SMYTH COUNTY COMMUNITY HOSPITAL (NPI# 1245251099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245251099 |
| Entity Type | Organization |
| Organization Name | SMYTH COUNTY COMMUNITY HOSPITAL |
| Other Organization Name | SMYTH REGIONAL EAR, NOSE AND THROAT SURGICAL GROUP |
| Practice Address |
1205 Snider St Marion VA 24354-4221 |
| Practice Telephone | 2767832630 |
| Practice Fax Number | 2767833180 |
| Mailing Telephone | 2767832630 |
| Mailing Fax Number | 2767833180 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-10-25 |
| Authorized Official Name | MRS. LINDY P WHITE (CEO) |
| Authorized Official Telephone | 2767821240 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | SMYTH COUNTY COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 196242 | 01 |
| VA | RAILROAD MEDICARE | DB9968 | 01 |
| Other Name | Type Code |
|---|---|
| Smyth Regional Ear, Nose and Throat Surgical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548640717 | Smyth County Community Hospital | General Acute Care Hospital | 1 Health Way, Marion, VA 24354-4225 | 2015-06-03 |
| 1437453081 | Smyth County Community Hospital | Obstetrics & Gynecology | 1112 Snider St, Marion, VA 24354-4216 | 2010-12-22 |
| 1750433389 | Smyth County Community Hospital | Durable Medical Equipment & Medical Supplies | 1152 Snider St, Marion, VA 24354-4216 | 2007-01-16 |
| 1669460952 | Smyth County Community Hospital | Clinic/Center | 1201 Snider St, Marion, VA 24354-4221 | 2005-10-11 |
| 1356347082 | Smyth County Community Hospital | Family Medicine | 7021 West Lee Highway, Rural Retreat, VA 24368-0000 | 2005-06-27 |
| 1184620072 | Smyth County Community Hospital | Internal Medicine | 1118 Snider Street, Marion, VA 24354 | 2005-06-24 |
| 1174529242 | Smyth County Community Hospital | Clinic/Center | 636 S Monte Vista Dr, Glade Spring, VA 24340-2712 | 2005-06-23 |
| 1851397897 | Smyth County Community Hospital | Assisted Living Facility | 100 Francis Marion Ln, Marion, VA 24354-2629 | 2005-06-23 |
| 1134125438 | Smyth County Community Hospital | Home Health | 1205 Snider St, Marion, VA 24354-4221 | 2005-06-22 |
| 1073519377 | Smyth County Community Hospital | General Acute Care Hospital | 245 Medical Park Dr, Marion, VA 24354-1100 | 2005-06-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SMYTH COUNTY COMMUNITY HOSPITAL | 245 Medical Park Dr, Marion, VA 24354-1100 |
| Virginia Business Entities | Smyth County Community Hospital | 245 Medical Park Drive, Marion, Virginia 24354 |
| Street Address |
1205 SNIDER ST |
| City | MARION |
| State | VA |
| Zip Code | 24354-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134125438 | Smyth County Community Hospital | Home Health | 1205 Snider St, Marion, VA 24354-4221 | 2005-06-22 |
| 1114219805 | Blue Ridge Medical Management Corporation | Obstetrics & Gynecology | 1205 Snider St, Marion, VA 24354-4221 | 2011-05-12 |
| 1811289580 | Blue Ridge Medical Management Corporation | Otolaryngology | 1205 Snider St, Marion, VA 24354-4221 | 2011-05-12 |
| 1396821112 | Anthony Clary | Obstetrics & Gynecology | 1205 Snider St, Marion, VA 24354-4221 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407352461 | Heath Andrew Nier | Physical Therapist | 1141 N Main St Ste 41, Marion, VA 24354 | 2018-03-30 |
| 1255748513 | Lou Fincher | Specialist/Technologist | 601 Radio Hill Dr., Marion, VA 24354 | 2014-07-18 |
