ROANOKE EAR NOSE & THROAT CLINIC


Address: 201 Mcclanahan St Sw, Roanoke, VA 24014-1709
Phone: 5403453556

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0201X Internal Medicine
Specialization: Allergy & Immunology
0101044826 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA ANTHEM 065839 01
VA RAILROAD MEDICARE CM5366 01

Office Location

Street Address 201 MCCLANAHAN ST SW
City ROANOKE
State VA
Zip Code 24014-1709

Providers in the same location

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

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
Find all providers in zip 24014

Taxonomy Information

Taxonomy Code 207RA0201X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Allergy & Immunology

Taxonomy Definition

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

Providers in the same taxonomy and state

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

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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