| Universal Health Corporation | |
|
130 Church Ave Sw Roanoke VA 24011-1906 | |
| (540) 769-3964 | |
| (540) 473-3458 |
| Full Name | Universal Health Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 130 Church Ave Sw, Roanoke, Virginia |
| Authorized Official Name and Position | Alfonso D Brochero (OWNER/DR) |
| Authorized Official Contact | 5403453556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Universal Health Corporation Po Box 8310 Roanoke VA 24014-0310 Ph: (540) 345-3556 | Universal Health Corporation 130 Church Ave Sw Roanoke VA 24011-1906 Ph: (540) 769-3964 |
| NPI Number | 1407117625 |
|---|---|
| Provider Enumeration Date | 06/05/2012 |
| Last Update Date | 08/27/2025 |
| Medicare PECOS PAC ID | 5597912626 |
|---|---|
| Medicare Enrollment ID | O20120824000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407117625 | NPI | - | NPPES |
| 1306005665 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101245698 (Virginia) | Primary |
| Provider Name | James W Forest-lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730116583 PECOS PAC ID: 6305759325 Enrollment ID: I20031106000504 |
| Provider Name | Timothy B Mckernan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821059981 PECOS PAC ID: 3173517745 Enrollment ID: I20040414001435 |
| Provider Name | Gina Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437127917 PECOS PAC ID: 5193714731 Enrollment ID: I20040517000929 |
| Provider Name | Daleen L Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427004324 PECOS PAC ID: 3072599323 Enrollment ID: I20040628000072 |
| Provider Name | Jennifer A Jonkers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548339989 PECOS PAC ID: 4981684560 Enrollment ID: I20040723000404 |
| Provider Name | Anthony G Patriarco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194799973 PECOS PAC ID: 2860455094 Enrollment ID: I20041109000710 |
| Provider Name | Cheri D Dickenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629162227 PECOS PAC ID: 4385689702 Enrollment ID: I20050624000997 |
| Provider Name | Diane Winn Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114949369 PECOS PAC ID: 1951331586 Enrollment ID: I20050815000154 |
| Provider Name | Ali M Sajadi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1326028614 PECOS PAC ID: 0547294266 Enrollment ID: I20050922000405 |
| Provider Name | Kimberley Washbourne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184656324 PECOS PAC ID: 8921016031 Enrollment ID: I20060331000315 |
| Provider Name | Aparna Ranjan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336171792 PECOS PAC ID: 4981617222 Enrollment ID: I20060803000131 |
| Provider Name | Syed Naveedmd Ishaq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588697668 PECOS PAC ID: 9133124175 Enrollment ID: I20070508000693 |
| Provider Name | Anthony Slonim |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972507432 PECOS PAC ID: 6507862836 Enrollment ID: I20070607000294 |
| Provider Name | Larissa S Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467665943 PECOS PAC ID: 7719073774 Enrollment ID: I20071022000735 |
| Provider Name | Valencia R Belle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104832963 PECOS PAC ID: 2466537170 Enrollment ID: I20080305000340 |
| Provider Name | Tonya Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114107513 PECOS PAC ID: 8628153137 Enrollment ID: I20080307000507 |
| Provider Name | Lisa M Reedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235374018 PECOS PAC ID: 5698831600 Enrollment ID: I20090226000578 |
| Provider Name | Philip Cogan Casey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144216078 PECOS PAC ID: 8527079201 Enrollment ID: I20090312000505 |
| Provider Name | Virginia W Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427290618 PECOS PAC ID: 5496803264 Enrollment ID: I20090505000268 |
| Provider Name | Anthony J Hayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902922305 PECOS PAC ID: 4082763941 Enrollment ID: I20090522000473 |
| Provider Name | Alfonso Brochero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306005665 PECOS PAC ID: 6507910759 Enrollment ID: I20090821000551 |
| Provider Name | Michael T Williams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093868424 PECOS PAC ID: 0840288940 Enrollment ID: I20100209000787 |
| Provider Name | Karey H Groome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235448903 PECOS PAC ID: 2961691241 Enrollment ID: I20110118001269 |
| Provider Name | Stanley N Furman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467481234 PECOS PAC ID: 4981704921 Enrollment ID: I20110428000414 |
| Provider Name | Mary Beth Slagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407158488 PECOS PAC ID: 7113102120 Enrollment ID: I20110505000776 |
