| Integrated Wound Care Virginia Pllc | |
|
324 King George Ave Sw Roanoke VA 24016-5213 | |
| (201) 870-1194 | |
| Not Available |
| Full Name | Integrated Wound Care Virginia Pllc |
|---|---|
| Speciality | General Practice |
| Location | 324 King George Ave Sw, Roanoke, Virginia |
| Authorized Official Name and Position | Diane Lusas (MEMBER) |
| Authorized Official Contact | 7324514318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Wound Care Virginia Pllc 492 Cedar Ln Ste 514 Teaneck NJ 07666-1713 Ph: () - | Integrated Wound Care Virginia Pllc 324 King George Ave Sw Roanoke VA 24016-5213 Ph: (201) 870-1194 |
| NPI Number | 1407498397 |
|---|---|
| Provider Enumeration Date | 10/11/2019 |
| Last Update Date | 10/11/2019 |
| Medicare PECOS PAC ID | 2365875390 |
|---|---|
| Medicare Enrollment ID | O20191205002416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407498397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Cherise P Weldon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801876511 PECOS PAC ID: 1850382466 Enrollment ID: I20040521000889 |
| Provider Name | Connie Hylton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790878890 PECOS PAC ID: 2668473620 Enrollment ID: I20080402000896 |
| Provider Name | Nicole L Arrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972735512 PECOS PAC ID: 8527106731 Enrollment ID: I20091109000558 |
| Provider Name | Elizabeth D Saum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932497674 PECOS PAC ID: 9234308271 Enrollment ID: I20110809000629 |
| Provider Name | Whitney H Pugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235467572 PECOS PAC ID: 5890820948 Enrollment ID: I20130618000471 |
| Provider Name | Stephanie Heaton King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962814376 PECOS PAC ID: 2264651454 Enrollment ID: I20140922000575 |
| Provider Name | Stephen Carter |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1063478733 PECOS PAC ID: 6305944166 Enrollment ID: I20170817000205 |
| Provider Name | Dana M De Los Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750815551 PECOS PAC ID: 4486913829 Enrollment ID: I20180827002058 |
| Provider Name | Krystyna Lee Portell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669954335 PECOS PAC ID: 4082958939 Enrollment ID: I20181203002929 |
| Provider Name | Jessica Lynn Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679131056 PECOS PAC ID: 3577891415 Enrollment ID: I20190829003554 |
| Provider Name | Mary Anne Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578125019 PECOS PAC ID: 1153651393 Enrollment ID: I20191030003314 |
| Provider Name | Diane Lusas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730475658 PECOS PAC ID: 9032430640 Enrollment ID: I20191209001817 |
| Provider Name | Greta Crisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386287175 PECOS PAC ID: 5799111357 Enrollment ID: I20200506003152 |
| Provider Name | Ivey Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063932473 PECOS PAC ID: 8729205505 Enrollment ID: I20200508002144 |
| Provider Name | Susan Mara Cash |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1780695320 PECOS PAC ID: 8628072048 Enrollment ID: I20200901002368 |
| Provider Name | Ashley Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407385172 PECOS PAC ID: 6103246327 Enrollment ID: I20201008002699 |
| Provider Name | Katina Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023628534 PECOS PAC ID: 2668884040 Enrollment ID: I20201208002179 |
| Provider Name | Jennylle Zanzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265914360 PECOS PAC ID: 2860826856 Enrollment ID: I20210113002729 |
| Provider Name | Erin Alouf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386283497 PECOS PAC ID: 0042625733 Enrollment ID: I20210210000749 |
| Provider Name | Nicole D Calhoun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306481114 PECOS PAC ID: 7719377159 Enrollment ID: I20211129002537 |
| Provider Name | Bethany Rock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235641630 PECOS PAC ID: 1850796137 Enrollment ID: I20220504000867 |
| Provider Name | Christine Moffett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164668224 PECOS PAC ID: 6901963123 Enrollment ID: I20220511000226 |
| Provider Name | Patrice R Brown-parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548901069 PECOS PAC ID: 4183002769 Enrollment ID: I20220815000303 |
| Provider Name | Marcus Yarbrough |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588826283 PECOS PAC ID: 4587047501 Enrollment ID: I20220823003846 |
| Provider Name | Nancy Ann Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861475204 PECOS PAC ID: 7416922075 Enrollment ID: I20220923002178 |
| Provider Name | Lynne Mumaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407891310 PECOS PAC ID: 3779610035 Enrollment ID: I20230222001853 |
| Provider Name | Alisa Patrice Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326765405 PECOS PAC ID: 7012373996 Enrollment ID: I20230518002299 |
| Provider Name | Laporscha Hardmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073948816 PECOS PAC ID: 9234590746 Enrollment ID: I20231220002994 |
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 |