| Carilion Medical Center | |
|
1906 Belleview Ave Se Emergency Department Roanoke VA 24014-1838 | |
| (540) 981-7000 | |
| Not Available |
| Full Name | Carilion Medical Center |
|---|---|
| Speciality | Emergency Medicine |
| Location | 1906 Belleview Ave Se, Roanoke, Virginia |
| Authorized Official Name and Position | Nicole Grisetti (DIRECTOR OF OPERATIONAL SUPPORT) |
| Authorized Official Contact | 5402245352 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carilion Medical Center 213 S Jefferson St Ste 1006 Roanoke VA 24011-1713 Ph: (540) 224-5512 | Carilion Medical Center 1906 Belleview Ave Se Emergency Department Roanoke VA 24014-1838 Ph: (540) 981-7000 |
| NPI Number | 1649423815 |
|---|---|
| Provider Enumeration Date | 10/31/2008 |
| Last Update Date | 05/22/2023 |
| Medicare PECOS PAC ID | 9830096585 |
|---|---|
| Medicare Enrollment ID | O20090320000373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649423815 | NPI | - | NPPES |
| CJ6480 | Other | VA | MEDICARE RAILROAD PIN |
| Provider Name | Robert M Dums |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134102619 PECOS PAC ID: 5395643167 Enrollment ID: I20031230000785 |
| Provider Name | Reed R Lambert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376525089 PECOS PAC ID: 0042119844 Enrollment ID: I20031231000137 |
| Provider Name | Douglas S Hayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528040060 PECOS PAC ID: 5597668566 Enrollment ID: I20040128000500 |
| Provider Name | Michael D Rorrer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518036664 PECOS PAC ID: 8123921970 Enrollment ID: I20040129000232 |
| Provider Name | Kevin E Broyles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073555348 PECOS PAC ID: 7315838927 Enrollment ID: I20040323001018 |
| Provider Name | Robert C Barksdale |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467497404 PECOS PAC ID: 6608862362 Enrollment ID: I20040420001798 |
| Provider Name | Paul A Haskins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477656627 PECOS PAC ID: 3375539935 Enrollment ID: I20040421000579 |
| Provider Name | Michael L Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922050913 PECOS PAC ID: 2062306814 Enrollment ID: I20040427000580 |
| Provider Name | Cristina W Trout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669453734 PECOS PAC ID: 5193713675 Enrollment ID: I20040504000302 |
| Provider Name | Stephen J Kellam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689659930 PECOS PAC ID: 3072591510 Enrollment ID: I20040710000243 |
| Provider Name | Christopher Paul Mertes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215928585 PECOS PAC ID: 6709773484 Enrollment ID: I20050831000828 |
| Provider Name | Robert J Glenney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841238086 PECOS PAC ID: 5799718011 Enrollment ID: I20050915001183 |
| Provider Name | Karol L Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407836000 PECOS PAC ID: 4789604794 Enrollment ID: I20051205000656 |
| Provider Name | Deetta J Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265539068 PECOS PAC ID: 9133139215 Enrollment ID: I20060503000773 |
| Provider Name | Andrew M B Cook |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902852700 PECOS PAC ID: 7719990258 Enrollment ID: I20060728000196 |
| Provider Name | Thomas F Knisely |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447286265 PECOS PAC ID: 7012916653 Enrollment ID: I20061209000011 |
| Provider Name | Karen Nolan Kuehl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518993179 PECOS PAC ID: 0042283699 Enrollment ID: I20070302000083 |
| Provider Name | Damon Kuehl |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215957782 PECOS PAC ID: 0840261145 Enrollment ID: I20070319000125 |
| Provider Name | Laura H Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366532368 PECOS PAC ID: 3577666155 Enrollment ID: I20070320000420 |
| Provider Name | Jeffrey E Goode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255547071 PECOS PAC ID: 8921108556 Enrollment ID: I20070712000156 |
| Provider Name | Lisa A Uherick |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235180993 PECOS PAC ID: 3173586732 Enrollment ID: I20070717000136 |
| Provider Name | Alicia S Devine |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1316160633 PECOS PAC ID: 9436242815 Enrollment ID: I20070830000096 |
| Provider Name | Stephen Ausband |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306855002 PECOS PAC ID: 1850484411 Enrollment ID: I20070912000642 |
| Provider Name | Robert E Salters |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619028610 PECOS PAC ID: 4284729856 Enrollment ID: I20070927000937 |
| Provider Name | Kimberly L Abel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447453980 PECOS PAC ID: 1254427891 Enrollment ID: I20071012000439 |
| Provider Name | Ethan R Freeborn |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336338656 PECOS PAC ID: 4688754757 Enrollment ID: I20071231000574 |
