LEWIS-GALE PHYSICIANS, LLC (NPI# 1316919210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316919210 |
| Entity Type | Organization |
| Organization Name | LEWIS-GALE PHYSICIANS, LLC |
| Other Organization Name | LEWIS-GALE FAMILY CARE - CLEARBROOK |
| Practice Address |
5303b Indian Grave Rd Sw Roanoke VA 24014-6607 |
| Practice Telephone | 5407253060 |
| Practice Fax Number | 5407724948 |
| Mailing Telephone | 5407253060 |
| Mailing Fax Number | 5407724948 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | OTIS BLACKWOOD (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 5407723672 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0101033197 | VA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Lewis-Gale Family Care - Clearbrook | Doing Business As Name - 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 |
| 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 |
| 1851364152 | Lewis-gale Physicians, LLC | Allergy & Immunology | 2155 Apperson Dr, Salem, VA 24153-7235 | 2006-02-08 |
| Street Address |
5303B INDIAN GRAVE RD SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-6607 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861049405 | Salama Md LLC | Internal Medicine | 5325 Fox Ridge Rd, Roanoke, VA 24018-8755 | 2019-08-19 |
| 1114400322 | Hiren B Parikh, Md Pllc | Internal Medicine | 3338 Circle Brook Dr, Roanoke, VA 24018-9438 | 2018-09-13 |
| 1225370893 | Michael Timothy Quinn Jr. | Internal Medicine | 202 Duke of Gloucester St., Roanoke, VA 24014-2401 | 2013-03-21 |
| 1467775445 | Angela Dawn Venuto-ashton | Internal Medicine | 2017 S Jefferson Street, Roanoke, VA 24014-2419 | 2010-03-05 |
| 1932302502 | Jorge R Rivera Jr. | Internal Medicine | 3638 Verona Trl, Roanoke, VA 24018-4919 | 2007-06-08 |
| 1588761852 | Bharatbhai G Patel | Internal Medicine | 5712 Longridge Dr, Roanoke, VA 24018-7888 | 2006-09-20 |
| 1992817985 | Starkey Medical PC | Internal Medicine | Starkey Medical PC, 4903 Starkey Rd Suite 300, Roanoke, VA 24014 | 2006-08-31 |
| 1013934181 | Ali M Yahya | Internal Medicine | 2213 Stanley Ave Se, Roanoke, VA 24014-2435 | 2006-07-16 |
| 1417998444 | Bharatbhai G Patel | Internal Medicine | 5712 Long Ridge Rd, Bharatbhai G Patel Md, Roanoke, VA 24018 | 2006-06-09 |
| 1982658811 | Diane Wiggins | Internal Medicine | 4461 Starkey Road, Suite 201, Roanoke, VA 24018 | 2006-05-22 |
| 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.