HEAD ADN NECK MEDICINE AND SURGERY (NPI# 1598848848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598848848 |
| Entity Type | Organization |
| Organization Name | HEAD ADN NECK MEDICINE AND SURGERY |
| Practice Address |
102 Highland Ave Se Suite 104 Roanoke VA 24013-2256 |
| Practice Telephone | 5403434423 |
| Practice Fax Number | 5403430495 |
| Mailing Telephone | 5403434423 |
| Mailing Fax Number | 5403430495 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WILLIAM J DICHTEL (SECRETARY) |
| Authorized Official Telephone | 5403434423 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 0101040423 | VA | Other Service Providers |
| Street Address |
102 HIGHLAND AVE SE SUITE 104 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24013-2256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880408 | Kurt Y. Chen | Specialist | 102 Highland Ave Se, Ste 104, Roanoke, VA 24013-2255 | 2005-06-09 |
| 1235383555 | Vanessa Lee Hedge | Nurse Practitioner | 102 Highland Ave Se, Suite 301, Roanoke, VA 24013-2256 | 2008-11-13 |
| 1790945319 | Christopher Andrew Rippel | Urology | 102 Highland Ave Se, Suite 105, Roanoke, VA 24013-2256 | 2008-06-17 |
| 1619167319 | John Scott Repass Sr. | Dentist | 102 Highland Ave Se, 301 Community Medical Bldg, Roanoke, VA 24013-2253 | 2007-07-29 |
| 1992904353 | Valley Ob/gyn, PC | Exclusive Provider Organization | 102 Highland Ave Se, Ste. 304, Roanoke, VA 24013-2256 | 2007-07-16 |
| 1609098219 | Emily Ann Evans-hoeker | Obstetrics & Gynecology | 102 Highland Ave Se, Suite 304, Roanoke, VA 24013-2256 | 2007-05-03 |
| 1992832703 | Lillian B Beahm | Audiologist | 102 Highland Ave Se, Roanoke, VA 24013-2256 | 2007-02-28 |
| 1275682098 | Debbie K Cline | Nurse Practitioner | 102 Highland Ave Se, Suite 303, Roanoke, VA 24013-2256 | 2007-01-10 |
| 1811065725 | Isaiah Micah Johnson | Obstetrics & Gynecology | 102 Highland Ave Se, Suite 303, Roanoke, VA 24013-2256 | 2006-11-30 |
| 1982794970 | Urology Associates, Ltd | Specialist | 102 Highland Ave Se, Suite 105, Roanoke, VA 24013-2256 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114091485 | Amy Barker | Registered Nurse | 102 Highland Ave Se Ste 203, Roanoke, VA 24013 | 2006-11-20 |
| 1992888432 | Valley Home Health Care LLC | Durable Medical Equipment & Medical Supplies | 1212 Campbell Ave Se, Roanoke, VA 24013 | 2006-10-20 |
| 1245325786 | Travis Pg Barham | Dentist | 101 Elm Ave, Roanoke, VA 24013 | 2006-10-03 |
| 1801251806 | Emily Lawson Bennett | Nurse Practitioner | 101 Elm Ave Se, Roanoke, VA 24013 | 2015-12-18 |
| 1629455936 | Mebratu Daba | Pediatrics | 102 Highland Ave Se Ste 104, Roanoke, VA 24013 | 2015-05-06 |
| 1720475296 | Hussein Elmufti | Pediatrics | 102 Highland Ave Se Ste 455, Roanoke, VA 24013 | 2015-04-22 |
| 1861467847 | Kilian H. Brech II | Pediatrics | 21 Highland Ave Se Ste 100, Roanoke, VA 24013 | 2006-02-22 |
| 1114545928 | Raven Matthews | Emergency Medicine | 213 18th St Se, Roanoke, VA 24013-1311 | 2020-07-08 |
| 1356557102 | Sandra Elaine Sayre | Nurse Practitioner | 402 4th St Se, Roanoke, VA 24013-1404 | 2007-05-15 |
| 1982041000 | Family Preservation Services, Inc. | Community/Behavioral Health | 825 Stewart Ave Se, Roanoke, VA 24013-1443 | 2013-05-30 |
| Find all providers in zip 24013 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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|---|---|---|---|---|
| 1427682319 | Diana Alejandra Rojas | Specialist | 509 E Byron Nelson Blvd Ste C, Roanoke, TX 76262-6183 | 2020-02-28 |
| 1013473081 | Whitney Matheson | Specialist | 6803 Dallas Rd, Roanoke, VA 24019-2310 | 2019-02-14 |
| 1033681036 | Stacey Caputo | Specialist | 2149 Electric Rd Ste 3, Roanoke, VA 24018-1975 | 2019-01-02 |
| 1326468646 | Kimberly Covell Mcinnis | Specialist | 5649 Meadowcrest St, Roanoke, VA 24019-4833 | 2014-04-25 |
| 1407192735 | Virginia Interventional Pain & Spine Center, Inc. | Specialist | 3800 Electric Rd Ste 307, Roanoke, VA 24018-4568 | 2012-12-13 |
| 1699952424 | Chrissy Lee Mcconnaughy | Specialist | 1809 Sheffield Rd Sw, Roanoke, VA 24015-3021 | 2008-01-23 |
| 1497957419 | Gill Memorial Ent Clinic, PC | Specialist | 707 S Jefferson St Fl 5, Roanoke, VA 24016-5100 | 2007-06-01 |
| 1639390644 | Junius Ellett Crowgey | Specialist | 3814 Belle Aire Cir Sw, Roanoke, VA 24018-1251 | 2007-05-01 |
| 1558586776 | Wayne Starr Miller | Specialist | 7735 E Manitou Trl-92, Roanoke, IN 46783-9203 | 2007-04-14 |
| 1508927021 | Darrell Franklin Powledge | Specialist | 512 Mcdowell Ave., Ne, Suite B, Roanoke, VA 24016 | 2006-12-12 |
| 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.