| Provider Name | Electra C Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588681118 PECOS PAC ID: 9234038134 Enrollment ID: I20080201000223 |
| Provider Name | Lorrie A Saville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780879650 PECOS PAC ID: 2567547623 Enrollment ID: I20080313000188 |
| Provider Name | Kevin S Combs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164614079 PECOS PAC ID: 0547330631 Enrollment ID: I20080602000181 |
| Provider Name | Michael Patrick Jeremiah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508855727 PECOS PAC ID: 3678647336 Enrollment ID: I20080730000263 |
| Provider Name | William B Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487623583 PECOS PAC ID: 8527969450 Enrollment ID: I20080819000694 |
| Provider Name | Melanie Krzyston Prusakowski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689699712 PECOS PAC ID: 8921004581 Enrollment ID: I20080920000161 |
| Provider Name | Christine Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598980013 PECOS PAC ID: 2163517020 Enrollment ID: I20080927000205 |
| Provider Name | Wesley Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962628552 PECOS PAC ID: 8820183791 Enrollment ID: I20081028000183 |
| Provider Name | Vanessa Lee Hedge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235383555 PECOS PAC ID: 1254494032 Enrollment ID: I20090106000570 |
| Provider Name | Benjamin M Philpott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053364455 PECOS PAC ID: 0749347698 Enrollment ID: I20090320000580 |
| Provider Name | Michael S Szilagyi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518049709 PECOS PAC ID: 7315004181 Enrollment ID: I20090323000176 |
| Provider Name | Charles J Lane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134186760 PECOS PAC ID: 2668428855 Enrollment ID: I20090324000217 |
| Provider Name | Kerry Alexander Powell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427027838 PECOS PAC ID: 3173680915 Enrollment ID: I20090324000294 |
| Provider Name | Michael T Moran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942397963 PECOS PAC ID: 4587718804 Enrollment ID: I20090820000218 |
| Provider Name | Julie R King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164652004 PECOS PAC ID: 3577619923 Enrollment ID: I20090925000504 |
| Provider Name | John H Burton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528080017 PECOS PAC ID: 9133157787 Enrollment ID: I20100628000827 |
| Provider Name | Craig Lewis Bookout |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962487223 PECOS PAC ID: 3779672704 Enrollment ID: I20100827000100 |
| Provider Name | Sarah Klemencic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275722514 PECOS PAC ID: 9931225323 Enrollment ID: I20100922001018 |
| Provider Name | Keel E Coleman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780882365 PECOS PAC ID: 3678699980 Enrollment ID: I20100923001304 |
| Provider Name | Timothy Fortuna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093717712 PECOS PAC ID: 3971653767 Enrollment ID: I20101202000814 |
| Provider Name | Janet E.s. Young |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619058575 PECOS PAC ID: 9739214966 Enrollment ID: I20110509000070 |
| Provider Name | Matthew P Borloz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093974768 PECOS PAC ID: 9133307408 Enrollment ID: I20110711000350 |
| Provider Name | Elizabeth Saum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932497674 PECOS PAC ID: 9234308271 Enrollment ID: I20110809000629 |
| Provider Name | Eric K Stanley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1285892026 PECOS PAC ID: 9830369115 Enrollment ID: I20110823001081 |
| Provider Name | Paul Stromberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306004122 PECOS PAC ID: 1153592274 Enrollment ID: I20110921000870 |
| Provider Name | Audrey P Chen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346529252 PECOS PAC ID: 6103099783 Enrollment ID: I20111026000536 |
| Provider Name | Anna P Littleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093023426 PECOS PAC ID: 7719166222 Enrollment ID: I20120208000626 |
| Provider Name | Michelle T Marks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295097996 PECOS PAC ID: 3173779261 Enrollment ID: I20120806000214 |
| Provider Name | Karen Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063440501 PECOS PAC ID: 5890790844 Enrollment ID: I20120927000312 |
| Provider Name | John C Perkins |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841357860 PECOS PAC ID: 2567556327 Enrollment ID: I20121016000426 |
| Provider Name | Thomas H Moss |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083698187 PECOS PAC ID: 0244128080 Enrollment ID: I20121109000521 |
| Provider Name | Khalief E Hamden |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740592005 PECOS PAC ID: 4981841475 Enrollment ID: I20130807000746 |
| Provider Name | Courtney K Rocovich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366775496 PECOS PAC ID: 6901048099 Enrollment ID: I20130820001014 |
