ROANOKE EAR NOSE & THROAT CLINIC (NPI# 1609895267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609895267 |
Entity Type | Organization |
Organization Name | ROANOKE EAR NOSE & THROAT CLINIC |
Practice Address |
201 Mcclanahan St Sw Roanoke VA 24014-1709 |
Mailing Address |
Po Box 8788 Roanoke VA 24014-0736 |
Practice Telephone | 5403453556 |
Practice Fax Number | 5403422193 |
Mailing Telephone | 5403453556 |
Mailing Fax Number | 5403422193 |
Enumeration Date | 2006-07-18 |
Last Update Date | 2020-08-22 |
Authorized Official Name | GEOFFREY T HARTER (PRESIDENT) |
Authorized Official Telephone | 5403453556 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0201X |
Internal Medicine Specialization: Allergy & Immunology |
0101044826 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | ANTHEM | 065839 | 01 |
VA | RAILROAD MEDICARE | CM5366 | 01 |
Street Address |
201 MCCLANAHAN ST SW |
City | ROANOKE |
State | VA |
Zip Code | 24014-1709 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841223302 | Roanoke Ear Nose & Throat Clinic Inc | Otolaryngology | 201 Mcclanahan St Sw, Roanoke, VA 24014-1709 | 2006-07-08 |
1093856023 | John F. Schmedtje Jr. | Internal Medicine | 201 Mcclanahan St Sw, Roanoke, VA 24014-1709 | 2007-02-11 |
1629119656 | Roanoke Heart Institute Plc | Internal Medicine | 201 Mcclanahan St Sw, Roanoke, VA 24014-1709 | 2007-02-11 |
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 | 207RA0201X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Allergy & Immunology |
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265493365 | Robert C Radin | Internal Medicine | 3386 Holland Rd, Suite 202, Virginia Beach, VA 23452-4818 | 2006-03-29 |
1144202367 | Peter Frederic Hoffman | Internal Medicine | 34804 Williams Gap Rd, Round Hill, VA 20141-2214 | 2005-11-15 |
1184850281 | Deepthi Gadde | Internal Medicine | 493 Blackwell Rd Ste 305, Warrenton, VA 20186-2628 | 2009-06-03 |
1467613646 | Brant R. Ward | Internal Medicine | 1250 E Marshall St, Dept. of Internal Medicine/rheumatology, Richmond, VA 23298-5051 | 2008-06-20 |
1689854788 | Virginia Center for Allergy and Asthma Inc. | Internal Medicine | 2296 Opitz Blvd, Unit 401, Woodbridge, VA 22191-3347 | 2007-11-07 |
1407052756 | Monica G. Lawrence | Internal Medicine | 2955 Ivy Rd, Suite 311, Charlottesville, VA 22903-9353 | 2007-06-25 |
1346457561 | Beth Rubinstein | Internal Medicine | 1250 E Marshall St, Internal Med Allergy Rheumatology, Richmond, VA 23298-5051 | 2007-05-17 |
1548381866 | Timothy T. Kyin | Internal Medicine | 2955 Ivy Rd, Ste 311, Charlottesville, VA 22903-9353 | 2007-04-03 |
1730234832 | Karen Beth Kaufman | Internal Medicine | 4660 Kenmore Ave Ste 900, Alexandria, VA 22304-1383 | 2007-01-25 |
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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.