SHENANDOAH MEMORIAL HOSPITAL (NPI# 1720118680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720118680 |
| Entity Type | Organization |
| Organization Name | SHENANDOAH MEMORIAL HOSPITAL |
| Other Organization Name | SHENANDOAH MEMORIAL WOUND CLINIC |
| Practice Address |
759 S Main St Woodstock VA 22664-1127 |
| Practice Telephone | 5404591100 |
| Practice Fax Number | 5404591293 |
| Mailing Telephone | 5404591100 |
| Mailing Fax Number | 5404591293 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-07-07 |
| Authorized Official Name | FLOYD R HEATER (PRESIDENT) |
| Authorized Official Telephone | 5404591100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE RAILROAD | P00424037 | 01 | |
| MEDICARE RAILROAD | CK0882 | 01 |
| Other Name | Type Code |
|---|---|
| Shenandoah Memorial Wound Clinic | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1508947136 | Shenandoah Memorial Hospital | Emergency Medicine | 759 S Main St, Woodstock, VA 22664-1127 | 2006-10-18 |
| 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 |
| 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 | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699856385 | Rhonda Rouse Wachsmuth | Surgery | 900 Towne Lake Pkwy Ste 312, Woodstock, GA 30189-1604 | 2006-10-18 |
| 1588913941 | James Kleinschmidt | Surgery | 759 S Main St, Woodstock, VA 22664-1127 | 2012-08-31 |
| 1649444704 | Shenandoah Memorial Hospital | Surgery | 759 S Main St, Woodstock, VA 22664-1127 | 2008-04-18 |
| 1033319744 | Grant Collins Wolfe | Surgery | 900 Towne Lake Pkwy, Suite 412, Woodstock, GA 30189-1600 | 2007-07-20 |
| 1740305408 | Georgia Breast Care, P.C. | Surgery | 900 Towne Lake Pkwy Ste 312, Woodstock, GA 30189-1604 | 2007-03-20 |
| 1285743955 | Douglas H Bryan | Surgery | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819911 | Charles W Hurt | Surgery | 195 Riverbend Dr Ste 1, Charlottesville, VA 22911-8708 | 2020-04-08 |
| 1720616261 | Katherine Maria Barrows | Surgery | 3300 Gallows Rd, Dept of Surgery, Falls Church, VA 22042-3307 | 2020-03-30 |
| 1891202412 | Valley Physician Enterprise, Inc. | Surgery | 1870 Amherst St Ste 2a, Winchester, VA 22601-2841 | 2018-01-04 |
| 1508388554 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Surgery | 5875 Bremo Rd Ste 110, Richmond, VA 23226-1934 | 2017-07-12 |
| 1457729048 | Donnarose Klemovitch | Surgery | 11226 Goldflower Ct, Fairfax Station, VA 22039-2026 | 2015-09-13 |
| 1114303922 | Loudoun Medical Group PC | Surgery | 19415 Deerfield Ave Ste 213, Lansdowne, VA 20176-8471 | 2015-08-04 |
| 1255728374 | Malinda Lyon | Surgery | 8150 Shore Drive, #522, Norfolk, VA 23518 | 2015-04-16 |
| 1760877377 | Caleb Luke Cutherell | Surgery | 2900 Lamb Cir Ste 302, Christiansburg, VA 24073-6341 | 2015-03-31 |
| 1457745143 | Dwayne North | Surgery | 7554 Hospital Dr Ste D303, Gloucester, VA 23061-4178 | 2015-03-20 |
| 1720479504 | Affinity Healthcare Group LLC | Surgery | 3356 Western Branch Blvd, #f, Chesapeake, VA 23321-5138 | 2015-02-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SHENANDOAH MEMORIAL HOSPITAL.
| 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.