| Provider Name | Christine Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588902761 PECOS PAC ID: 8022263839 Enrollment ID: I20130228000274 |
| Provider Name | Monica Rene Beckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811322993 PECOS PAC ID: 2062647738 Enrollment ID: I20131105001280 |
| Provider Name | Zachary L Page |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992127328 PECOS PAC ID: 2961633763 Enrollment ID: I20140319002297 |
| Provider Name | Deborah Anne Parsons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518359777 PECOS PAC ID: 3476874850 Enrollment ID: I20150610002451 |
| Provider Name | Khoi Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578820841 PECOS PAC ID: 4587970744 Enrollment ID: I20150902001664 |
| Provider Name | Keith Iverson Harrop |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093080418 PECOS PAC ID: 9931342458 Enrollment ID: I20150909003015 |
| Provider Name | Elizabeth A Draper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164780102 PECOS PAC ID: 0446575716 Enrollment ID: I20151026002155 |
| Provider Name | Audra Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417347451 PECOS PAC ID: 7012227523 Enrollment ID: I20151113000584 |
| Provider Name | Nicole Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447590641 PECOS PAC ID: 8325285265 Enrollment ID: I20151217002225 |
| Provider Name | Kimberly A Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457720039 PECOS PAC ID: 3971808734 Enrollment ID: I20160217000281 |
| Provider Name | Amy Michelle Reedy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790135283 PECOS PAC ID: 7214222397 Enrollment ID: I20160829001564 |
| Provider Name | Hedda Ruth Gosnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306390075 PECOS PAC ID: 5092002774 Enrollment ID: I20160923000141 |
| Provider Name | Jennifer M Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932657087 PECOS PAC ID: 0345521332 Enrollment ID: I20170105002368 |
| Provider Name | Wallisa T Vaughn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992990238 PECOS PAC ID: 7618021502 Enrollment ID: I20170918002301 |
| Provider Name | Kelly Arendall Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669988986 PECOS PAC ID: 2668732090 Enrollment ID: I20180205000482 |
| Provider Name | Hope Annette Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184131765 PECOS PAC ID: 4981965175 Enrollment ID: I20180305000869 |
| Provider Name | Rebecca Ferrell Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962811554 PECOS PAC ID: 4385864701 Enrollment ID: I20180322000733 |
| Provider Name | Pamela Lane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780106328 PECOS PAC ID: 2365717709 Enrollment ID: I20180402000009 |
| Provider Name | Shanthi Np Rondot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851894729 PECOS PAC ID: 9931462934 Enrollment ID: I20180404000624 |
| Provider Name | Ashley Lans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215448261 PECOS PAC ID: 6901161025 Enrollment ID: I20180521000492 |
| Provider Name | Jennifer L Follett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861981409 PECOS PAC ID: 9032467774 Enrollment ID: I20180813001074 |
| Provider Name | Francine Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972089886 PECOS PAC ID: 1951653104 Enrollment ID: I20181016003108 |
| Provider Name | Brooke Kaylyn Mcdaniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871085753 PECOS PAC ID: 5193078400 Enrollment ID: I20181101003125 |
| Provider Name | Farzana Kousar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386008530 PECOS PAC ID: 3971895392 Enrollment ID: I20181130001072 |
| Provider Name | Laszlo Vecsei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871071522 PECOS PAC ID: 8921342544 Enrollment ID: I20181207000723 |
| Provider Name | Justin A Lindsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871014423 PECOS PAC ID: 9830434190 Enrollment ID: I20181214002474 |
| Provider Name | Allyson Kay Scruggs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235606500 PECOS PAC ID: 2961748116 Enrollment ID: I20190109002700 |
| Provider Name | Maureen S Milauskas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760957278 PECOS PAC ID: 8224374467 Enrollment ID: I20190211001314 |
| Provider Name | Andrew Lenox Barlow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902214489 PECOS PAC ID: 1254618333 Enrollment ID: I20190305003212 |
| Provider Name | Barbara Jean Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932697596 PECOS PAC ID: 4385986041 Enrollment ID: I20190429001424 |
| Provider Name | Maggie King Clendenen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659840486 PECOS PAC ID: 1759622814 Enrollment ID: I20191016000345 |
| Provider Name | Katrina Jean Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346803343 PECOS PAC ID: 8820320005 Enrollment ID: I20191022001392 |