| Provider Name | Ikenna Nzeogu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821068420 PECOS PAC ID: 0941110613 Enrollment ID: I20130905000964 |
| Provider Name | Caroline Hollis Cox |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699909218 PECOS PAC ID: 0941460182 Enrollment ID: I20130910000383 |
| Provider Name | Alison Lepera |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154641314 PECOS PAC ID: 6406091685 Enrollment ID: I20130910000672 |
| Provider Name | Stephanie Ann Lareau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063654879 PECOS PAC ID: 8123205812 Enrollment ID: I20130910000868 |
| Provider Name | Michelle E Clinton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982831442 PECOS PAC ID: 7113173972 Enrollment ID: I20130910000981 |
| Provider Name | Alison Hester |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1740589217 PECOS PAC ID: 9436392271 Enrollment ID: I20140310001420 |
| Provider Name | Megan N Forster-hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467751651 PECOS PAC ID: 9133362957 Enrollment ID: I20140821002884 |
| Provider Name | Betina Nakoda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528474376 PECOS PAC ID: 4183843667 Enrollment ID: I20140916000020 |
| Provider Name | Rebekah Mckelvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730594417 PECOS PAC ID: 2062631583 Enrollment ID: I20140916001629 |
| Provider Name | Brandi L Tomlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861792400 PECOS PAC ID: 6901089044 Enrollment ID: I20141104000789 |
| Provider Name | Brian J Meier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861750812 PECOS PAC ID: 8123261690 Enrollment ID: I20141202000074 |
| Provider Name | Hayley H Rose-inman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053678797 PECOS PAC ID: 1951620921 Enrollment ID: I20150425000341 |
| Provider Name | Matthew S Burton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811262215 PECOS PAC ID: 7618110107 Enrollment ID: I20150714001339 |
| Provider Name | Clay W Tingle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508002833 PECOS PAC ID: 1951614312 Enrollment ID: I20150715000205 |
| Provider Name | Wendy L Woolley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891710281 PECOS PAC ID: 2466558515 Enrollment ID: I20150914003118 |
| Provider Name | Sheila S Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831118678 PECOS PAC ID: 4981505609 Enrollment ID: I20151110002487 |
| Provider Name | Lindsey N Caley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790928141 PECOS PAC ID: 4789822479 Enrollment ID: I20151113002189 |
| Provider Name | Christopher G Cline |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265875785 PECOS PAC ID: 8325274855 Enrollment ID: I20160119000686 |
| Provider Name | Keri Lynn Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407216831 PECOS PAC ID: 1153629787 Enrollment ID: I20160415000812 |
| Provider Name | Michael L Bailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1760827323 PECOS PAC ID: 8022258276 Enrollment ID: I20160510000999 |
| Provider Name | Jessica Gehner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346685559 PECOS PAC ID: 9638304629 Enrollment ID: I20160705001697 |
| Provider Name | Denny Ray Goss |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235573478 PECOS PAC ID: 0648591487 Enrollment ID: I20160713000062 |
| Provider Name | Joshua C Nichols |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366852436 PECOS PAC ID: 7719107689 Enrollment ID: I20161228001619 |
| Provider Name | Carla Jeanne Williams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386980357 PECOS PAC ID: 7618191149 Enrollment ID: I20170816000895 |
| Provider Name | Inna K Massaro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629203617 PECOS PAC ID: 2769648351 Enrollment ID: I20170822002539 |
| Provider Name | Mark W Mossey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841228863 PECOS PAC ID: 6507894367 Enrollment ID: I20171010001213 |
| Provider Name | Jonathan K Nogueira |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598175341 PECOS PAC ID: 7315167178 Enrollment ID: I20171030001240 |
| Provider Name | Carol A Bernier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063711596 PECOS PAC ID: 2163653353 Enrollment ID: I20171215001074 |
| Provider Name | Travis Maule |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801305586 PECOS PAC ID: 7719247345 Enrollment ID: I20180130002603 |
| Provider Name | Rebekah P Peery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144536509 PECOS PAC ID: 2062769888 Enrollment ID: I20180724003130 |
| Provider Name | Michael J Green |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1396131124 PECOS PAC ID: 4082920921 Enrollment ID: I20180730000715 |
| Provider Name | Sarah A Dewitt |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477931228 PECOS PAC ID: 2264749084 Enrollment ID: I20180919004293 |
| Provider Name | Tammy F Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801382650 PECOS PAC ID: 7618220567 Enrollment ID: I20181023003740 |
