ROANOKE MEDICAL CENTER (NPI# 1558307116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558307116 |
| Entity Type | Organization |
| Organization Name | ROANOKE MEDICAL CENTER |
| Practice Address |
1004 Hwy 64 East Plymouth NC 27962 |
| Mailing Address |
Po Box 1026 Plymouth NC 27962-1026 |
| Practice Telephone | 2527934500 |
| Practice Fax Number | 2527932079 |
| Mailing Telephone | 2527934500 |
| Mailing Fax Number | 2527932079 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ROBERT LEE VENABLE (PRESIDENT) |
| Authorized Official Telephone | 2527934500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 22192 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 0271F | 01 |
| NC | 89-0271F | 05 |
| Street Address |
1004 HWY 64 EAST |
| City | PLYMOUTH |
| State | NC |
| Zip Code | 27962 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750336855 | Robert Lee Venable | General Practice | 1004 Hwy 64 East, Plymouth, NC 27962 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144555095 | Melissa Pledger | Pharmacist | 11 Us Hwy 64 E, Plymouth, NC 27962 | 2009-10-09 |
| 1356569651 | East Carolina Foot and Ankle Specialists | Podiatrist | 958 Hwy 64 East, Plymouth, NC 27962 | 2007-04-23 |
| 1659413581 | Changing Hearts Instead of Losing Lives, Inc | Community/Behavioral Health | 713 Forest Road, Plymouth, NC 27962 | 2007-02-14 |
| 1205934171 | Womble Drug Store | Pharmacy | 454 Hwy 64 East, Plymouth, NC 27962 | 2006-09-21 |
| 1184720054 | June Elizabeth Woolard | Social Worker | 206 Waters Street, Plymouth, NC 27962 | 2006-09-16 |
| 1285736470 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 734 Us 64 East, Plymouth, NC 27962 | 2006-09-01 |
| 1376568550 | Viswanathan Swaminathan | Psychiatry & Neurology | 804.washington Street, Vidant Behaviour Health, Plymouthy, NC 27962 | 2006-07-12 |
| 1144253758 | Jean Louis Pare | Family Medicine | 1006 Us Hwy 64 East, Plymouth, NC 27962 | 2006-07-08 |
| 1619907227 | Chester Lee Conner | Dentist | 363 Highway 64 West, Plymouth, NC 27962 | 2006-07-03 |
| 1124018494 | Cah Acquisition Company 1 LLC | General Acute Care Hospital | 958 Us Highway 64 E, Plymouth, NC 27962 | 2005-10-26 |
| Find all providers in zip 27962 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578734448 | Myung Kil Jeon, M.d. | General Practice | 1022 Us Hwy 64 E, Bldg # 4, Plymouth, NC 27962-9215 | 2008-03-18 |
| 1811181118 | David John Krizman | General Practice | 322 N Michigan St, Suite E, Plymouth, IN 46563-1760 | 2007-08-29 |
| 1831267467 | Justin Todd Ostrem | General Practice | 9655 Schmidt Lake Rd Ste 200, Plymouth, MN 55442-4530 | 2006-12-01 |
| 1750336855 | Robert Lee Venable | General Practice | 1004 Hwy 64 East, Plymouth, NC 27962 | 2006-05-24 |
| 1750342473 | Myung Kil Jeon | General Practice | 1006 Us Highway 64 E, Plymouth, NC 27962-9215 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790396059 | Healthworks Med Group of North Carolina P C | General Practice | 200 W 2nd St Fl 2, Winston Salem, NC 27101-4019 | 2020-08-11 |
| 1679184055 | Healthworks Med Group of North Carolina P C | General Practice | 2320 Cascade Pointe Blvd, Charlotte, NC 28208-7203 | 2020-08-11 |
| 1396356606 | Healthworks Med Group of North Carolina P C | General Practice | 3200 Beechleaf Ct Ste 200, Raleigh, NC 27604-1063 | 2020-08-11 |
| 1194336594 | Healthworks Med Group of North Carolina P C | General Practice | 7701 Airport Center Dr Fl 2, Greensboro, NC 27409-9047 | 2020-08-11 |
| 1801407150 | Healthworks Med Group of North Carolina P C | General Practice | 2586 James B White Hwy N Bldg A, Whiteville, NC 28472-8974 | 2020-08-11 |
| 1467099127 | Carolina Acute Care & Wellness Center, Pa | General Practice | 2601 N Elm St Ste A, Lumberton, NC 28358-3063 | 2019-12-02 |
| 1053953125 | Emergent Life Integrative Medicine Center, Inc | General Practice | 5104 Reagan Drive, Suite 4, Charlotte, NC 28206-1392 | 2019-10-10 |
| 1215595566 | Kayla L Torrez Chang | General Practice | Mcmh Fc 308, Hm Smith Boulevard, Camp Lejeune, NC 28547 | 2019-06-02 |
| 1972161503 | Shanda Nicole Felton | General Practice | 8 Durbin Pl, Durham, NC 27705-6127 | 2019-05-29 |
| 1437613171 | Sme South Carolina P.C. | General Practice | 212 Cape August Pl, Belmont, NC 28012-6768 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
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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.