DR. JOHN J ENTWISTLE


Address: 2331 Franklin Rd Sw, Roanoke, VA 24014
Phone: 5402245170

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207T00000X Neurological Surgery 0102205179 VA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
800 Prudential Dr, Tower B 11th Floor, Jacksonville, FL 322078202 9043886518 9043841005

Other Providers JOHN ENTWISTLE

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

Office Location

Street Address 2331 FRANKLIN RD SW
City ROANOKE
State VA
Zip Code 24014

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207T00000X
Grouping Allopathic & Osteopathic Physicians
Classification Neurological Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City ROANOKE
Zip Code 24014

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Dataset Information

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.

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