| Provider Name | Zachary Joseph Shaub |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790097434 PECOS PAC ID: 8426270430 Enrollment ID: I20181114003074 |
| Provider Name | Meghan Allyse Riley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649512823 PECOS PAC ID: 8820393770 Enrollment ID: I20190305002479 |
| Provider Name | Jessica L Maerz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295268001 PECOS PAC ID: 3870866213 Enrollment ID: I20190528001176 |
| Provider Name | Jessica Pope Flinchum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467770552 PECOS PAC ID: 9133382757 Enrollment ID: I20190618001567 |
| Provider Name | Christopher Paul Waasdorp |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699189720 PECOS PAC ID: 6204123730 Enrollment ID: I20190626001002 |
| Provider Name | Carl Michael Clarito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427618065 PECOS PAC ID: 3173853959 Enrollment ID: I20190920000491 |
| Provider Name | Roberta Pritchard |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699903518 PECOS PAC ID: 9931472370 Enrollment ID: I20200427000223 |
| Provider Name | Andrew B Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578981049 PECOS PAC ID: 5193020089 Enrollment ID: I20200610002278 |
| Provider Name | Justin M Gardner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952762601 PECOS PAC ID: 8022300268 Enrollment ID: I20200701002271 |
| Provider Name | Nathaniel Linger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366973042 PECOS PAC ID: 1254604671 Enrollment ID: I20200811000492 |
| Provider Name | Jacob Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659763290 PECOS PAC ID: 1658647979 Enrollment ID: I20200811002784 |
| Provider Name | Robert Murrey Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912327164 PECOS PAC ID: 4789923632 Enrollment ID: I20200903002967 |
| Provider Name | Chad Burton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891290409 PECOS PAC ID: 6002163458 Enrollment ID: I20201211002236 |
| Provider Name | Kathryn L Chrisfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255933982 PECOS PAC ID: 8224445663 Enrollment ID: I20210331000405 |
| Provider Name | Olumide Ojeifo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407116932 PECOS PAC ID: 1658628433 Enrollment ID: I20210827000006 |
| Provider Name | James R Humble |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508210469 PECOS PAC ID: 1557656238 Enrollment ID: I20210908001228 |
| Provider Name | Carver Haines |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639674526 PECOS PAC ID: 3375807720 Enrollment ID: I20210930002480 |
| Provider Name | Jessica Pelletier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851852347 PECOS PAC ID: 1850628207 Enrollment ID: I20211025000662 |
| Provider Name | Henry Weigle |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710305479 PECOS PAC ID: 3678793379 Enrollment ID: I20211029000347 |
| Provider Name | Cameron Wayne Galbreath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821753062 PECOS PAC ID: 5597150441 Enrollment ID: I20220311001755 |
| Provider Name | Anne Ickes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912460494 PECOS PAC ID: 8729315635 Enrollment ID: I20220321000087 |
| Provider Name | Kurt Schapira |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912266552 PECOS PAC ID: 4688959216 Enrollment ID: I20220609001982 |
| Provider Name | Ashley Elizabeth Hoke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447982806 PECOS PAC ID: 4789069766 Enrollment ID: I20220912000992 |
| Provider Name | Greg Fischer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1851886923 PECOS PAC ID: 3072861012 Enrollment ID: I20220923000992 |
| Provider Name | Hope Marie Forster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700501236 PECOS PAC ID: 4284003617 Enrollment ID: I20221207001335 |
| Provider Name | Stacy Dixon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821708827 PECOS PAC ID: 6709259500 Enrollment ID: I20230226000029 |
| Provider Name | Amy Marie Drago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245944180 PECOS PAC ID: 9830562347 Enrollment ID: I20230303001376 |
| Provider Name | James Richard Durnan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265148019 PECOS PAC ID: 8527431840 Enrollment ID: I20230307000354 |
| Provider Name | John Schwab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649730110 PECOS PAC ID: 7113254608 Enrollment ID: I20230411002473 |
| Provider Name | Sian Ellen Lewis-bevan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013545086 PECOS PAC ID: 0345663555 Enrollment ID: I20230503001091 |
| Provider Name | Sean M Whitty |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811526221 PECOS PAC ID: 9234551433 Enrollment ID: I20230525003205 |
| Provider Name | Tymour J Malik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255894572 PECOS PAC ID: 8325405061 Enrollment ID: I20230612000814 |
