LEWIS-GALE PHYSICIANS LLC NPI 1598737454

NPI Information

  • NPI: 1598737454
  • Provider Name: LEWIS-GALE PHYSICIANS, LLC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • :
  • Address: 4615 HUNTRIDGE RD
    ROANOKE, VA
    ZIP 24012
  • Phone: (540) 977-0990

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NPI Details

LEWIS-GALE PHYSICIANS, LLC is a pediatrics in Roanoke, VA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. LEWIS-GALE PHYSICIANS, LLC NPI is 1598737454. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

4615 HUNTRIDGE RD
ROANOKE, VA
ZIP 24012-510
Phone: (540) 977-0990
Fax: (540) 977-0550

The provider's authorized official is Otis Blackwood .
The authorized official title is Practice Administrator and has the following contact phone number (540) 772-3672.

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
1207Q00000XFamily Medicine0101051150VIRGINIANo
2207R00000XInternal Medicine0101054814VIRGINIANo
3208000000XPediatrics0101036280VIRGINIAYes

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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