LEWIS-GALE PHYSICIANS LLC NPI 1063484921

NPI Information

  • NPI: 1063484921
  • Provider Name: LEWIS-GALE PHYSICIANS, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 49D2253588
  • Address: 4910 VALLEY VIEW BLVD NW
    ROANOKE, VA
    ZIP 24012
  • Phone: (540) 265-1607

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NPI Details

LEWIS-GALE PHYSICIANS, LLC is a family medicine in Roanoke, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LEWIS-GALE PHYSICIANS, LLC NPI is 1063484921. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

4910 VALLEY VIEW BLVD NW
ROANOKE, VA
ZIP 24012-040
Phone: (540) 265-1607
Fax: (540) 366-7353

The provider's authorized official is Otis Blackwood .
The authorized official title is Practice Administrator and has the following contact phone number (540) 772-3671.

The CLIA number assigned to this NPI record is 49D2253588 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/6/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatology0101040969VIRGINIANo
2207W00000XOphthalmology0101042126VIRGINIANo
3207Q00000XFamily Medicine0101235727VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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