LEWIS-GALE PHYSICIANS, LLC (NPI# 1063484921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063484921 |
| Entity Type | Organization |
| Organization Name | LEWIS-GALE PHYSICIANS, LLC |
| Other Organization Name | LEWIS-GALE FAMILY CARE - VALLEY VIEW |
| Practice Address |
4910 Valley View Blvd Nw Roanoke VA 24012-2040 |
| Practice Telephone | 5402651607 |
| Practice Fax Number | 5403667353 |
| Mailing Telephone | 5402651607 |
| Mailing Fax Number | 5403667353 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | OTIS BLACKWOOD (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 5407723671 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207N00000X | Dermatology | 0101040969 | VA | Allopathic & Osteopathic Physicians |
| X | 207Q00000X | Family Medicine | 0101235727 | VA | Allopathic & Osteopathic Physicians |
| X | 207W00000X | Ophthalmology | 0101042126 | VA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lewis-Gale Family Care - Valley View | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609958057 | Lewis-gale Physicians, LLC | Plastic Surgery | 2880 Keagy Rd., Salem, VA 24153 | 2006-10-19 |
| 1114999075 | Lewis-gale Physicians, LLC | Podiatrist | 2955 Market St, Christiansburg, VA 24073-6575 | 2006-02-06 |
| 1316919210 | Lewis-gale Physicians, LLC | Internal Medicine | 5303b Indian Grave Rd Sw, Roanoke, VA 24014-6607 | 2006-02-03 |
| 1124227921 | Lewis-gale Physicians, LLC | Clinical Medical Laboratory | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2007-07-12 |
| 1588863385 | Lewis-gale Physicians, LLC | Clinical Medical Laboratory | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2007-07-12 |
| 1255413027 | Lewis-gale Physicians, LLC | Obstetrics & Gynecology | 1231 S Jefferson St, Roanoke, VA 24016-4705 | 2006-10-20 |
| 1184728503 | Lewis-gale Physicians, LLC | Allergy & Immunology | 614 E Main St, Radford, VA 24141-1786 | 2006-09-08 |
| 1649374968 | Lewis-gale Physicians, LLC | Internal Medicine | 1 Arh Lane, Alleghany Regional Hospital, Low Moor, VA 24457 | 2006-09-08 |
| 1275644908 | Lewis-gale Physicians, LLC | Psychiatry & Neurology | 2727 Electric Rd, Suite 100, Roanoke, VA 24018-3547 | 2006-08-31 |
| 1144331885 | Lewis-gale Physicians, LLC | Internal Medicine | 230 S Main St, Rocky Mount, VA 24151-1709 | 2006-08-31 |
| Street Address |
4910 VALLEY VIEW BLVD NW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24012-2040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164409652 | John Daugherty | Family Medicine | 4910 Valley View Blvd Nw, Roanoke, VA 24012-2040 | 2005-12-27 |
| 1851920607 | Peter Hartung | Student in an Organized Health Care Education/Training Program | 4910 Valley View Blvd Nw, Roanoke, VA 24012-2040 | 2020-04-03 |
| 1336609155 | Mitesh Patel | Student in an Organized Health Care Education/Training Program | 4910 Valley View Blvd Nw, 3rd Floor, Roanoke, VA 24012 | 2019-03-20 |
| 1275092660 | Teana Harris | Student in an Organized Health Care Education/Training Program | 4910 Valley View Blvd Nw, Roanoke, VA 24012-2040 | 2019-03-15 |
| 1770002172 | William Edward Pauley IIi | Nurse Practitioner | 4910 Valley View Blvd Nw, Roanoke, VA 24012 | 2017-09-17 |
