LEWIS GALE PHYSICIANS LLC (NPI# 1497954291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497954291 |
| Entity Type | Organization |
| Organization Name | LEWIS GALE PHYSICIANS LLC |
| Other Organization Name | WEST SALEM ORTHOPAEDICS |
| Practice Address |
1935 W Main St Salem VA 24153-3109 |
| Practice Telephone | 5407723530 |
| Practice Fax Number | 5407762036 |
| Mailing Telephone | 5407723530 |
| Mailing Fax Number | 5407762036 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | OTIS W BLACKWOOD (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 5407725995 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 0101044133 | VA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| West Salem Orthopaedics | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942401252 | Lewis Gale Physicians LLC | Internal Medicine | 490 S Main St, Rocky Mount, VA 24151-1762 | 2007-05-31 |
| 1902977705 | Lewis Gale Physicians LLC | Durable Medical Equipment & Medical Supplies | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2006-11-13 |
| 1336221787 | Lewis Gale Physicians LLC | Clinical Medical Laboratory | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2006-10-19 |
| Street Address |
1935 W MAIN ST |
| City | SALEM |
| State | VA |
| Zip Code | 24153-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346226636 | Pamela Price | Nurse Practitioner | 1935 W Main St, Salem, VA 24153-3109 | 2005-12-19 |
| 1386291839 | Erin Taylor Lee | Physician Assistant | 1935 W Main St, Salem, VA 24153-3109 | 2019-08-20 |
| 1780155127 | Ashley Denise Kopso | Physical Therapist | 1935 W Main St, Salem, VA 24153 | 2018-12-11 |
| 1700356573 | Cody Shay Bailey | Physical Therapist | 1935 W Main St, Salem, VA 24153 | 2018-12-05 |
| 1861903932 | Ashley E Supanich | Physical Therapist | 1935 W Main St, Salem, VA 24153-3109 | 2017-10-17 |
| 1932645298 | Laura Rapp | Physical Therapist | 1935 W Main St, Salem, VA 24153-3109 | 2017-01-11 |
| 1184005423 | Charles Paulus Iv | Physical Therapist | 1935 W Main St, Salem, VA 24153-3109 | 2015-06-12 |
| 1144640590 | Jonathan C. Saks | Family Medicine | 1935 W Main St, Salem, VA 24153-3109 | 2014-04-24 |
| 1275962979 | Taylor Noelle Griffith | Physical Therapist | 1935 W Main St, Salem, VA 24153 | 2013-11-04 |
| 1083956999 | Amy Beth Foutz | Physical Therapist | 1935 W Main St, Salem, VA 24153 | 2013-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447553185 | Lee T Simon Md Inc | Orthopaedic Surgery | 2222 Oak St, Salem, OH 44460-2520 | 2010-12-20 |
| 1225048374 | Steven R Beranek | Orthopaedic Surgery | 875 Oak Street Se, Suite 3060, Salem, OR 97301 | 2006-08-09 |
| 1770529547 | William S.t. Mayhall | Orthopaedic Surgery | 1280 Center St Ne, Salem, OR 97301-4113 | 2006-06-21 |
| 1104871409 | James M Leipzig Md PC | Orthopaedic Surgery | 1940 Braeburn Cir, Salem, VA 24153-7388 | 2006-05-24 |
| 1013988161 | James Mastin Farmer | Orthopaedic Surgery | 101 Knotbreak Rd, Salem, VA 24153-5404 | 2006-01-27 |
| 1215918305 | Ralph Coburn Sweetland | Orthopaedic Surgery | 9 Colby St, Salem, MA 01970-1901 | 2005-11-07 |
| 1740278969 | John J Coen | Orthopaedic Surgery | 1600 State St, Salem, OR 97301-4257 | 2005-10-11 |
| 1275525123 | Thomas Earl Hoerner | Orthopaedic Surgery | 16 Pelham Rd, Suite 1, Salem, NH 03079-2826 | 2005-08-17 |
| 1154324705 | Robert S Fan | Orthopaedic Surgery | 1600 State Street, Salem, OR 97301 | 2005-05-27 |
| 1356891535 | Virginia Orthopaedic, PC | Orthopaedic Surgery | 1917 Electric Rd, Salem, VA 24153-7424 | 2016-10-11 |
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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.