SOUTHWEST VIRGINIA NEPHROLOGY MEDICINE, PC (NPI# 1568855427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568855427 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST VIRGINIA NEPHROLOGY MEDICINE, PC |
| Practice Address |
4806 Pleasant Hill Dr Suite 102 Roanoke VA 24018-3441 |
| Mailing Address |
4806 Pleasant Hill Dr Ste 102 Roanoke VA 24018-3440 |
| Practice Telephone | 5409045366 |
| Practice Fax Number | 5409045598 |
| Mailing Telephone | 5409045366 |
| Mailing Fax Number | 5409045598 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2020-06-13 |
| Authorized Official Name | FLETCHER G MATTHEWS (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 5409045366 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
101226961 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
4806 PLEASANT HILL DR SUITE 102 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-3441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437157633 | Fletcher G Matthews | Internal Medicine | 4806 Pleasant Hill Dr, Suite 102, Roanoke, VA 24018-3441 | 2005-07-12 |
| 1538459219 | Center for Advanced Lipid Management | Clinic/Center | 4806 Pleasant Hill Dr, Suite 201, Roanoke, VA 24018-3441 | 2011-04-14 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316416522 | Southwest Virginia Nephrology LLC | Internal Medicine | 4806 Pleasant Hill Dr Ste 102, Roanoke, VA 24018-3440 | 2018-11-16 |
| 1518918648 | Ryan Dale Evans | Internal Medicine | 2030 Stephenson Ave Sw, Roanoke, VA 24014-1664 | 2006-05-13 |
| 1437157633 | Fletcher G Matthews | Internal Medicine | 4806 Pleasant Hill Dr, Suite 102, Roanoke, VA 24018-3441 | 2005-07-12 |
| 1871988386 | Dennis Hu | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2015-04-01 |
| 1750526075 | Rebecca D Hughes | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2008-12-16 |
| 1053436923 | Rebin Thomas Titus | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014 | 2007-03-20 |
| 1265489504 | Shahram Ahmadzadeh | Internal Medicine | 2030 Stephenson Ave Sw, Roanoke, VA 24014-1664 | 2006-05-30 |
| 1114983681 | Debra C. Dooley | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2006-04-25 |
| 1568447704 | Vicky Kelley | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2005-12-09 |
| 1528042199 | Kathy M Cavanaugh | Internal Medicine | 2602 Franklin Rd Sw, Roanoke, VA 24014-1010 | 2005-12-06 |
| 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.