| 1447789425 | Hilary L Linderman | Psychologist | 4910 Valley View Blvd Nw, Roanoke, VA 24012 | 2017-06-05 |
| 1053869271 | Samantha Smart | Nurse Practitioner | 4910 Valley View Blvd Nw, Roanoke, VA 24012-2040 | 2016-09-16 |
| 1740644673 | Abigail Lubin | Family Medicine | 4910 Valley View Blvd Nw, Roanoke, VA 24012 | 2016-04-06 |
| 1821471459 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 4910 Valley View Blvd Nw, Suite L, Roanoke, VA 24012-2040 | 2015-07-01 |
| 1730509944 | Tara Wickline Stone | Nurse Practitioner | 4910 Valley View Blvd Nw, Roanoke, VA 24012-2040 | 2014-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215440359 | Sahar Rafiq | Dentist | 3802 Apricot Trl, Roanoke, VA 24012 | 2017-11-12 |
| 1790202695 | Friendship Pharmacy, Inc. | Pharmacy | 327 Hershberger Rd., Roanoke, VA 24012 | 2017-08-23 |
| 1760912901 | Odyssey Healthcare Operating B, Lp | Hospice Care, Community Based | 1318 Plantation Rd Ne, Roanoke, VA 24012 | 2017-06-19 |
| 1770019622 | Eisa Jawad Abu Munshar | Dentist | 4753 Valley View Blvd Nw, Roanoke, VA 24012 | 2017-05-11 |
| 1447702303 | Kartesz Eye Associates Inc. | Optometrist | 4922 Vally View Blvd., Roanoke, VA 24012 | 2016-10-26 |
| 1740638220 | Kevin E Steinberger | Physical Therapist | 2730 Forest Oak Dr, Roanoke, VA 24012 | 2016-05-25 |
| 1740637883 | Professional Health Care Services, Inc. | In Home Supportive Care | 367 Hershberger Rd., Nw, Roanoke, VA 24012 | 2016-05-18 |
| 1497129787 | M Zaher Aymach | Dentist | 1502 Williamson Rd Ne Ste A, Roanoke, VA 24012 | 2015-11-24 |
| 1518223916 | Katherine Rash | Social Worker | 3003 Hollins Road, Roanoke, VA 24012 | 2012-04-10 |
| 1841525383 | William Kastern, O.d., Ph.d., LLC | Optometrist | 4822c Valley View Blvd., Roanoke, VA 24012 | 2009-10-15 |
| Find all providers in zip 24012 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770970030 | Padma Chitnavis | Dermatology | 1204 Franklin Rd Sw, Roanoke, VA 24016-4606 | 2015-04-23 |
| 1437414703 | Dermatology Practice of Roanoke PC | Dermatology | 2000 Stephenson Ave, Roanoke, VA 24014-1664 | 2012-07-11 |
| 1598939464 | Melanie Rebecca Walter | Dermatology | 2000 Stephenson Ave., Roanoke, VA 24014-0000 | 2008-04-22 |
| 1679581318 | Philip Earl Wakefield | Dermatology | 1 Riverside Cir Ste 300, Roanoke, VA 24016-4962 | 2006-08-04 |
| 1992730519 | The Arts & Science of Dermatology, PC | Dermatology | 4320 Brambleton Ave, Suite B, Roanoke, VA 24018-3405 | 2006-07-12 |
| 1770549826 | Allison K Divers | Dermatology | 4320 Brambleton Ave Suite B, Roanoke, VA 24018 | 2006-04-25 |
| 1760470496 | Martin T Smith | Dermatology | 3825 Electric Rd Ste C, 419 Office Center, Roanoke, VA 24018-4561 | 2005-10-06 |
| 1053708685 | Joshua Eikenberg | Dermatology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2015-04-21 |
| 1689935918 | Alex Christopher Holliday | Dermatology | 1 Riverside Cir Ste 300, Roanoke, VA 24016 | 2012-06-04 |
| 1942591375 | Kyle Andrew Prickett | Dermatology | 1 Riverside Cir Ste 300, Roanoke, VA 24016-4962 | 2011-04-19 |
| Find all providers in ROANOKE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.