VIRGINIA PAIN & SPINE CENTER (NPI# 1801123328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801123328 |
| Entity Type | Organization |
| Organization Name | VIRGINIA PAIN & SPINE CENTER |
| Practice Address |
5372 Fallowater Ln Suite A Roanoke VA 24018-0907 |
| Practice Telephone | 5407257364 |
| Practice Fax Number | 5407257368 |
| Mailing Telephone | 5407257364 |
| Mailing Fax Number | 5407257368 |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |
| Authorized Official Name | DR. CHHEANY WALTER UNG (PRESIDENT) |
| Authorized Official Telephone | 7174182141 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
0101242119 | VA | Ambulatory Health Care Facilities |
| Street Address |
5372 FALLOWATER LN SUITE A |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-0907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326080466 | Joseph T Mason | Psychiatry & Neurology | 5372 Fallowater Ln, Ste. C, Roanoke, VA 24018-0907 | 2006-06-12 |
| 1659921369 | Bridgette Leigh Keene | Nurse Practitioner | 5372 Fallowater Ln, Roanoke, VA 24018-0907 | 2019-09-14 |
| 1194952291 | Virginia Pain Center Inc. | Anesthesiology | 5372 Fallowater Ln, Roanoke, VA 24018-0907 | 2009-06-16 |
| 1831345727 | Sabeen J. Riaz | Allergy & Immunology | 5372 Fallowater Ln, Ste. C, Roanoke, VA 24018-0907 | 2008-08-12 |
| 1033365192 | Reach Employee Assistance Program | Community/Behavioral Health | 5372 Fallowater Ln, Suite B, Roanoke, VA 24018-0907 | 2008-08-08 |
| 1750468666 | Comprehensive Pain Management Centers Inc. | Anesthesiology | 5372 Fallowater Ln, Suite A, Roanoke, VA 24018-0903 | 2006-11-01 |
| 1821172875 | Arun T Sun | Physician Assistant | 5372 Fallowater Ln, Roanoke, VA 24018-0903 | 2006-10-25 |
| 1669556627 | John T. Rhodes | Physician Assistant | 5372 Fallowater Ln, Roanoke, VA 24018-0903 | 2006-10-25 |
| 1225064512 | Gunasiri Samarasinghe | Anesthesiology | 5372 Fallowater Ln, Suitea, Roanoke, VA 24018-0903 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710173679 | Blue Ridge Physical Medicine | Clinic/Center | 4582 Franklin Rd Sw, Roanoke, VA 24014-5144 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633963 | Life Over Pain Neuropathy Center LLC | Clinic/Center | 11039 Hull Street Rd, Midlothian, VA 23112-3254 | 2020-06-16 |
| 1679089957 | Seoul Acupuncture Clinic LLC | Clinic/Center | 13880 Braddock Rd Ste 105, Centreville, VA 20121-2460 | 2017-12-21 |
| 1598910317 | Ace Care, LLC | Clinic/Center | 900 S Washington St Ste 303, Falls Church, VA 22046-4034 | 2008-11-20 |
| 1669656971 | Painrehab | Clinic/Center | 2823 Duke St, Alexandria, VA 22314-4512 | 2007-12-21 |
| 1639236284 | The Center for Pain Management | Clinic/Center | 3315 High Street, Portsmouth, VA 23707 | 2007-01-02 |
| 1023640349 | Ultimate Clinic LLC | Clinic/Center | 1437 Sams Dr Ste 122, Chesapeake, VA 23320-4587 | 2020-02-05 |
| 1407357072 | Four Seasons Acupuncture & Wellness | Clinic/Center | 11130 Fairfax Blvd Ste 204, Fairfax, VA 22030-5035 | 2018-02-28 |
| 1588112395 | Laura Elizabeth Dorsett | Clinic/Center | 6829 Elm St Ste 300, Mc Lean, VA 22101-3845 | 2016-09-21 |
| 1518317965 | Tyson's Pain Center, P.C. | Clinic/Center | 8133 Leesburg Pike, Suite 305, Vienna, VA 22182-2751 | 2016-06-16 |
| 1679985816 | Potomac Pain and Wellness Center Inc | Clinic/Center | 7535 Little River Tpke, Suite 100c, Annandale, VA 22003-2937 | 2014-05-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on VIRGINIA PAIN & SPINE CENTER.
| 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.