VIRGINIA INTERVENTIONAL PAIN & SPINE CENTER, INC. (NPI# 1407192735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407192735 |
| Entity Type | Organization |
| Organization Name | VIRGINIA INTERVENTIONAL PAIN & SPINE CENTER, INC. |
| Practice Address |
3800 Electric Rd Ste 307 Roanoke VA 24018-4568 |
| Mailing Address |
Po Box 8310 Roanoke VA 24014-0310 |
| Practice Telephone | 5407770090 |
| Mailing Telephone | 5407770090 |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |
| Authorized Official Name | DR. CHHEANY UNG (PRESIDENT) |
| Authorized Official Telephone | 5407770090 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750872032 | Virginia Interventional Pain & Spine Center, Inc. | Non-Pharmacy Dispensing Site | 3800 Electric Rd Ste 307, Roanoke, VA 24018-4568 | 2018-05-23 |
| Street Address |
3800 ELECTRIC RD STE 307 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-4568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750872032 | Virginia Interventional Pain & Spine Center, Inc. | Non-Pharmacy Dispensing Site | 3800 Electric Rd Ste 307, Roanoke, VA 24018-4568 | 2018-05-23 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427682319 | Diana Alejandra Rojas | Specialist | 509 E Byron Nelson Blvd Ste C, Roanoke, TX 76262-6183 | 2020-02-28 |
| 1013473081 | Whitney Matheson | Specialist | 6803 Dallas Rd, Roanoke, VA 24019-2310 | 2019-02-14 |
| 1033681036 | Stacey Caputo | Specialist | 2149 Electric Rd Ste 3, Roanoke, VA 24018-1975 | 2019-01-02 |
| 1326468646 | Kimberly Covell Mcinnis | Specialist | 5649 Meadowcrest St, Roanoke, VA 24019-4833 | 2014-04-25 |
| 1699952424 | Chrissy Lee Mcconnaughy | Specialist | 1809 Sheffield Rd Sw, Roanoke, VA 24015-3021 | 2008-01-23 |
| 1497957419 | Gill Memorial Ent Clinic, PC | Specialist | 707 S Jefferson St Fl 5, Roanoke, VA 24016-5100 | 2007-06-01 |
| 1639390644 | Junius Ellett Crowgey | Specialist | 3814 Belle Aire Cir Sw, Roanoke, VA 24018-1251 | 2007-05-01 |
| 1558586776 | Wayne Starr Miller | Specialist | 7735 E Manitou Trl-92, Roanoke, IN 46783-9203 | 2007-04-14 |
| 1508927021 | Darrell Franklin Powledge | Specialist | 512 Mcdowell Ave., Ne, Suite B, Roanoke, VA 24016 | 2006-12-12 |
| 1609958776 | Southwest Virginia Center for Cosmetic Plastic & Recon Surgery | Specialist | 2965 Colonnade Drive, Suite 140, Roanoke, VA 24018-3541 | 2006-10-19 |
| 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.