DR. CASSANDRA MIERISCH (NPI# 1760672489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760672489 |
| Entity Type | Individual |
| Full Name | DR. CASSANDRA MIERISCH |
| Other Name | DR. CASSANDRA ROBERTSON |
| Credential | M. D. |
| Practice Address |
2331 Franklin Rd Sw Roanoke VA 24014-1111 |
| Practice Telephone | 5407251226 |
| Practice Fax Number | 5408575306 |
| Mailing Telephone | 5407251226 |
| Mailing Fax Number | 5408575306 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2016-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 0101242071 | VA | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
0101242071 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | VIRGINIA PREMIER | 1760672489 | 01 |
| VA | CIGNA | 1760672489 | 01 |
| VA | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY | 1760672489 | 01 |
| VA | ANTHEM | 1760672489 | 01 |
| VA | HUMANA MEDICARE | 1760672489 | 01 |
| VA | UNITED HEALTHCARE | 1760672489 | 01 |
| VA | TRICARE | 540506332004 | 01 |
| VA | HEALTHKEEPERS | 1760672489 | 01 |
| VA | GATEWAY | 1760672489 | 01 |
| VA | VIRGINIA HEALTH NETWORK | 1760672489 | 01 |
| VA | HEALTHKEEPERS PLUS | 1760672489 | 01 |
| VA | INTOTAL | 1760672489 | 01 |
| VA | RAILROAD MEDICARE | P00450222 | 01 |
| VA | OPTIMA HEALTH PLAN | 1760672489 | 01 |
| VA | MEDICAID OF NORTH CAROLINA | 761760 | 01 |
| VA | AETNA | 1760672489 | 01 |
| VA | BLACK LUNG | 371194700 | 01 |
| VA | UMWA | 1760672489 | 01 |
| VA | MEDICAID OF WVA | 3810010540 | 01 |
| VA | 1760672489 | 05 |
| Street Address |
2331 FRANKLIN RD SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-1111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134113335 | Daniel P Moore | Physical Medicine & Rehabilitation | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2005-09-02 |
| 1639717093 | Quin Sweeney | Nurse Practitioner | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2019-12-17 |
| 1518522952 | Kelsey Mcwey | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2019-05-01 |
| 1275041527 | Jennifer Caroline Dudley | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-19 |
| 1801304407 | Tyler Bryce Kemp | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-17 |
| 1508374232 | Hope Anna Marie Poetker | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2018-01-16 |
| 1730695990 | Tabitha Saunders | Specialist/Technologist | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-12-22 |
| 1730692591 | Eric Olsen | Physician Assistant | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-11-14 |
| 1205345097 | Kathryn Sandifer | Nurse Practitioner | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-09-25 |
| 1841718871 | Brooke Ellyn Martin | Specialist/Technologist | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2017-08-30 |
| 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 | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790759645 | Cesar Jose' Bravo | Orthopaedic Surgery | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2006-02-16 |
| 1992775217 | Linda T Kirilenko | Orthopaedic Surgery | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2006-01-26 |
| 1891772257 | Hugh Johnson Hagan IIi | Orthopaedic Surgery | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225456684 | Jillian Megan Mclaughlin | Orthopaedic Surgery | 1200 E Broad St # 980153, Richmond, VA 23298-5058 | 2014-04-02 |
| 1962519595 | Stephen Jacob Leibovic | Orthopaedic Surgery | 2819 N Parham Rd, Suite 100, Richmond, VA 23294-4425 | 2006-08-23 |
| 1952348252 | Caroline Rogers Triepel | Orthopaedic Surgery | 5716 Cleveland St, Suite 210, Virginia Beach, VA 23462-1784 | 2006-06-02 |
| 1184627820 | Carl B Weiss | Orthopaedic Surgery | 8220 Meadowbridge Rd, Suite 303, Mechanicsville, VA 23116-2336 | 2005-05-26 |
| 1700220852 | James C Kyriakedes | Orthopaedic Surgery | 12200 Warwick Blvd Ste 310, Newport News, VA 23601 | 2013-04-19 |
| 1194067280 | Wayne Alan Chen | Orthopaedic Surgery | 1849 Old Donation Pkwy, Virginia Beach, VA 23454 | 2013-03-27 |
| 1265795249 | William F Zimmerman | Orthopaedic Surgery | 501 Park Hill Dr, Fredericksburg, VA 22401-3377 | 2012-06-24 |
| 1447541719 | Megan E Friend | Orthopaedic Surgery | 8644 Sudley Rd Ste 308, Manassas, VA 20110-4425 | 2011-04-21 |
| 1659661452 | Morgan Marie Swanstrom | Orthopaedic Surgery | 8200 Meadowbridge Rd Ste 200, Mechanicsville, VA 23116-2337 | 2011-04-13 |
| 1164664173 | Michael Quinn Potter | Orthopaedic Surgery | 3263 Proffit Rd, Suite 202, Charlottesville, VA 22911-5639 | 2009-04-06 |
| Find all providers with the same taxonomy | ||||
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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.