CARILION MEDICAL CENTER (NPI# 1649423815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649423815 |
| Entity Type | Organization |
| Organization Name | CARILION MEDICAL CENTER |
| Other Organization Name | CARILION EMERGENCY PHYSICIANS |
| Practice Address |
1906 Belleview Ave Se Emergency Department Roanoke VA 24014-1838 |
| Mailing Address |
213 S Jefferson St Suite 625 Roanoke VA 24011-1705 |
| Practice Telephone | 5409817000 |
| Mailing Telephone | 5402245512 |
| Mailing Fax Number | 5402245507 |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2016-01-11 |
| Authorized Official Name | REBECCA H JOHNSON (DIRECTOR, REVENUE CYCLE MANAGEMENT) |
| Authorized Official Telephone | 5402245715 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE RAILROAD PIN | CJ6480 | 01 |
| Other Name | Type Code |
|---|---|
| Carilion Emergency Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780660233 | Carilion Medical Center | Rehabilitation Hospital | 101 Elm Ave Se Fl 7, Roanoke, VA 24013-2222 | 2005-12-16 |
| 1477546844 | Carilion Medical Center | Hospice Care, Community Based | 1917 Franklin Rd Sw, Suite B, Roanoke, VA 24014-1103 | 2005-08-31 |
| 1861017782 | Carilion Medical Center | Clinic/Center | 388 Ben Bolt Ave, Tazewell, VA 24651-5386 | 2020-06-16 |
| 1114399276 | Carilion Medical Center | Clinic/Center | 2017 Jefferson St Sw, Roanoke, VA 24014-2419 | 2015-10-28 |
| 1982908547 | Carilion Medical Center | Durable Medical Equipment & Medical Supplies | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2010-12-22 |
| 1073835567 | Carilion Medical Center | Family Medicine | 213 S Jefferson St, Suite 625, Roanoke, VA 24011-1705 | 2010-02-24 |
| 1851621130 | Carilion Medical Center | Durable Medical Equipment & Medical Supplies | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2010-01-08 |
| 1730302126 | Carilion Medical Center | Early Intervention Provider Agency | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2007-04-11 |
| 1649493032 | Carilion Medical Center | Early Intervention Provider Agency | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2007-04-11 |
| 1669695052 | Carilion Medical Center | Early Intervention Provider Agency | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2007-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CARILION MEDICAL CENTER | 2001 Crystal Spring, Roanoke, VA 24014-2462 |
| Virginia Business Entities | CARILION MEDICAL CENTER | 213 S Jefferson St Ste 1600, Roanoke, Virginia 24011-1725 |
| Street Address |
1906 BELLEVIEW AVE SE EMERGENCY DEPARTMENT |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-1838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053315796 | Lee Ann Speed | Registered Nurse | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2005-06-10 |
| 1114526605 | Kimberly Ann Ramsey | Clinical Nurse Specialist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-10-26 |
| 1578181285 | Sarah Lipps | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-09 |
| 1124646831 | Shannon Victoria Brown | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-09 |
| 1285252189 | Yang Zhao | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1932727831 | Jonathan Zalman | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1669090569 | Miranda Thomas | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1427676329 | Zachary Seth Stevenson | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1053939801 | Narmada Mannem | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| 1821616657 | Vanessa Pellegrino | Pharmacist | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-07-08 |
| Find all providers in the same location | ||||
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417211343 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 5610 Williamson Rd, Roanoke, VA 24012-1442 | 2012-06-26 |
| 1306004122 | Paul E. Stromberg | Emergency Medicine | 1906 Bellview Ave, Carilion Clinic Department of Emergency Medicine, Roanoke, VA 24014 | 2008-05-29 |
| 1699816975 | Scott James Crosby | Emergency Medicine | 1906 Belleview Ave., Carilion Clinic Emergency Department, Roanoke, VA 24014-1838 | 2007-02-09 |
| 1447353768 | David B Alligood | Emergency Medicine | 3960 Valley Gateway Blvd, Roanoke, VA 24012-6858 | 2006-09-06 |
| 1306855002 | Stephen Ausband | Emergency Medicine | Crmh 1 South, Roanoke, VA 24033-3367 | 2006-08-05 |
| 1629058169 | Aminidhan D Thakkar | Emergency Medicine | 1212 N Highway 377 Ste 119, Roanoke, TX 76262-6916 | 2006-01-19 |
| 1093717712 | Timothy John Fortuna | Emergency Medicine | 7017 Highfields Farm Trl, Roanoke, VA 24018-5633 | 2005-08-12 |
| 1932737293 | Bryce N Taylor | Emergency Medicine | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2020-03-31 |
| 1427569524 | Roanoke Physician Services, LLC | Emergency Medicine | 2706 Ogden Rd, Roanoke, VA 24018-0600 | 2017-10-16 |
| 1801328141 | Krista Kohler | Emergency Medicine | 1906 Belleview Ave Se, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014-1838 | 2017-03-28 |
| 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.