NPIMap

Organization Active NPI

Shenandoah Memorial Hospital

  • Urology Physician
  • Woodstock, VA
National Provider Identifier
1992822308
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
SHENANDOAH MEMORIAL HOSPITAL
Practice address
759 S Main St
Woodstock, VA 22664-1127
Phone
(540) 459-1111
Fax
(540) 459-1293
NPI assigned
Mar 23, 2007
Organization subpart
Yes
Parent organization
SHENANDOAH MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Mr. Floyd R Heater
Title
Ceo
Phone
(540) 459-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

759 S Main St
Woodstock, VA 22664-1127

Mailing address

759 S Main St
Woodstock, VA 22664-1127
Phone (540) 459-1111

Other identifiers 1

IdentifierTypeStateIssuer
CK0882OtherVAMEDICARE RR

Other names 1

  • Shenandoah Urology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shenandoah Cty Mem Hospcna16 organizations share this tax ID, including this one
Part of
Shenandoah Cty Mem Hospcna

Other organizations with this tax ID 15

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

View all 15

Locations

755 S Main St
Woodstock, VA 22664
Phone (540) 459-1262

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1992822308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 S MAIN ST",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641127",
            "telephone_number": "540-459-1111",
            "fax_number": "540-459-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 S MAIN ST",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641127",
            "telephone_number": "540-459-1111",
            "fax_number": "540-459-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENANDOAH MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHENANDOAH MEMORIAL HOSPITAL",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "HEATER",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-459-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "CK0882",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shenandoah Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodstock, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.