CARILION MEDICAL CENTER (NPI# 1669695052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669695052 |
| Entity Type | Organization |
| Organization Name | CARILION MEDICAL CENTER |
| Other Organization Name | CMC PEDIATRIC CLINIC SPEECH EI |
| Practice Address |
101 Elm Ave Se Roanoke VA 24013-2222 |
| Mailing Address |
Po Box 13966 Roanoke VA 24038-3966 |
| Practice Telephone | 5409817000 |
| Mailing Telephone | 5409817000 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2016-08-10 |
| Authorized Official Name | MR. CHRISTOPHER S BROWN (DIRECTOR, PATIENT ACCOUNTING) |
| Authorized Official Telephone | 5402245405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4900243 | 05 | |
| VA | ANTHEM SPEECH EI | 185024 | 01 |
| Other Name | Type Code |
|---|---|
| CMC Pediatric Clinic Speech EI | Other Name - Individual/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 |
| 1649423815 | Carilion Medical Center | Family Medicine | 1906 Belleview Ave Se, Emergency Department, Roanoke, VA 24014-1838 | 2008-10-31 |
| 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 |
| 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 |
101 ELM AVE SE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24013-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295734226 | Forrest Lee Tucker | Pathology | 101 Elm Ave Se, Administrative Suite, Roanoke, VA 24013-2222 | 2005-07-20 |
| 1215549969 | Andrew Valente | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-08-22 |
| 1063039733 | Kaleb Wesley Lambert | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1275150948 | Andrew Lee Judy | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1306463906 | Christopher J Pucci | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-06-29 |
| 1639705213 | Kate Yates | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-16 |
| 1528694262 | Emily Guill | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-13 |
| 1649806399 | Megan Silber | Physical Medicine & Rehabilitation | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2020-03-13 |
| 1053972190 | Maria Iftikhar | Physician Assistant | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2019-06-27 |
| 1841858883 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 101 Elm Ave Se, Roanoke, VA 24013-2222 | 2019-06-04 |
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| 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 |
| 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 |
| 1922552512 | Kuumba Community Health & Wellness, Inc. | Clinic/Center | 321 Tazewell Ave Se, Roanoke, VA 24013-1445 | 2016-08-11 |
| Find all providers in zip 24013 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336658046 | Bonnie F Dayton | Early Intervention Provider Agency | 610 Mountain Ave Sw, Roanoke, VA 24016-3838 | 2017-09-26 |
| 1952828329 | Lisa Nielsen | Early Intervention Provider Agency | 2112 Maiden Lane Sw, Roanoke, VA 24015 | 2017-08-27 |
| 1235499971 | Wordplay Speech-language Therapy, Inc. | Early Intervention Provider Agency | 2255 Grandin Rd Sw, Roanoke, VA 24015-3529 | 2012-05-28 |
| 1992039499 | Commonwealth of Virginia State Board of Health | Early Intervention Provider Agency | 1502 Williamson Rd Ne, 2nd Floor, Roanoke, VA 24012-5130 | 2009-09-30 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253852 | Morina M Lamb | Early Intervention Provider Agency | 43 Sam St, Mcgaheysville, VA 22840-9230 | 2020-10-18 |
| 1578195590 | Salatino Nutrition, LLC | Early Intervention Provider Agency | 9331 Crestfield Dr, Mechanicsville, VA 23116-2923 | 2020-02-07 |
| 1568929511 | Commonwealth Therapy Company LLC | Early Intervention Provider Agency | 5133 Gardner Dr, Alexandria, VA 22304-7734 | 2019-02-26 |
| 1699239574 | Lori Floyd | Early Intervention Provider Agency | 16885 Martinsville Hwy, Axton, VA 24054-1929 | 2019-01-25 |
| 1184198764 | Colleen Cassidy | Early Intervention Provider Agency | 4326 Duke St, Alexandria, VA 22304-2528 | 2019-01-16 |
| 1518467133 | City of Hampton | Early Intervention Provider Agency | 100 Old Hampton Lane, Suite 200, Hampton, VA 23669-4096 | 2018-02-20 |
| 1184135212 | Star Specialized Therapies and Rehabilitation, LLC | Early Intervention Provider Agency | 100 N Irving St, Arlington, VA 22201-1048 | 2017-10-16 |
| 1386153955 | Theresa Christian | Early Intervention Provider Agency | 4924 Merlin Ln, Glen Allen, VA 23060-4917 | 2017-09-26 |
| 1790224038 | Thought Center | Early Intervention Provider Agency | 325 Hill Carter Pkwy, Ashland, VA 23005-2317 | 2017-02-20 |
| 1114465309 | Reaching Potentials Va, LLC | Early Intervention Provider Agency | 10707 Spotsylvania Avenue, Suite 101, Fredericksburg, VA 22408-2682 | 2017-02-07 |
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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.