Lewis-Gale Physicians, LLC
Lewis-Gale Physicians, LLC is a healthcare organization registered as Clinical Medical Laboratory in Salem, VA, holding Type 2 (organization) NPI 1124227921 since 2007. The authorized official on file is Otis Blackwood, Practice Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124227921 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lewis-Gale Physicians, LLC |
| Other name | <Unavail> |
| Practice address | 1802 BRAEBURN DR, Salem, VA, 24153 |
| Phone | 5407723511 |
| Enumeration date | 2007-07-12 |
| Last updated in NPPES | 2007-11-29 |
Authorized official
| Name | Otis Blackwood |
|---|---|
| Title | Practice Administrator |
| Phone | 5407725995 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00311263 | Other | VA | MEDICARE RAILROAD |
Copy-ready billing details
Provider: Lewis-Gale Physicians, LLC NPI: 1124227921 Taxonomy: 291U00000X (Clinical Medical Laboratory) Address: 1802 BRAEBURN DR, Salem, VA, 24153
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1134121338 | Mark Hanabury | Individual | Otolaryngology Physician | Salem, VA |
| 1306841887 | Alfred Durham | Individual | Orthopaedic Surgery Physician | Salem, VA |
| 1588663397 | George Baron | Individual | Anesthesiology Physician | Salem, VA |
| 1437158169 | Mary Bibro | Individual | Specialist | Salem, VA |
| 1841299575 | Luthur Beazley | Individual | Pediatrics Physician | Salem, VA |
| 1124012117 | Robyn Hakanson | Individual | Orthopaedic Surgery Physician | Salem, VA |
| 1982699427 | Joseph Artusio | Individual | Physician Assistant | Salem, VA |
| 1518949544 | Louis Gualdoni | Individual | Surgical Physician Assistant | Salem, VA |
Verify this record
Cross-check NPI 1124227921 against the authoritative CMS record: view Lewis-Gale Physicians, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2007-11-29.