| 1467869040 | Tessa Suzanne Brown | Nurse Practitioner | 1204 N. Main Street, Marion, VA 24354 | 2014-07-16 |
| 1780927129 | Jessika Nikhole Schottelkotte | Nurse Practitioner | 245 Medical Park Dr., Marion, VA 24354 | 2013-04-04 |
| 1083893598 | Norah Ann Nutter | Nurse Practitioner | 1616 N Main St Ste 100b, Marion, VA 24354 | 2007-10-31 |
| 1962621052 | Jonathan E Rouse | Durable Medical Equipment & Medical Supplies | 242 Seven Mile Ford Rd, Marion, VA 24354 | 2007-04-25 |
| 1699831511 | Mel Leaman Free Clinic At Emory & Henry College, Inc. | Clinic/Center | 601 Radio Hill Road, Marion, VA 24354 | 2006-12-28 |
| 1568548741 | Hunter Kevin Woods | Dentist | 639 Park Boulevard, Marion, VA 24354 | 2006-10-31 |
| 1992804645 | Victoria Hollis Galloway | Physician Assistant | 601 Radio Hill Rd., Marion, VA 24354 | 2006-09-21 |
| 1154426351 | Joseph A. Beaty | Social Worker | 434 Mitchell Valley Road, Marion, VA 24354 | 2006-09-13 |
| Find all providers in zip 24354 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013967371 | Antonio E Collazo | Otolaryngology | 990 S Prospect St, Suite 1, Marion, OH 43302-6283 | 2006-05-10 |
| 1679556690 | Allied Physicians Inc., D/b/a Ear, Nose & Throat Specialists | Otolaryngology | 711 N River Dr, Marion, IN 46952-2646 | 2005-11-23 |
| 1851394522 | Michael K Delaney | Otolaryngology | 3331 W Deyoung St, Ste 208, Marion, IL 62959-5897 | 2005-05-24 |
| 1346515418 | David G Bailey Md,inc | Otolaryngology | 990 S Prospect St, Suite 1, Marion, OH 43302-6283 | 2012-03-21 |
| 1811289580 | Blue Ridge Medical Management Corporation | Otolaryngology | 1205 Snider St, Marion, VA 24354-4221 | 2011-05-12 |
| 1922153709 | Ent-head & Neck & Facial Surgery PC | Otolaryngology | 1391 N Baldwin Ave, Marion, IN 46952-1913 | 2007-01-24 |
| 1972602985 | David G Bailey | Otolaryngology | 990 S Prospect St, Suite 1, Marion, OH 43302-6283 | 2006-09-22 |
| 1306897285 | Edgar Frank | Otolaryngology | 1040 Delaware Ave, Marion, OH 43302-6416 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1629459243 | Kevin James Quinn | Otolaryngology | 1200 E Broad St # 980257, Richmond, VA 23298 | 2015-06-10 |
| 1356778641 | Stat, LLC | Otolaryngology | 10812 Weather Vane Rd, Richmond, VA 23238-4161 | 2013-10-01 |
| 1134564073 | Ear, Nose, Throat & Allergy Consultants, PC | Otolaryngology | 26208 Lee Highway, Abingdon, VA 24211-7504 | 2013-05-06 |
| 1467790477 | Marco Aurelio Merida | Otolaryngology | 7216 Farm Meadow Ct, Mc Lean, VA 22101-5657 | 2013-01-25 |
| 1609142355 | Neelima Tummala | Otolaryngology | 1860 Town Center Dr Ste 420, Reston, VA 20190-5901 | 2012-03-27 |
| 1346512225 | John Laurence Manwaring | Otolaryngology | 7734 Retreat Ln, Warrenton, VA 20186-7546 | 2012-02-07 |
| 1508151887 | Jose Luis Mattos | Otolaryngology | 415 Ray C. Hunt Dr Ste 2200, Charlottesville, VA 22903-0001 | 2011-06-14 |
| 1982998852 | Blue Ridge Medical Management Corporation | Otolaryngology | 7021 W Lee Highway, Suite B, Rural Retreat, VA 24368-0000 | 2011-06-08 |
| 1609168327 | Jae Y Kim | Otolaryngology | 2200 Wilson Blvd Ste 102-219, Arlington, VA 22201-3397 | 2011-05-12 |
| Find all providers with the same taxonomy | ||||
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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.