662-1108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101041458 VA Primary

Addresses

Primary practice location

400 Campus Blvd Ste 100
Winchester, VA 22601-6906

Mailing address

1870 Amherst St Ste F
Winchester, VA 22601-2841
Phone (540) 662-1108

National Provider Directory

National Provider Directory
Tax ID family
Shenandoah Oncology PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1870 Amherst St
Ste F
Winchester, VA 22601
Phone (540) 536-0010

400 Campus Blvd
Ste 100
Winchester, VA 22601
Phone (540) 662-1108

Practitioners & affiliated clinicians

Practitioners 1

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": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1972956605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 AMHERST ST STE F",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012841",
            "telephone_number": "540-662-1108",
            "fax_number": "540-450-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016906",
            "telephone_number": "540-662-1108",
            "fax_number": "540-450-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH ONCOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "GROESE",
        "authorized_official_first_name": "LORNA",
        "authorized_official_middle_name": "CORRINE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "540-662-1108"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101041458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; 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.