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NPI Code Detail

MEDICARE: SHENANDOAH UNIVERSITY

MEDICARE: SHENANDOAH UNIVERSITY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1689231912
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHENANDOAH UNIVERSITY
Provider Business Mailing Address
First Line : 1460 UNIVERSITY DR
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-5100
Country : US
Telephone Number : 703-850-2760
Fax Number :
Provider Business Practice Location Address
First Line : 1460 UNIVERSITY DR
Second Line :
City : WINCHESTER
State : VA
Zip : 22601-5100
Country : US
Telephone Number : 540-665-4566
Fax Number :
Authorized Official
Title or Position : ADMINISTRATOR
Name : LISA DARSCH
Credential : RN
Telephone Number : 703-850-2760
Provider Enumeration Date : 05/22/2019
Last Update Date : 09/02/2025

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Directions to “SHENANDOAH UNIVERSITY ” Practice Location

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