| Provider Name | Lisa Coleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346892213 PECOS PAC ID: 0840622619 Enrollment ID: I20191115002128 |
| Provider Name | Miranda Carol Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588209647 PECOS PAC ID: 4486087145 Enrollment ID: I20191210003250 |
| Provider Name | Stephanie Rose Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932742731 PECOS PAC ID: 8820425671 Enrollment ID: I20200217004958 |
| Provider Name | Catherine Schutt Hurte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497390421 PECOS PAC ID: 6002243409 Enrollment ID: I20200225000888 |
| Provider Name | Julia Grace Lizotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174089114 PECOS PAC ID: 5193154466 Enrollment ID: I20200408000232 |
| Provider Name | Susan Anette Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194350512 PECOS PAC ID: 1052740255 Enrollment ID: I20200409002618 |
| Provider Name | Jennifer Nanette Mccready |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982263620 PECOS PAC ID: 3072934348 Enrollment ID: I20200522002298 |
| Provider Name | Matthew J Schweiger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811421290 PECOS PAC ID: 9133544141 Enrollment ID: I20200807002677 |
| Provider Name | Venkat Lakshmi Prasa Maddukuri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700307956 PECOS PAC ID: 5496025280 Enrollment ID: I20200911000789 |
| Provider Name | Angela E Shearer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154930022 PECOS PAC ID: 9739508276 Enrollment ID: I20201001002228 |
| Provider Name | Pamela Jean Scholl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548867526 PECOS PAC ID: 6406268382 Enrollment ID: I20201217001866 |
| Provider Name | Molly E Vaughan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821695578 PECOS PAC ID: 1850704750 Enrollment ID: I20210114001390 |
| Provider Name | Arlyn Pericano Salabao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013493766 PECOS PAC ID: 7315352184 Enrollment ID: I20210209002392 |
| Provider Name | Amanda Ashley Crews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134711971 PECOS PAC ID: 9335554948 Enrollment ID: I20210212000146 |
| Provider Name | Linda Brown Trudel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043262835 PECOS PAC ID: 3779551346 Enrollment ID: I20210324002527 |
| Provider Name | Karen King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598343774 PECOS PAC ID: 1557778651 Enrollment ID: I20210407000679 |
| Provider Name | Saima Panjwani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124607106 PECOS PAC ID: 6002224847 Enrollment ID: I20210416000610 |
| Provider Name | Krystal Shante Woodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396337101 PECOS PAC ID: 2860800190 Enrollment ID: I20210426001549 |
| Provider Name | Charles W Welly |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1700956414 PECOS PAC ID: 0547257529 Enrollment ID: I20210621000604 |
| Provider Name | Indre Malaiskaite |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801373402 PECOS PAC ID: 8820419963 Enrollment ID: I20210706002551 |
| Provider Name | Cathy Shell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447755772 PECOS PAC ID: 7214339928 Enrollment ID: I20210716001186 |
| Provider Name | Muhammad Abdussalaam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063002681 PECOS PAC ID: 1557764677 Enrollment ID: I20210803002888 |
| Provider Name | Andrea Mi Wild-gingeleski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447923719 PECOS PAC ID: 0446655286 Enrollment ID: I20210817003679 |
| Provider Name | Tiffany Yvette Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881357952 PECOS PAC ID: 6608265285 Enrollment ID: I20211122000200 |
| Provider Name | Sarah Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144894262 PECOS PAC ID: 6103217195 Enrollment ID: I20211230000802 |
| Provider Name | Amy Kathleen Ebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467118489 PECOS PAC ID: 6103218573 Enrollment ID: I20220114000611 |
| Provider Name | Michelle Hope Conover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558964262 PECOS PAC ID: 3173916848 Enrollment ID: I20220202001796 |
| Provider Name | Jennifer Renee Horne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457025058 PECOS PAC ID: 8224422449 Enrollment ID: I20220303000864 |
| Provider Name | Tammy Bogart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366543316 PECOS PAC ID: 6204971443 Enrollment ID: I20220401000103 |
| Provider Name | Cozetta Lee Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306506985 PECOS PAC ID: 1951797851 Enrollment ID: I20220401000155 |
| Provider Name | Kira Maria Derby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518568021 PECOS PAC ID: 7113313842 Enrollment ID: I20220406001625 |
