GYN ONCOLOGY OF SOUTHWEST VIRGINIA LLC NPI 1093750879

NPI Information

  • NPI: 1093750879
  • Provider Name: GYN ONCOLOGY OF SOUTHWEST VIRGINIA LLC
  • Classification: Obstetrics & Gynecology - 207VX0201X
  • Specialization: Gynecologic Oncology
  • Entity Type: Organization
  • Address: 1900 ELECTRIC RD
    SUITE 200
    SALEM, VA
    ZIP 24153
  • Phone: (540) 776-4704

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NPI Details

GYN ONCOLOGY OF SOUTHWEST VIRGINIA LLC is a gynecologic oncology obstetrics gynecology in Salem, VA. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. GYN ONCOLOGY OF SOUTHWEST VIRGINIA LLC NPI is 1093750879. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1900 ELECTRIC RD
SUITE 200
SALEM, VA
ZIP 24153-474
Phone: (540) 776-4704
Fax: (540) 769-2453

The provider's authorized official is Kenneth Washington .
The authorized official title is Vp and has the following contact phone number (703) 650-2907.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 6/27/2008.

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
1207VX0201XObstetrics & GynecologyGynecologic OncologyYes

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
1DB4339MEDICARE PIN
23810000448MEDICAIDWEST VIRGINIA
3C09075MEDICARE PINVIRGINIA
41093750879MEDICAIDVIRGINIA

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: 3/30/2025

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