MR. DAVID T LUYIMBAZI (NPI# 1467651877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467651877 |
| Entity Type | Individual |
| Full Name | MR. DAVID T LUYIMBAZI |
| Credential | MD |
| Practice Address |
3 Riverside Cir Roanoke VA 24016-4955 |
| Practice Telephone | 5402245170 |
| Practice Fax Number | 5409838212 |
| Mailing Telephone | 5402245170 |
| Mailing Fax Number | 5409838212 |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2019-06-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 0101-256949 | VA | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
0101256949 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE PTAN | VVE762A | 01 |
| Street Address |
3 RIVERSIDE CIR |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-4955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376535872 | Bruce E Johnson | Internal Medicine | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2005-08-19 |
| 1194355024 | Leanna M Stone | Social Worker | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2020-01-20 |
| 1689231847 | Ashley Light | Audiologist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2019-05-23 |
| 1063975282 | Katherine Elizabeth Chafin | Nurse Practitioner | 3 Riverside Cir, Roanoke, VA 24016 | 2019-04-14 |
| 1932665544 | Amy Marshall | Nurse Practitioner | 3 Riverside Cir, Roanoke, VA 24016 | 2019-02-19 |
| 1730652991 | Sydney Elizabeth Garst | Physician Assistant | 3 Riverside Cir, Roanoke, VA 24016 | 2019-01-09 |
| 1306318084 | Sarah Abey | Nurse Practitioner | 3 Riverside Cir, Roanoke, VA 24016 | 2018-12-19 |
| 1518439397 | Justin James Gray | Clinical Neuropsychologist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2018-12-18 |
| 1992281877 | Corinne O'shaughnessy | Audiologist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2018-07-13 |
| 1518453463 | Feryal Nauman | Student in an Organized Health Care Education/Training Program | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2018-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770976078 | John Edward Niederhuber | Surgery | 3300 Gallows Road; Floor 2, Claude Moore Bldg., Inova Health Care Services; Dba Inova Fairfax Hospital, Falls Church, VA 22042 | 2015-03-11 |
| 1013341171 | Surgical Support Services LLC | Surgery | 12439 Walnut Hill Drive, Rockville, VA 23146 | 2013-08-26 |
| 1477687283 | Craig L. Slingluff Jr. | Surgery | Uva Hospital West The Cancer Ctr, Hospital Drive, Charlottesville, VA 22908-0001 | 2007-03-15 |
| 1881763423 | Anneke T. Schroen | Surgery | 1300 Jefferson Park Ave Ste 1101, Charlottesville, VA 22903-3363 | 2006-11-07 |
| 1669436044 | Michael Anthony Covelli | Surgery | 200 Arh Ln 102, Low Moor, VA 24457 | 2006-04-13 |
| 1104801844 | Theresa Harrington Stukus | Surgery | 8318 Arlington Blvd Ste 305, Fairfax, VA 22031-5218 | 2005-12-14 |
| 1619976792 | Shawna Willey | Surgery | 8081 Innovation Park Dr, Fairfax, VA 22031-4867 | 2005-07-20 |
| 1508240797 | Nathan James Branson | Surgery | 11803 Jefferson Ave, Ste 235, Newport News, VA 23606-2565 | 2015-07-17 |
| 1396083721 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Surgery | 5855 Bremo Rd, Suite 606, Richmond, VA 23226-1930 | 2013-01-18 |
| 1033426150 | Marybeth Scavone Hughes | Surgery | 825 Fairfax Ave, Ste 610, Norfolk, VA 23507-1914 | 2010-09-10 |
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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.