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GYN ONCOLOGY OF SOUTHWEST VIRGINIA LLC
NPI 1093750879
Obstetrics & Gynecology - Gynecologic Oncology in Salem, VA

Active since June 17, 2006
1900 ELECTRIC RD, SUITE 200, SALEM, VA 24153(540) 776-4704(540) 769-2453 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2025, Nov 13, 2025 (2 updates tracked since 2025).

About Gyn Oncology Of Southwest Virginia Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GYN ONCOLOGY OF SOUTHWEST VIRGINIA LLC (NPI 1093750879) is a healthcare organization registered as a gynecologic oncology in Salem, Virginia and active in the NPI registry since June 2006. The organization lists Suzanne Bergamo, Vp, as its authorized official.

NPPES Registry Identity

NPI1093750879
Entity TypeOrganization
Primary Taxonomy207VX0201X
Legal Business NameGYN ONCOLOGY OF SOUTHWEST VIRGINIA LLC
Location Address1900 ELECTRIC RD, SUITE 200Salem, VA 24153-7474
Mailing Address2000 Health Park DrBrentwood, TN 37027-4692 · (615) 373-7406
Phone(540) 776-4704
Fax(540) 769-2453
Organization SubpartNo
Authorized OfficialSuzanne BergamoVp · (804) 267-5950
Enumeration DateJune 17, 2006
Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1093750879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
1900 ELECTRIC RD, Salem, VA 24153
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Other Identifiers 2

Medicaid1093750879VA
Medicaid3810000448WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VISTA RADIOLOGY CONSULTANTS
Radiology (Vascular & Interventional Radiology)
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (813) 210-3319
JENNA LYNN POLLOCK
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 776-4000
ACUTE SURGICAL CARE SPECIALISTS OF VIRGINIA, LLC
Surgery (Trauma Surgery)
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 776-4000
MARK D HAMILTON M.D.
Anesthesiology
1900 ELECTRIC RD, ANESTHESIA DEPARTMENT
SALEM, VA 24153
Salem City (540) 776-4000
MITCHELL SIMPSON CROWE DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 776-4000
SHEHRYAR KHANZADA DO
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 444-4817
DISHABEN BHARATKUMAR PATEL
Student in an Organized Health Care Education/Training Program
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 761-8027
KRISTIN MIRENDA CRNA
Nurse Anesthetist, Certified Registered
1900 ELECTRIC RD
SALEM, VA 24153
Salem City (540) 493-4581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gyn Oncology Of Southwest Virginia LLC's NPI number?

The NPI number for Gyn Oncology Of Southwest Virginia LLC is 1093750879. It was assigned to this organization in the NPPES registry on June 17, 2006.

Where is Gyn Oncology Of Southwest Virginia LLC located?

Gyn Oncology Of Southwest Virginia LLC is located at 1900 Electric Rd Suite 200, Salem, VA 24153. The listed phone number is (540) 776-4704.

What is Gyn Oncology Of Southwest Virginia LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

When was this NPI record last updated?

The NPPES record for Gyn Oncology Of Southwest Virginia LLC was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.