WEAVER NEUROSURGICAL SPINE, PC (NPI# 1831482264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831482264 |
| Entity Type | Organization |
| Organization Name | WEAVER NEUROSURGICAL SPINE, PC |
| Practice Address |
5304 Indian Grave Rd Suite A Roanoke VA 24018-9100 |
| Practice Telephone | 5407727107 |
| Practice Fax Number | 5407727858 |
| Mailing Telephone | 5407727107 |
| Mailing Fax Number | 5407727858 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |
| Authorized Official Name | EDGAR NEWMAN WEAVER JR. (PRESIDENT) |
| Authorized Official Telephone | 5407727107 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 0101033189 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 6196705 | 05 |
| Street Address |
5304 INDIAN GRAVE RD SUITE A |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-9100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457337974 | Stephen Couture | Internal Medicine | 5304 Indian Grave Rd, Roanoke, VA 24018-9100 | 2005-12-16 |
| 1225402142 | Laboratory Corporation of Americ Holdings | Clinical Medical Laboratory | 5304 Indian Grave Rd, Suite L, Roanoke, VA 24018-9100 | 2015-11-16 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013109842 | Atlantic Coast Neurosurgery Inc | Neurological Surgery | 2107 Rosalind Avenue, Roanoke, VA 24014 | 2007-08-15 |
| 1306917919 | James Michael Vascik | Neurological Surgery | 3243 Electric Rd, Suite 1-a, Roanoke, VA 24018-6440 | 2006-11-13 |
| 1346251469 | Edgar N Weaver Jr. | Neurological Surgery | 5304 Indian Grave Rd Sw, Suite A, Roanoke, VA 24018-9108 | 2006-08-11 |
| 1922093442 | Sander W Leivy | Neurological Surgery | 2766 Electric Rd, Suite A, Roanoke, VA 24018-3583 | 2005-09-12 |
| 1609160308 | Adeolu Olasunkanmi | Neurological Surgery | 2331 Franklin Rd Sw, Roanoke, VA 24014 | 2011-05-31 |
| 1558682112 | John J Entwistle | Neurological Surgery | 2331 Franklin Rd Sw, Roanoke, VA 24014 | 2010-06-17 |
| 1679717433 | Michael Steven Sawvel | Neurological Surgery | 1030 S Jefferson St, Suite 106, Roanoke, VA 24016-4418 | 2009-04-23 |
| 1164670345 | Jonathan Edward Mcneal | Neurological Surgery | 1030 S Jefferson St Ste 106, Roanoke, VA 24016-4418 | 2008-08-30 |
| 1407016082 | Eric Marvin | Neurological Surgery | 1030 S Jefferson St, Roanoke, VA 24016-4418 | 2008-06-17 |
| 1801074661 | Gregory Allen Howes | Neurological Surgery | 2331 Franklin Rd Sw, Roanoke, VA 24014 | 2008-02-04 |
| 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.