Organization
STONEWALL PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM M JACOBS MD (PEDIATRICIAN - PRESIDENT)
(540) 463-3162
Entity
Organization
Contact information
Practice address
108 HOUSTON ST, SUITE E, LEXINGTON, VA 24450-2455
(540) 463-3162
(540) 463-3213
Mailing address
108 HOUSTON ST, SUITE E, LEXINGTON, VA 24450-2455
(540) 463-3162
(540) 463-3213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101030878
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487706693
NPI FOR PHYSICIAN ASST.
VA
01
—
1962587287
NPI
VA
05
—
6737846
—
VA
Enumeration date
05/16/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us