| Provider Name | Kelly Armentrout |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962030213 PECOS PAC ID: 5799108718 Enrollment ID: I20230616002035 |
| Provider Name | Aaron Parker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003443037 PECOS PAC ID: 4486077120 Enrollment ID: I20230619001659 |
| Provider Name | Richard Dykstra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154852432 PECOS PAC ID: 9739452384 Enrollment ID: I20230620003002 |
| Provider Name | Rachelle Dykstra |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962935106 PECOS PAC ID: 5395017545 Enrollment ID: I20230620003460 |
| Provider Name | Briana Bennett |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932729894 PECOS PAC ID: 7618390055 Enrollment ID: I20230717000729 |
| Provider Name | Jennifer Marie Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770270803 PECOS PAC ID: 2163882143 Enrollment ID: I20230721003381 |
| Provider Name | Tracy Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457134991 PECOS PAC ID: 9032565940 Enrollment ID: I20231031001843 |
| Provider Name | Rawle Seupaul |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1508975491 PECOS PAC ID: 3476644261 Enrollment ID: I20231220000983 |
| Provider Name | Brian Fuquay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912584517 PECOS PAC ID: 1355743733 Enrollment ID: I20240102002894 |
| Provider Name | Benjamin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154199370 PECOS PAC ID: 5597103556 Enrollment ID: I20240410000341 |
| Provider Name | Nicholas Tsipis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689060865 PECOS PAC ID: 6608124680 Enrollment ID: I20240418002576 |
| Provider Name | Kara A Hatlevoll |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750990404 PECOS PAC ID: 3072900877 Enrollment ID: I20240720000327 |
| Provider Name | Timothy Hartzog |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053336321 PECOS PAC ID: 4082657143 Enrollment ID: I20240724000873 |
| Provider Name | Katherine Dickerson Mayes |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437787470 PECOS PAC ID: 0941746176 Enrollment ID: I20240724002995 |
| Provider Name | Eric Taylor Mulkey |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1912490897 PECOS PAC ID: 4981141090 Enrollment ID: I20240807002431 |
| Provider Name | Courtney E Hibbs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962089144 PECOS PAC ID: 9830591189 Enrollment ID: I20240812002243 |
| Provider Name | Wesley Ryan Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730767849 PECOS PAC ID: 6406257021 Enrollment ID: I20240812002723 |
| Provider Name | Andrew Stevens Meehan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1639756588 PECOS PAC ID: 4385048164 Enrollment ID: I20240814003278 |
| Provider Name | James Andrew Hargenrader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700053832 PECOS PAC ID: 1052859337 Enrollment ID: I20240818000005 |
| Provider Name | Maria Chulkov |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750744850 PECOS PAC ID: 6204129794 Enrollment ID: I20240918000742 |
| Provider Name | Michael Andrew Samarasinghe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184474587 PECOS PAC ID: 2264973874 Enrollment ID: I20240924000347 |
| Provider Name | Eleanor Clifton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952162299 PECOS PAC ID: 0941741458 Enrollment ID: I20240924004683 |
| Provider Name | Kevin Richard Gutermuth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538691068 PECOS PAC ID: 5597042697 Enrollment ID: I20241007002467 |
| Provider Name | Jay Clark |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508486077 PECOS PAC ID: 8224451679 Enrollment ID: I20241107003037 |
| Provider Name | Michelle Diehl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932921202 PECOS PAC ID: 7113454760 Enrollment ID: I20241220002804 |
| Provider Name | Naun Eduardo Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588470256 PECOS PAC ID: 4981125432 Enrollment ID: I20250312003932 |
Valley Gericare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2917 Penn Forest Blvd, Ste 518, Roanoke, VA 24018 Phone: 540-989-3613 | |
The Center For Ultra Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4235 Colonial Ave, First Floor, Roanoke, VA 24018 Phone: 540-312-5595 | |
Jefferson Internal Medicine Associates, Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 S Jefferson St, Suite B, Roanoke, VA 24016 Phone: 540-342-1007 Fax: 540-345-4643 | |
Roanoke Partners In Health, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3239 Electric Rd, Suite A, Roanoke, VA 24018 Phone: 540-904-7912 Fax: 540-904-7926 | |
Carilion Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 213 S Jefferson St, Suite 625, Roanoke, VA 24011 Phone: 540-224-5681 | |
Hiren B Parikh, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3338 Circle Brook Dr, Roanoke, VA 24018 Phone: 609-781-8818 | |
Premier Telehealth Solutions Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6701 Peters Creek Rd Ste 110, Roanoke, VA 24019 Phone: 800-765-7130 Fax: 888-500-1891 |