SHENANDOAH MEMORIAL HOSPITAL INC. (NPI# 1134669492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134669492 |
| Entity Type | Organization |
| Organization Name | SHENANDOAH MEMORIAL HOSPITAL INC. |
| Practice Address |
759 S Main St Woodstock VA 22664-1154 |
| Practice Telephone | 5404591124 |
| Practice Fax Number | 5404591120 |
| Mailing Telephone | 5404591124 |
| Mailing Fax Number | 5404591120 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2019-01-28 |
| Authorized Official Name | RENEE BAKER (MANAGER, INSURANCE CREDENTIALING) |
| Authorized Official Telephone | 5405360231 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053848069 | Shenandoah Memorial Hospital Inc. | Pediatrics | 759 S Main St, Woodstock, VA 22664-1154 | 2017-05-22 |
| 1053842468 | Shenandoah Memorial Hospital Inc. | Radiology | 5173 Main St, Mount Jackson, VA 22842-9513 | 2017-03-27 |
| 1740711472 | Shenandoah Memorial Hospital Inc. | Family Medicine | 9166 N Congress St, New Market, VA 22844-9422 | 2017-03-24 |
| Street Address |
759 S MAIN ST |
| City | WOODSTOCK |
| State | VA |
| Zip Code | 22664-1154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447253083 | Marc Edward Read | Radiology | 759 S Main St, Woodstock, VA 22664-1127 | 2005-05-27 |
| 1659852283 | Kali Tichenor | Nurse Practitioner | 759 S Main St, Woodstock, VA 22664-1154 | 2018-08-22 |
| 1457839946 | Hospitalist Medicine Physicians of Virginia-tcg, LLC | Internal Medicine | 759 S Main St, Woodstock, VA 22664-1154 | 2018-08-06 |
| 1407357015 | Shenandoah Memorial Hospital, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 759 S Main St, Woodstock, VA 22664-1154 | 2018-02-28 |
| 1477053403 | Ria Philpott | Physician Assistant | 759 S Main St, Woodstock, VA 22664-1154 | 2018-02-16 |
| 1053848069 | Shenandoah Memorial Hospital Inc. | Pediatrics | 759 S Main St, Woodstock, VA 22664-1154 | 2017-05-22 |
| 1194274837 | Tiffany Marie Judd-alishauskas | Nurse Practitioner | 759 S Main St, Woodstock, VA 22664-1154 | 2016-09-22 |
| 1427432483 | John Randall Tuohig | Pharmacist | 759 S Main St, Woodstock, VA 22664-1127 | 2015-07-18 |
| 1588913941 | James Kleinschmidt | Surgery | 759 S Main St, Woodstock, VA 22664-1127 | 2012-08-31 |
| 1407183379 | Nancye Danielle Lutman | Nurse Practitioner | 759 S Main St, Woodstock, VA 22664-1154 | 2009-11-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104310770 | Melissa Weidel | Speech-Language Pathologist | 803 S. Main St., Woodstock, VA 22664 | 2018-06-18 |
| 1942708649 | Magda Lia Bullock | Dietitian, Registered | 759 S. Main Street, Woodstock, VA 22664 | 2018-01-28 |
| 1952813768 | Meredith Miller Stimson | Physical Therapy Assistant | 123 Lakeview Dr., Woodstock, VA 22664 | 2017-11-02 |
| 1316463656 | Julia Elizabeth Romero | Doula | 1163 Dysart Road, Woodstock, VA 22664 | 2017-08-18 |
| 1215476098 | Carina C Cardillo | Physician Assistant | 7559 South Main Street, Suite 310, Woodstock, VA 22664 | 2017-02-14 |
| 1306240411 | National Counseling Group, Inc | Counselor | 505 N Main Street, Suite 101, Woodstock, VA 22664 | 2014-10-17 |
| 1255663555 | Laura S Hernandez-dauer | Dentist | 130 East Reservoir Road, Woodstock, VA 22664 | 2010-02-11 |
| 1891026654 | Lofton Verner Anderson | Counselor | 441 North Main Street, Woodstock, VA 22664 | 2010-01-19 |
| 1912236100 | Crossroads Counseling Center | Community/Behavioral Health | 649 N Main St, Woodstock, VA 22664 | 2009-12-17 |
| 1851554992 | Joan Manuel Pino | Dentist | 124 Valley Vista Drive, Woodstock, VA 22664 | 2008-07-09 |
| Find all providers in zip 22664 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871843839 | Alexander J. Mercer, M.d., LLC | Psychiatry & Neurology | 418 Creekstone Ridge, Woodstock, GA 30188-3740 | 2012-09-17 |
| 1477816445 | Aroon Suansilppongse | Psychiatry & Neurology | 1 Deep Powder Ct, Woodstock, MD 21163-1110 | 2012-06-24 |
| 1003046046 | Dennis R Brightwell, Md, Sc | Psychiatry & Neurology | 310 N Rose Farm Rd, Woodstock, IL 60098-9540 | 2009-07-24 |
| 1821153511 | Alexander John Mercer | Psychiatry & Neurology | 418 Creekstone Rdg, Woodstock, GA 30188-3740 | 2006-12-24 |
| 1740371715 | Shelley Sellinger | Psychiatry & Neurology | 22 Lark Dr, Woodstock, NY 12498-1427 | 2006-09-27 |
| 1497198832 | Gabriel C Fuqua | Psychiatry & Neurology | 3701 Doty Rd, Woodstock, IL 60098 | 2013-04-16 |
| 1033235882 | Brian Benjamin Blackmon | Psychiatry & Neurology | 3701 Doty Rd, Woodstock, IL 60098 | 2007-03-22 |
| 1114078193 | David D. Brunette | Psychiatry & Neurology | 8910 Main St, Woodstock, GA 30188-4916 | 2007-01-16 |
| 1841394566 | Shenandoah Memorial Hospital | Psychiatry & Neurology | 759 S Main St, Woodstock, VA 22664-1127 | 2006-09-12 |
| 1306883178 | Thomas M Cardwell | Psychiatry & Neurology | 759 S Main St, Woodstock, VA 22664-1127 | 2006-06-01 |
| Find all providers in WOODSTOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.