NPIMap

Organization Active NPI

Valley OB/GYN, PC

  • Exclusive Provider Organization
  • Roanoke, VA
National Provider Identifier
1992904353
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
0101036158 Issued in VA
Legal business name
VALLEY OB/GYN, PC
Practice address
102 Highland Ave SE
Ste. 304
Roanoke, VA 24013-2256
Phone
(540) 345-7103
NPI assigned
Jul 16, 2007
Last updated
Jul 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Dr. Gregory D. HardeeNPI 1669567665
Title
MD/Owner
Phone
(540) 345-7103

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
Exclusive Provider Organization 302F00000X 0101036158 VA Primary

Addresses

Primary practice location

102 Highland Ave SE
Ste. 304
Roanoke, VA 24013-2256

Mailing address

102 Highland Ave SE
Ste. 304
Roanoke, VA 24013-2256

National Provider Directory

National Provider Directory

Locations

102 Highland Ave SE
Ste 304
Roanoke, VA 24013
Phone (540) 345-7103

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": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1992904353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HIGHLAND AVE SE",
            "address_2": "STE. 304",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HIGHLAND AVE SE",
            "address_2": "STE. 304",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132256",
            "telephone_number": "540-345-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY OB/GYN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "HARDEE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "540-345-7103",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "VA",
            "license": "0101036158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.