DR. BENJAMIN RAY COOBS (NPI# 1225272396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225272396 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN RAY COOBS |
| Credential | MD |
| Practice Address |
2331 Franklin Rd Sw Roanoke VA 24014-1111 |
| Practice Telephone | 5407251226 |
| Practice Fax Number | 5408575306 |
| Mailing Telephone | 5407251226 |
| Mailing Fax Number | 5408575306 |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2016-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 2014004824 | MO | Allopathic & Osteopathic Physicians |
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
0101258157 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | CIGNA | 1225272396 | 01 |
| VA | HUMANA MEDICARE | 1225272396 | 01 |
| VA | UNITED HEALTHCARE | 1225272396 | 01 |
| VA | AETNA | 1225272396 | 01 |
| VA | VIRGINIA PREMIER | 1225272396 | 01 |
| VA | MEDICAID | 1225272396 | 01 |
| VA | HEALTHKEEPERS | 1225272396 | 01 |
| VA | UMWA | 1225272396 | 01 |
| VA | TRICARE | 540506332199 | 01 |
| VA | MEDICAID OF WVA | 1225272396 | 01 |
| VA | HEALTHKEEPERS PLUS | 1225272396 | 01 |
| VA | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY | 1225272396 | 01 |
| VA | RAILROAD MEDICARE | P01571876 | 01 |
| VA | OPTIMA HEALTH PLAN | 1225272396 | 01 |
| VA | INTOTAL | 1225272396 | 01 |
| VA | ANTHEM BCBS | 1225272396 | 01 |
| VA | VIRGINIA HEALTH NETWORK | 1225272396 | 01 |
| VA | GATEWAY | 1225272396 | 01 |
| Street Address |
2331 FRANKLIN RD SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134113335 | Daniel P Moore | Physical Medicine & Rehabilitation | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2005-09-02 |
| 1639717093 | Quin Sweeney | Nurse Practitioner | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2019-12-17 |
| 1518522952 | Kelsey Mcwey | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2019-05-01 |
| 1275041527 | Jennifer Caroline Dudley | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-19 |
| 1801304407 | Tyler Bryce Kemp | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-17 |
| 1508374232 | Hope Anna Marie Poetker | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-16 |
| 1730695990 | Tabitha Saunders | Specialist/Technologist | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-12-22 |
| 1730692591 | Eric Olsen | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-11-14 |
| 1205345097 | Kathryn Sandifer | Nurse Practitioner | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-09-25 |
| 1841718871 | Brooke Ellyn Martin | Specialist/Technologist | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487631602 | John Walter Mann IIi | Orthopaedic Surgery | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2005-12-29 |
| 1740267095 | Joseph Tuvia Moskal | Orthopaedic Surgery | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558774794 | Bernard Kemker IIi | Orthopaedic Surgery | 1250 E Marshall St # 980264, Richmond, VA 23298-5051 | 2014-06-05 |
| 1043620628 | Vignesh Alamanda | Orthopaedic Surgery | 1850 Town Center Pkwy Ste 400, Reston, VA 20190-3300 | 2014-05-05 |
| 1447417514 | James A. Browne | Orthopaedic Surgery | 545 Ray C Hunt Dr Ofc Bldg2, Charlottesville, VA 22903-2981 | 2008-05-17 |
| 1386789725 | Richard Whitehill | Orthopaedic Surgery | Uva Orthpaedic Center At Fontaine, 545 Ray C. Hunt Drive, Charlottesville, VA 22903 | 2007-02-21 |
| 1013019868 | Robert B Stinger | Orthopaedic Surgery | 3301 Woodburn Rd #208, Annandale, VA 22003-1200 | 2006-09-02 |
| 1801802509 | Samuel M Hawken | Orthopaedic Surgery | 3301 Woodburn Rd Ste 208, Annandale, VA 22003-1200 | 2006-08-01 |
| 1497778559 | Debra Janine Thomas | Orthopaedic Surgery | 1100 Cedar Valley Dr, Suite 3a, Cedar Bluff, VA 24609-9184 | 2006-07-26 |
| 1912972035 | Geoffrey A Wright | Orthopaedic Surgery | 3920a Bridge Rd Ste 301, Suffolk, VA 23435-1125 | 2006-02-22 |
| 1467754093 | Debra J. Thomas, M.d., PC | Orthopaedic Surgery | 6719 Governor Gc Peery Hwy, Suite 1400, Richlands, VA 24641-2197 | 2010-12-02 |
| 1205143823 | Loudoun Medical Group PC | Orthopaedic Surgery | 224d Cornwall St Nw, Suite 204, Leesburg, VA 20176-2700 | 2010-09-02 |
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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.