Healthcare Provider Details

I. General information

NPI: 1508830993
Provider Name (Legal Business Name): VIRGINIA HIGHLANDS ANESTHESIA, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 COURT ST
ABINGDON VA
24210-2921
US

IV. Provider business mailing address

PO BOX 1476
ABINGDON VA
24212-1476
US

V. Phone/Fax

Practice location:
  • Phone: 276-282-8227
  • Fax: 919-384-0600
Mailing address:
  • Phone: 276-282-8227
  • Fax: 919-384-0600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateVA

VIII. Authorized Official

Name: MR. SHAWN WEST
Title or Position: VP, BILLING
Credential:
Phone: 919-384-0500