WELLMONT PHYSICIAN SERVICES INC NPI 1114045903

NPI Information

  • NPI: 1114045903
  • Provider Name: WELLMONT PHYSICIAN SERVICES INC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Doing Business As: SOUTHWEST VA REGIONAL CANCER CENTER
  • Address: 611 TRENT ST NE
    NORTON, VA
    ZIP 24273
  • Phone: (276) 679-5874

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NPI Details

WELLMONT PHYSICIAN SERVICES INC is a hematology and oncology internal medicine in Norton, VA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. WELLMONT PHYSICIAN SERVICES INC NPI is 1114045903. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southwest Va Regional Cancer Center.

The provider's business location address is:

611 TRENT ST NE
NORTON, VA
ZIP 24273-533
Phone: (276) 679-5874
Fax: (276) 679-6912

The provider's authorized official is Cindy M Locke .
The authorized official title is Billing Administrator and has the following contact phone number (423) 224-3250.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 4/22/2010.

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
1207RH0003XInternal MedicineHematology & 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
165931099MEDICAIDKENTUCKY
2023305000OTHERVIRGINIAFEDERAL BLACK LUNG
3CC3164MEDICARE PINVIRGINIA
41008035OTHERVIRGINIAUMWA
5C05885MEDICARE PINVIRGINIA
6=========031OTHERVIRGINIACHAMPUS
7109871003OTHERVIRGINIADMERC

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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