SHENANDOAH MEMORIAL HOSPITAL (NPI# 1992822308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992822308 |
| Entity Type | Organization |
| Organization Name | SHENANDOAH MEMORIAL HOSPITAL |
| Other Organization Name | SHENANDOAH UROLOGY |
| Practice Address |
759 S Main St Woodstock VA 22664-1127 |
| Practice Telephone | 5404591111 |
| Practice Fax Number | 5404591293 |
| Mailing Telephone | 5404591111 |
| Mailing Fax Number | 5404591293 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2008-07-07 |
| Authorized Official Name | MR. FLOYD R HEATER (CEO) |
| Authorized Official Telephone | 5404591100 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHENANDOAH MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE RR | CK0882 | 01 |
| Other Name | Type Code |
|---|---|
| Shenandoah Urology | 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 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205910130 | Michael J Karasis M.d. S.c. | Urology | 526 W South St, Woodstock, IL 60098-3749 | 2006-10-25 |
| 1427379189 | Merrit Marion Debartolo | Urology | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2010-06-17 |
| 1316162506 | Georgia Urology Pa | Urology | 900 Towne Lake Pkwy, Suite 200, Woodstock, GA 30189-1600 | 2007-04-15 |
| 1003990953 | Michael J Karasis | Urology | 526 W South St, Woodstock, IL 60098-3749 | 2006-10-25 |
| 1124048111 | Jeffrey B Asbury | Urology | 2000 Lake Ave, Woodstock, IL 60098-7401 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699315929 | Potomac Urology Center, P.C. | Urology | 1800 N Beauregard St Ste 300, Alexandria, VA 22311-5879 | 2020-01-15 |
| 1477015170 | Eric J W Choe Md PC | Urology | 2826 Old Lee Hwy Ste 300, Fairfax, VA 22031-4346 | 2019-04-02 |
| 1477055317 | Blue Ridge Medical Management Corporation | Urology | 16000 Johnston Memorial Dr Ste 309, Abingdon, VA 24211-7664 | 2018-03-07 |
| 1588185797 | Urology Health Consulting PC | Urology | 44055 Riverside Pkwy Ste 244, Leesburg, VA 20176-5176 | 2017-06-28 |
| 1659728889 | Loudoun Medical Group PC | Urology | 24430 Stone Springs Blvd, Suite 100, Dulles, VA 20166-2247 | 2016-05-18 |
| 1124435664 | Chesterfield Urology, LLC | Urology | 16901 Blakeway Pl, Moseley, VA 23120-1369 | 2014-07-16 |
| 1679918700 | Amanda P Stiteler | Urology | 120 Kings Way Ste 3200, Williamsburg, VA 23185-2511 | 2013-05-02 |
| 1801137963 | Joel Barry Alperstein | Urology | 4041 University Dr Ste 450, Fairfax, VA 22030-3410 | 2013-03-13 |
| 1417261256 | Nicanor B. Concepcion, M.d. P.C. | Urology | 624 Park Avenue, Norton, VA 24273-0909 | 2010-08-04 |
| 1780902981 | Paulina G Wilson | Urology | 8503 Arlington Blvd Ste 310, Fairfax, VA 22031-4629 | 2010-05-12 |
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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.