DR. MARC G NEVIN (NPI# 1124028642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124028642 |
| Entity Type | Individual |
| Full Name | DR. MARC G NEVIN |
| Credential | MD |
| Practice Address |
4311 Appleton Ave Nw Roanoke VA 24017-2111 |
| Mailing Address |
Po Box 4127 Roanoke VA 24015-0127 |
| Practice Telephone | 5405209856 |
| Practice Fax Number | 5403447154 |
| Mailing Telephone | 5405209856 |
| Mailing Fax Number | 5403447154 |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2015-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101027837 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 005609241 | 05 | |
| VA | ANTHEM | 183679 | 01 |
| Street Address |
4311 APPLETON AVE NW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24017-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225422777 | Golden Stone LLC | Internal Medicine | 4311 Appleton Ave Nw, Roanoke, VA 24017-2111 | 2015-03-23 |
| 1831296912 | Graphic Reading Group PC | Internal Medicine | 4311 Appleton Ave Nw, Roanoke, VA 24017-2111 | 2006-09-20 |
| 1598873226 | Feras J Ghosheh | Hospitalist | 4311 Appleton Ave Nw, Roanoke, VA 24017-2111 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083132450 | Kuumba Community Health & Wellness Center, Inc. | Pharmacy | 3716 Melrose Ave Nw Suite 130, Roanoke, VA 24017 | 2017-09-06 |
| 1467880484 | Mitzi Cotton | Social Worker | 2021 Dansbury Drive, Roanoke, VA 24017 | 2013-10-30 |
| 1598002818 | Stacey Queen Graham | Occupational Therapist | 4550 Shenadoah Ave, Roanoke, VA 24017 | 2013-01-07 |
| 1366760506 | Tammy L Tomlinson | Physical Therapist | 4550 Shenandoah Avenue, Virginia Veterans Care Center, Roanoke, VA 24017 | 2010-05-12 |
| 1588817712 | Delphine Anita Childress | Registered Nurse | 2111 Temple Drive Nw, Roanoke, VA 24017 | 2008-10-31 |
| 1447471933 | Cathy Lucas | Physical Therapy Assistant | 4550 Shenandoah Ave, Roanoke, VA 24017 | 2007-05-01 |
| 1134214968 | Planned Parenthood South Atlantic | Clinic/Center | 2207 Peters Creek Rd Nw, Roanoke, VA 24017 | 2006-10-04 |
| 1871684902 | Janet Susan Sprouse | Counselor | 1301 Peters Creek Rd Nw, Roanoke, VA 24017 | 2006-09-27 |
| 1497764906 | B Alison Allsbrook | Social Worker | 3716 Melrose Avenue, Nw, Roanoke, VA 24017 | 2006-08-05 |
| 1427027341 | Goodwill Industries of The Valleys - Roanoke | Day Training, Developmentally Disabled Services | 2502 Melrose Avenue Nw, Roanoke, VA 24017 | 2006-03-14 |
| Find all providers in zip 24017 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083247555 | Lisa R Zettler | Family Medicine | 1016 Primrose Ave Se, Roanoke, VA 24014-2508 | 2020-02-12 |
| 1316581366 | Dustin Powers | Family Medicine | 3347 Pamlico Dr, Roanoke, VA 24018-4938 | 2019-11-03 |
| 1932692365 | Sarah Rebecca Childress | Family Medicine | 102 Highland Ave Se Ste 303, Roanoke, VA 24013-2253 | 2018-06-11 |
| 1013327188 | The Center for Ultra Health LLC | Family Medicine | 4235 Colonial Ave, First Floor, Roanoke, VA 24018-4002 | 2014-04-29 |
| 1679904338 | Mazen Madhoun Md LLC | Family Medicine | 6002 Winnbrook Ln, Roanoke, VA 24018-7907 | 2013-12-06 |
| 1245563519 | Valley Gericare Inc | Family Medicine | 1205 Moorman Ave Nw, Roanoke, VA 24017-5739 | 2009-09-17 |
| 1003149915 | Valley Gericare Inc | Family Medicine | 2917 Penn Forest Blvd, Ste 518, Roanoke, VA 24018-4374 | 2009-09-09 |
| 1679774582 | Beau James Ellenbecker | Family Medicine | 610 E Byron Nelson Blvd, Suite 101, Roanoke, TX 76262-6541 | 2007-05-29 |
| 1962535278 | Jeffrey Brad Griffin | Family Medicine | 509 E Byron Nelson Blvd, Suite B, Roanoke, TX 76262-6183 | 2007-03-14 |
| 1043349384 | Janet Lee Spitzer | Family Medicine | 1901 Denniston Ave Sw, Roanoke, VA 24015-2023 | 2007-03-04 |
| 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.