Shenandoah Emergency Medicine Specialists LLC
Emergency Medicine in Fishersville, VA. Organization (NPI-2).
Details
- NPI
- 1083706121
- Entity type
- Organization (NPI-2)
- Legal business name
- Shenandoah Emergency Medicine Specialists LLC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2006
- Last updated
- Jun 18, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | – | – | Yes |
Practice location
78 Medical DriveFishersville, VA 22939-1000
Phone 540-332-4423 · Fax 540-332-5658
Mailing address
Po Box 11107Daytona Beach, FL 32120-1107
Phone 888-311-8760 · Fax 386-274-7819
Authorized official
Glen E Michael
Cfo
5403324423
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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