MARK D KOCHENDERFER (NPI# 1396720454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396720454 |
| Entity Type | Individual |
| Full Name | MARK D KOCHENDERFER |
| Credential | MD |
| Practice Address |
2013 Jefferson St Sw Roanoke VA 24014-2419 |
| Practice Telephone | 5409820237 |
| Practice Fax Number | 5409820103 |
| Mailing Telephone | 5409820237 |
| Mailing Fax Number | 5409820103 |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2013-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0101244463 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1396720454 | 05 | |
| VA | ANTHEM | 1396720454 | 01 |
| Street Address |
2013 JEFFERSON ST SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376986 | Vikram K Chand | Internal Medicine | 2013 Jefferson St Sw, Second Floor, Roanoke, VA 24014-2419 | 2005-06-14 |
| 1972120590 | Megen Yates Mellom | Nurse Practitioner | 2013 Jefferson St Sw, Roanoke, VA 24014-2419 | 2020-06-30 |
| 1639456791 | Jolee M Preston | Nurse Practitioner | 2013 Jefferson St Sw, Roanoke, VA 24014-2419 | 2011-11-03 |
| 1679769079 | Angela Karen Charlton | Dietitian, Registered | 2013 Jefferson St Sw, 1st Floor, Roanoke, VA 24014-2419 | 2007-09-19 |
| 1578779070 | Perri A Spruell | Pharmacist | 2013 Jefferson St Sw, 2nd Floor, Roanoke, VA 24014-2419 | 2007-05-14 |
| 1689614919 | Matthew R Skelton | Internal Medicine | 2013 Jefferson St Sw, Roanoke, VA 24014-2419 | 2006-06-07 |
| 1487621496 | Oncology and Hematology Associates of Southwest Virginia, Inc. | Non-Pharmacy Dispensing Site | 2013 Jefferson St Sw, Second Floor, Roanoke, VA 24014-2419 | 2006-03-08 |
| 1639145642 | Robert C Heath | Radiology | 2013 Jefferson St Sw, First Floor, Roanoke, VA 24014-2419 | 2006-02-28 |
| 1669448692 | Suzan R Merten | Internal Medicine | 2013 Jefferson St Sw, Second Floor, Roanoke, VA 24014-2419 | 2006-02-28 |
| 1104892132 | Stephen H Rosenoff | Internal Medicine | 2013 Jefferson St Sw, Second Floor, Roanoke, VA 24014-2419 | 2006-02-28 |
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952377897 | Jack R. Hutcheson Jr. | Internal Medicine | 2860 Jefferson St Se, Roanoke, VA 24014-3320 | 2006-02-28 |
| 1063731016 | Joshua A Morales | Internal Medicine | 2013 Jefferson St Sw Fl 2, Roanoke, VA 24014-2419 | 2010-05-28 |
| 1760632244 | Jennifer Eliece Vaughn | Internal Medicine | 2013 Jefferson St Sw Fl 2, Roanoke, VA 24014-2419 | 2008-09-22 |
| 1417140559 | Amanda Lynn Gillespie-twardy | Internal Medicine | 2013 Jefferson St Sw Fl 2, Roanoke, VA 24014-2419 | 2007-08-22 |
| 1689614919 | Matthew R Skelton | Internal Medicine | 2013 Jefferson St Sw, Roanoke, VA 24014-2419 | 2006-06-07 |
| 1841268315 | William A Fintel | Internal Medicine | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2006-03-10 |
| 1669448692 | Suzan R Merten | Internal Medicine | 2013 Jefferson St Sw, Second Floor, Roanoke, VA 24014-2419 | 2006-02-28 |
| 1104892132 | Stephen H Rosenoff | Internal Medicine | 2013 Jefferson St Sw, Second Floor, Roanoke, VA 24014-2419 | 2006-02-28 |
| 1699741629 | Daniel S Temeles | Internal Medicine | 2013 Jefferson St Sw, Second Floor, Roanoke, VA 24014-2419 | 2006-02-28 |
| 1629044821 | Padmaja V Mallidi | Internal Medicine | 2013 Jefferson St Sw, Second Floor, Roanoke, VA 24014-2419 | 2006-02-27 |
| 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.