SHENANDOAH MEMORIAL HOSPITAL (NPI# 1508947136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508947136 |
| Entity Type | Organization |
| Organization Name | SHENANDOAH MEMORIAL HOSPITAL |
| Practice Address |
759 S Main St Woodstock VA 22664-1127 |
| Practice Telephone | 5404591100 |
| Mailing Telephone | 5404591100 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2014-01-16 |
| Authorized Official Name | FLOYD HEATER (PRESIDENT) |
| Authorized Official Telephone | 5404591100 |
| Is Organization Subpart | Y |
| Parent Organization Name | VALLEY HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | H 1900 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861649287 | Shenandoah Memorial Hospital | Clinic/Center | 759 S Main St, Woodstock, VA 22664-1127 | 2008-08-27 |
| 1649444704 | Shenandoah Memorial Hospital | Surgery | 759 S Main St, Woodstock, VA 22664-1127 | 2008-04-18 |
| 1982805230 | Shenandoah Memorial Hospital | Clinic/Center | 5173 Main St, Mount Jackson, VA 22842-9513 | 2007-05-31 |
| 1992822308 | Shenandoah Memorial Hospital | Urology | 759 S Main St, Woodstock, VA 22664-1127 | 2007-03-23 |
| 1720118680 | Shenandoah Memorial Hospital | Surgery | 759 S Main St, Woodstock, VA 22664-1127 | 2007-03-07 |
| 1437288602 | Shenandoah Memorial Hospital | Internal Medicine | 759 S Main St, Woodstock, VA 22664-1127 | 2007-03-05 |
| 1942365580 | Shenandoah Memorial Hospital | Psychiatric Unit | 300 Pershing Ave, Shenandoah, IA 51601-2355 | 2006-12-26 |
| 1841394566 | Shenandoah Memorial Hospital | Psychiatry & Neurology | 759 S Main St, Woodstock, VA 22664-1127 | 2006-09-12 |
| 1093819716 | Shenandoah Memorial Hospital | Anesthesiology | 759 S Main St, Woodstock, VA 22664-1127 | 2006-09-12 |
| 1497867402 | Shenandoah Memorial Hospital | Obstetrics & Gynecology | 759 S Main St, Woodstock, VA 22664-1127 | 2006-08-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SHENANDOAH MEMORIAL HOSPITAL | 759 South Main St, Woodstock, Virginia 22664 |
| Virginia Business Entities | SHENANDOAH MEMORIAL HOSPITAL FOUNDATION INCORPORATED | 759 S Main St, Woodstock, Virginia 22664 |
| Street Address |
759 S MAIN ST |
| City | WOODSTOCK |
| State | VA |
| Zip Code | 22664-1127 |
| 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 |
| 1134669492 | Shenandoah Memorial Hospital Inc. | Internal Medicine | 759 S Main St, Woodstock, VA 22664-1154 | 2017-03-06 |
| 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 |
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| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417402801 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 300 W Reservoir Rd, Woodstock, VA 22664-1004 | 2016-08-16 |
| 1518254218 | Jennifer Nicole Case | Emergency Medicine | 280 Balaban Cir, Woodstock, GA 30188-5150 | 2011-07-01 |
| 1952531139 | Joellen Sedlack Channon | Emergency Medicine | 3707 Doty Rd # Mob2, Woodstock, IL 60098-7530 | 2009-07-22 |
| 1457487597 | Lela Iduna | Emergency Medicine | 14311 Perkins Rd, Woodstock, IL 60098-7368 | 2007-02-25 |
| 1699764183 | Sherri Lynn Barton | Emergency Medicine | 120 Stonebridge Pkwy, Woodstock, GA 30189-3767 | 2005-10-18 |
| 1891794681 | Thomas Peeters | Emergency Medicine | 3701 Doty Rd, Woodstock, IL 60098-7509 | 2005-07-14 |
| 1053319822 | Apiwat Ford | Emergency Medicine | 3707 Doty Rd, Woodstock, IL 60098-7530 | 2005-07-14 |
| 1255560785 | Brian Kostuk | Emergency Medicine | 3707 Doty Rd, Woodstock, IL 60098-7530 | 2009-07-06 |
| 1609030394 | Redah Z Mahmood | Emergency Medicine | 120 Stonebridge Pkwy Ste 110, Woodstock, GA 30189-3768 | 2008-07-11 |
| 1629236047 | Archana K Reddy | Emergency Medicine | 3707 Doty Rd, Woodstock, IL 60098-7530 | 2008-06-02 |
| 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.