SHARON ANNE CROOKSHANKS (NPI# 1386613164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386613164 |
| Entity Type | Individual |
| Full Name | SHARON ANNE CROOKSHANKS |
| Credential | PA-C |
| Practice Address |
4461 Starkey Rd Ste 201 Roanoke VA 24018 |
| Mailing Address |
4461 Starkey Rd Ste 201 Roanoke VA 24018-0622 |
| Practice Telephone | 5403454946 |
| Practice Fax Number | 5403437693 |
| Mailing Telephone | 5403454946 |
| Mailing Fax Number | 5403437693 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2019-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110001683 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4461 Starkey Rd Ste 201, Roanoke, VA 24018 | 5403454946 | 5403437693 |
| Street Address |
4461 STARKEY RD STE 201 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104347657 | Alina Polonsky | Internal Medicine | 4461 Starkey Rd Ste 201, Roanoke, VA 24018-0622 | 2017-07-05 |
| 1487097226 | Brittany Denise Lower | Family Medicine | 4461 Starkey Rd Ste 201, Roanoke, VA 24018-0622 | 2013-04-11 |
| 1790723401 | Magdalena G Yoder | Internal Medicine | 4461 Starkey Rd Ste 201, Roanoke, VA 24018-0622 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144796749 | Rebecca Marie Swanson | Physician Assistant | 902 S Jefferson St Uppr Level, Roanoke, VA 24016-4404 | 2018-10-22 |
| 1154475267 | Wilton Craig Kennedy | Physician Assistant | 2620 Avenham Ave Sw, Roanoke, VA 24014-1507 | 2007-01-23 |
| 1760567481 | Jason Eric Bailey | Physician Assistant | 2110 Carolina Ave Sw Fl 3, Roanoke, VA 24014-1742 | 2006-10-25 |
| 1083626436 | Laura White | Physician Assistant | 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 | 2006-08-13 |
| 1225099773 | Lucia Maria Kulhavy | Physician Assistant | 2013 Jefferson St Sw Fl 2, Roanoke, VA 24014-2419 | 2006-03-31 |
| 1306463906 | Christopher J Pucci | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1275197980 | Rashadah Jordan | Physician Assistant | 5673 Airport Rd, Roanoke, VA 24012-1119 | 2019-04-29 |
| 1629561402 | Emily Marquina | Physician Assistant | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2018-06-07 |
| 1164930046 | Laura Buennemeyer | Physician Assistant | 3716 Melrose Ave Nw, Roanoke, VA 24017 | 2018-01-13 |
| 1104288679 | David Shrock | Physician Assistant | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2016-03-24 |
| 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.