DR. JOHN J ENTWISTLE (NPI# 1558682112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558682112 |
| Entity Type | Individual |
| Full Name | DR. JOHN J ENTWISTLE |
| Credential | D.O. |
| Practice Address |
2331 Franklin Rd Sw Roanoke VA 24014 |
| Mailing Address |
2331 Franklin Rd Sw Roanoke VA 24014-1111 |
| Practice Telephone | 5402245170 |
| Practice Fax Number | 5403443016 |
| Mailing Telephone | 5402245170 |
| Mailing Fax Number | 5403443016 |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2019-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 0102205179 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Prudential Dr, Tower B 11th Floor, Jacksonville, FL 322078202 | 9043886518 | 9043841005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831132398 | John Walter Entwistle | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1100 Walnut St, Mob Bldg., Suite 500, Philadelphia, PA 19107-5563 | 2006-06-13 |
| Street Address |
2331 FRANKLIN RD SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134113335 | Daniel P Moore | Physical Medicine & Rehabilitation | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2005-09-02 |
| 1639717093 | Quin Sweeney | Nurse Practitioner | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2019-12-17 |
| 1518522952 | Kelsey Mcwey | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2019-05-01 |
| 1275041527 | Jennifer Caroline Dudley | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-19 |
| 1801304407 | Tyler Bryce Kemp | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-17 |
| 1508374232 | Hope Anna Marie Poetker | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-16 |
| 1730695990 | Tabitha Saunders | Specialist/Technologist | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-12-22 |
| 1730692591 | Eric Olsen | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-11-14 |
| 1205345097 | Kathryn Sandifer | Nurse Practitioner | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-09-25 |
| 1841718871 | Brooke Ellyn Martin | Specialist/Technologist | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-08-30 |
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| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013109842 | Atlantic Coast Neurosurgery Inc | Neurological Surgery | 2107 Rosalind Avenue, Roanoke, VA 24014 | 2007-08-15 |
| 1306917919 | James Michael Vascik | Neurological Surgery | 3243 Electric Rd, Suite 1-a, Roanoke, VA 24018-6440 | 2006-11-13 |
| 1346251469 | Edgar N Weaver Jr. | Neurological Surgery | 5304 Indian Grave Rd Sw, Suite A, Roanoke, VA 24018-9108 | 2006-08-11 |
| 1922093442 | Sander W Leivy | Neurological Surgery | 2766 Electric Rd, Suite A, Roanoke, VA 24018-3583 | 2005-09-12 |
| 1609160308 | Adeolu Olasunkanmi | Neurological Surgery | 2331 Franklin Rd Sw, Roanoke, VA 24014 | 2011-05-31 |
| 1831482264 | Weaver Neurosurgical Spine, PC | Neurological Surgery | 5304 Indian Grave Rd, Suite A, Roanoke, VA 24018-9100 | 2011-05-18 |
| 1679717433 | Michael Steven Sawvel | Neurological Surgery | 1030 S Jefferson St, Suite 106, Roanoke, VA 24016-4418 | 2009-04-23 |
| 1164670345 | Jonathan Edward Mcneal | Neurological Surgery | 1030 S Jefferson St Ste 106, Roanoke, VA 24016-4418 | 2008-08-30 |
| 1407016082 | Eric Marvin | Neurological Surgery | 1030 S Jefferson St, Roanoke, VA 24016-4418 | 2008-06-17 |
| 1801074661 | Gregory Allen Howes | Neurological Surgery | 2331 Franklin Rd Sw, Roanoke, VA 24014 | 2008-02-04 |
| 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.