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ENCORE OB GYN CENTER OF SOUTHWEST VIRGINIA LLC NPI 1083064315


NPI Information

NPI: 1083064315
Provider Name: ENCORE OB GYN CENTER OF SOUTHWEST VIRGINIA LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 49D2119454

Address:
825 DAVIS ST
SUITE C
BLACKSBURG, VA
ZIP 24060
Phone: (540) 251-0980
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ENCORE OB GYN CENTER OF SOUTHWEST VIRGINIA LLC is an obstetrics gynecology in Blacksburg, VA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ENCORE OB GYN CENTER OF SOUTHWEST VIRGINIA LLC NPI is 1083064315. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

825 DAVIS ST
SUITE C
BLACKSBURG, VA
ZIP 24060-009
Phone: (540) 251-0980
Fax: (540) 251-0985

The provider's authorized official is Margarita A Abrams .
The authorized official title is Owner and has the following contact phone number (540) 239-1981.

The CLIA number assigned to this NPI record is 49D2119454 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/17/2016 and was last updated on 10/24/2016.


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
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F980MEDICARE PINVIRGINIA

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.