| Provider Name | Jill E Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316345549 PECOS PAC ID: 5193086908 Enrollment ID: I20220506001701 |
| Provider Name | Dawn Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942950050 PECOS PAC ID: 1153708177 Enrollment ID: I20220513000140 |
| Provider Name | Amy K Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275028912 PECOS PAC ID: 0941552806 Enrollment ID: I20220804001023 |
| Provider Name | Bridgette Michelle Smoot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700504750 PECOS PAC ID: 9436534310 Enrollment ID: I20220913001476 |
| Provider Name | Raegan Mae Mcgrady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093430753 PECOS PAC ID: 1850769498 Enrollment ID: I20221201002324 |
| Provider Name | Johanna Steege French |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033831805 PECOS PAC ID: 1557739133 Enrollment ID: I20221202000357 |
| Provider Name | Harold F Stepanek |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1205928199 PECOS PAC ID: 4688044266 Enrollment ID: I20221222000818 |
| Provider Name | Shirlene Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407507296 PECOS PAC ID: 6608247739 Enrollment ID: I20230126003485 |
| Provider Name | Loubna T Scally |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1447219878 PECOS PAC ID: 2668420100 Enrollment ID: I20230201002320 |
| Provider Name | Amber Nicole Zax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033823596 PECOS PAC ID: 2668845835 Enrollment ID: I20230309000385 |
| Provider Name | Cody Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558059626 PECOS PAC ID: 0648636191 Enrollment ID: I20230525001789 |
| Provider Name | Natasha Brittney Estep |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952001737 PECOS PAC ID: 6305203720 Enrollment ID: I20230531000164 |
| Provider Name | Carrie Beth White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790485092 PECOS PAC ID: 4981062502 Enrollment ID: I20230614000773 |
| Provider Name | Shannon Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902596489 PECOS PAC ID: 9436517943 Enrollment ID: I20230615000616 |
| Provider Name | Cynthia Lecloux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841306206 PECOS PAC ID: 3779599444 Enrollment ID: I20230627001551 |
| Provider Name | Tracy Goen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770561995 PECOS PAC ID: 8224086780 Enrollment ID: I20230912000802 |
| Provider Name | Kelli Ann Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558009936 PECOS PAC ID: 1456715119 Enrollment ID: I20230913002525 |
| Provider Name | Akinyele Akinyoola |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144875139 PECOS PAC ID: 6305176199 Enrollment ID: I20230919003943 |
| Provider Name | Charles Keith Moon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285418848 PECOS PAC ID: 3072967363 Enrollment ID: I20230920001223 |
| Provider Name | Heather Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508583352 PECOS PAC ID: 5597119487 Enrollment ID: I20230926003637 |
| Provider Name | Candace Loucks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326725243 PECOS PAC ID: 3375999824 Enrollment ID: I20231019003090 |
| Provider Name | Kayla Tomlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952186736 PECOS PAC ID: 9739535188 Enrollment ID: I20231023000054 |
| Provider Name | Jenna Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841079449 PECOS PAC ID: 3779939533 Enrollment ID: I20231031000472 |
| Provider Name | Rohina Ahmed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770364861 PECOS PAC ID: 3274980578 Enrollment ID: I20231108000963 |
| Provider Name | Shaellyn K Zeviar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124805700 PECOS PAC ID: 2466809629 Enrollment ID: I20231109000297 |
| Provider Name | Wondimu Shanko Yirga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881321891 PECOS PAC ID: 3779930888 Enrollment ID: I20231111000064 |
| Provider Name | Matthew Jon Slawter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114416971 PECOS PAC ID: 2264787332 Enrollment ID: I20231117003226 |
| Provider Name | Merawi Adane |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1194353201 PECOS PAC ID: 1759739139 Enrollment ID: I20231122003431 |
| Provider Name | Tracy M Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467150342 PECOS PAC ID: 2961851415 Enrollment ID: I20231211000290 |
| Provider Name | Sherri Lynn Sapp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942088919 PECOS PAC ID: 2668822503 Enrollment ID: I20231219001352 |
| Provider Name | Taneisha Patrice Gayles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396512950 PECOS PAC ID: 4587016068 Enrollment ID: I20240119003166 |
| Provider Name | Manaye Ebabu Kebede |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811523152 PECOS PAC ID: 4183077860 Enrollment ID: I20240130000245 |
