| Mr James Caleb Runyon, APRN | |
| 
					3 Riverside Cir, Roanoke, VA 24016-4955  | |
| (540) 224-5170 | |
| Not Available | 
| Full Name | Mr James Caleb Runyon | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 3 Riverside Cir, Roanoke, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1710721402 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001324781 (Virginia) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 0024190668 (Virginia) | Primary | 
| Entity Name | New River Dermatology Plc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1467534248 PECOS PAC ID: 7416936570 Enrollment ID: O20040714000580  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr James Caleb Runyon, APRN 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: () -  | Mr James Caleb Runyon, APRN 3 Riverside Cir, Roanoke, VA 24016-4955 Ph: (540) 224-5170  | 
Mrs. Modupe Oluwaseyi Jolaoso White, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212  | |
Dr. Gwendolyn Williams Spangler, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 Campbell Ave Sw, Roanoke, VA 24016 Phone: 540-400-7431  | |
Ashlyn Brooke Conrad,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000  | |
Brandlene Leigh Ratcliffe,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5372 Fallowater Ln, Roanoke, VA 24018 Phone: 540-283-6000  | |
Victoria Shelly, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6415 Peters Creek Rd, Roanoke, VA 24019 Phone: 540-265-5500  | |
Beverly Ann Jones, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014 Phone: 540-853-0100 Fax: 540-342-9308  | |
Rosemary Anne Zaucha, MSN, MA, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 Fax: 540-981-8429  |