SHENANDOAH MEMORIAL HOSPITAL (NPI# 1861649287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861649287 |
| Entity Type | Organization |
| Organization Name | SHENANDOAH MEMORIAL HOSPITAL |
| Other Organization Name | SHENANDOAH RADIOLOGY |
| Practice Address |
759 S Main St Woodstock VA 22664-1127 |
| Practice Telephone | 5404591285 |
| Practice Fax Number | 5404591293 |
| Mailing Telephone | 5404591285 |
| Mailing Fax Number | 5404591293 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |
| 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 | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shenandoah Radiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154797728 | Advanced Dental Imaging Center | Clinic/Center | 335 Parkway 575 Ste 200, Woodstock, GA 30188-3878 | 2015-08-18 |
| 1184666810 | North Atlanta Scan Associates | Clinic/Center | 2001 Professional Pkwy, Suite 160, Woodstock, GA 30188-6442 | 2006-06-10 |
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| 1215438544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100a, Richmond, VA 23233 | 2018-02-22 |
| 1447538558 | Medarva Imaging | Clinic/Center | 1630 Wilkes Ridge Pkwy Ste 100, Richmond, VA 23233-7460 | 2011-07-25 |
| 1982995296 | Grafton Ct Imaging LLC | Clinic/Center | 4030 George Washington Mem Hwy Ste A, Grafton, VA 23692-2619 | 2011-04-21 |
| 1447555115 | Bon Secours-virginia Healthsource, Inc. | Clinic/Center | 7110 Forest Ave Ste 100, Richmond, VA 23226-3762 | 2011-01-11 |
| 1356646004 | Bon Secours-virginia Healthsource, Inc. | Clinic/Center | 11525 Midlothian Tpke Ste 103, Richmond, VA 23235-4763 | 2011-01-11 |
| 1255586277 | Bon Secours - Richmond Community Hospital, Incorporated | Clinic/Center | 4630 S. Laburnum Ave., Suite C, Richmond, VA 23231 | 2008-11-18 |
| 1811193899 | Medical Imaging of Fredericksburg, LLC | Clinic/Center | 125 Woodstream Boulevard, Suite 109, Stafford, VA 22556 | 2007-06-26 |
| 1801946090 | Patient First Ct, LLC | Clinic/Center | 8247 Meadowbridge Rd, Mechanicsville, VA 23116-2329 | 2007-01-11 |
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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.