| Provider Name | Anna Dinello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982466348 PECOS PAC ID: 7719323153 Enrollment ID: I20240307004307 |
| Provider Name | Abdul Kawa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891566444 PECOS PAC ID: 9537505698 Enrollment ID: I20240311004021 |
| Provider Name | Devanshi Soni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528823903 PECOS PAC ID: 9234576810 Enrollment ID: I20240318003727 |
| Provider Name | John Gilstad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669473856 PECOS PAC ID: 5395927073 Enrollment ID: I20240425003044 |
| Provider Name | Daveda Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285078287 PECOS PAC ID: 7416248190 Enrollment ID: I20240426003039 |
| Provider Name | Jeremy Whited |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790534378 PECOS PAC ID: 8820530074 Enrollment ID: I20240604001353 |
| Provider Name | Willetta Hickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699264531 PECOS PAC ID: 5193064244 Enrollment ID: I20240627000329 |
| Provider Name | Karen Vickers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598039539 PECOS PAC ID: 6901037613 Enrollment ID: I20240627000553 |
| Provider Name | Chinedum Ikwueme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447841267 PECOS PAC ID: 9133663156 Enrollment ID: I20240702000767 |
| Provider Name | Elizabeth Predmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023722311 PECOS PAC ID: 0143766683 Enrollment ID: I20240722000333 |
| Provider Name | Susan Hodges-earnest |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700323847 PECOS PAC ID: 2062796196 Enrollment ID: I20240722003507 |
| Provider Name | Ramona Mulleins-foreman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407250111 PECOS PAC ID: 1850636796 Enrollment ID: I20240725000375 |
| Provider Name | Keri Silvis- Root |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891394896 PECOS PAC ID: 7315358975 Enrollment ID: I20240801001010 |
| Provider Name | Farrah Yuille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942059662 PECOS PAC ID: 8022557016 Enrollment ID: I20240821004991 |
| Provider Name | Lori Fuquay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407990872 PECOS PAC ID: 9335289917 Enrollment ID: I20240829001822 |
| Provider Name | April Ruffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649665175 PECOS PAC ID: 4082916200 Enrollment ID: I20240912003262 |
| Provider Name | Jignesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922095645 PECOS PAC ID: 8022073675 Enrollment ID: I20240920003030 |
| Provider Name | Bonnie Foster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063069979 PECOS PAC ID: 6406283613 Enrollment ID: I20241104002462 |
| Provider Name | Mitchell Guanzon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992288278 PECOS PAC ID: 8527303882 Enrollment ID: I20241114003089 |
| Provider Name | Jennifer Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023843083 PECOS PAC ID: 7416483995 Enrollment ID: I20241206002171 |
| Provider Name | Christie Leigh York |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427808922 PECOS PAC ID: 1850828021 Enrollment ID: I20241230001622 |
| Provider Name | Lee Aaron Chatham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194200626 PECOS PAC ID: 9739512591 Enrollment ID: I20250109001153 |
| Provider Name | Aliaa Ibrahim Metwally Mahmoud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528886538 PECOS PAC ID: 5890223374 Enrollment ID: I20250112000011 |
| Provider Name | Tiffany Farris Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831948611 PECOS PAC ID: 2860920097 Enrollment ID: I20250115001777 |
| Provider Name | Mariana Herrera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659193183 PECOS PAC ID: 3779004932 Enrollment ID: I20250305000859 |
| Provider Name | Neil Robert Schwartzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295806750 PECOS PAC ID: 4688582026 Enrollment ID: I20250314002126 |
| Provider Name | James Bates |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093001760 PECOS PAC ID: 5890914196 Enrollment ID: I20250423002090 |
| Provider Name | Isabelle Dyer Tubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073314936 PECOS PAC ID: 0042738163 Enrollment ID: I20250513001524 |
| Provider Name | Johnee Nedrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306541404 PECOS PAC ID: 7416475199 Enrollment ID: I20250516000529 |
| Provider Name | Lori Ann Beucler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316010697 PECOS PAC ID: 2365422771 Enrollment ID: I20250601000012 |
| Provider Name | Megan Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114663960 PECOS PAC ID: 2062892623 Enrollment ID: I20250602003093 |
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 Ste 1006, 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 |