ROANOKE IMAGING LLC (NPI# 1073750816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073750816 |
| Entity Type | Organization |
| Organization Name | ROANOKE IMAGING LLC |
| Other Organization Name | LEWIS GALE IMAGING AT BRAMBLETON |
| Practice Address |
4330 Brambleton Ave Roanoke VA 24018-3405 |
| Practice Telephone | 5406886763 |
| Practice Fax Number | 5402833701 |
| Mailing Telephone | 5406886763 |
| Mailing Fax Number | 5402833701 |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-06-09 |
| Authorized Official Name | MR. LAVELLE R HARDIN (ANALYST) |
| Authorized Official Telephone | 6153448203 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1073750816 | 05 | |
| VA | BCBS | 1073750816 | 01 |
| Other Name | Type Code |
|---|---|
| Lewis Gale Imaging at Brambleton | Doing Business As Name - Organization |
| Street Address |
4330 BRAMBLETON AVE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-3405 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508008913 | Louise Godine | Radiology | 2840 Electric Rd, Suite 205 A, Roanoke, VA 24018-3551 | 2009-03-31 |
| 1063467082 | Oddyssey Iv, LLC | Radiology | 2923 Franklin Rd Sw, Roanoke, VA 24014-1001 | 2006-05-24 |
| 1992768147 | Naiyer Imam | Radiology | 7636 Williamson Rd, Roanoke, VA 24019-4341 | 2006-04-10 |
| 1437111598 | Sutin - Srisumrid | Radiology | 3703 Sunridge Ln, Roanoke, VA 24018-3181 | 2006-04-04 |
| 1528061140 | James Edward Blackwell | Radiology | 1906 Belleview, Roanoke, VA 24033 | 2005-05-27 |
| 1730576943 | Seth Andrews | Radiology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2015-04-26 |
| 1770901530 | Samuel Key | Radiology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2014-03-30 |
| 1407116718 | Michael Bergen | Radiology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2012-05-21 |
| 1588924013 | Specialized Radiology Services Inc | Radiology | 2840 Electric Rd, Suite 205-a, Roanoke, VA 24018-3551 | 2012-05-17 |
| 1376822080 | Fielding Carter Fitzpatrick | Radiology | 1906 Belleview Ave Se, Roanoke, VA 24014 | 2011-08-11 |
| 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.