DR. RICHARD C MASSARO (NPI# 1154558658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154558658 |
| Entity Type | Individual |
| Full Name | DR. RICHARD C MASSARO |
| Credential | DO |
| Practice Address |
2001 Crystal Spring Ave Sw Ste 203 Roanoke VA 24014-2465 |
| Practice Telephone | 5409828204 |
| Practice Fax Number | 5402241059 |
| Mailing Telephone | 5409828204 |
| Mailing Fax Number | 5402241059 |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2018-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 0102204898 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0102204898 | VA | Allopathic & Osteopathic Physicians |
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
0102204898 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
2001 CRYSTAL SPRING AVE SW STE 203 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24014-2465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316948128 | Terrence P. May | Internal Medicine | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014-2465 | 2005-08-02 |
| 1265914378 | Ashley Ann Groner | Physician Assistant | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014 | 2018-09-05 |
| 1265708457 | Matthew Daniel Roby | Internal Medicine | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014-2465 | 2012-04-01 |
| 1063675288 | Rahul Sharma | Internal Medicine | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014-2465 | 2008-07-08 |
| 1841467735 | Ali M Hama Amin | Internal Medicine | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014 | 2008-05-11 |
| 1811193998 | Elizabeth O'briant Hall | Physician Assistant | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014 | 2007-06-25 |
| 1699811430 | Matthew Schumaecker | Internal Medicine | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014 | 2007-01-29 |
| 1003823329 | Daniel Frank Pauly | Internal Medicine | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014-2465 | 2006-08-01 |
| 1962436444 | Stephen G Phillips | Internal Medicine | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014-2465 | 2006-07-10 |
| 1508825092 | Gregory J. Dehmer | Internal Medicine | 2001 Crystal Spring Ave Sw Ste 203, Roanoke, VA 24014-2465 | 2006-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558602 | Irene Pace Seidman | Pharmacist | 3350 Clearbrook Village Ln, Roanoke, VA 24014 | 2020-11-04 |
| 1720617970 | Mounica Reddy Thootkur | Student in an Organized Health Care Education/Training Program | 2017 South Jefferson Street, 2nd Floor, Roanoke, VA 24014 | 2020-04-08 |
| 1326675422 | Bharath Muppala | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2020-03-26 |
| 1235629239 | Sanjeeb Sudarshan Bhandari | Student in an Organized Health Care Education/Training Program | 1906 Bellview Ave Se, Roanoke, VA 24014 | 2018-05-15 |
| 1104325778 | Vera J. Short | Registered Nurse | 3167 Huffman Ln, Roanoke, VA 24014 | 2018-02-08 |
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1306362884 | Sara Alicia Guasch | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 24014 | 2017-08-16 |
| 1790212256 | Pouya Mafi | Student in an Organized Health Care Education/Training Program | 1906 Belleview Ave, Carilion Roanoke Memorial Hospital, Roanoke, VA 24014 | 2017-05-16 |
| 1790222867 | Mara Cate | Physician Assistant | 523 Arbuttus Ave, Roanoke, VA 24014 | 2017-01-26 |
| 1508314634 | Dknl Enterprises, Inc. | Non-emergency Medical Transport (VAN) | 3629 Franklin Rd Sw Suite 205b, Roanoke, VA 24014 | 2016-09-19 |
| Find all providers in zip 24014 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760749501 | Paul Thomasson Frantz | Internal Medicine | 5048 Crossbow Cir, Roanoke, VA 24018-8651 | 2012-04-18 |
| 1356461495 | Associates In Medicine Inc | Internal Medicine | 2129 Rosalind Ave Sw, Roanoke, VA 24014-1717 | 2007-03-30 |
| 1477643864 | Rhonda L Willoughby-nunley | Internal Medicine | 127 Mcclanahan Street, Suite 300, Roanoke, VA 24014 | 2006-10-13 |
| 1871510586 | Tilak Wimal Wikramanayake | Internal Medicine | 5271 Hunting Hills Dr, Roanoke, VA 24018-8722 | 2006-07-17 |
| 1417928581 | Marta Sayers | Internal Medicine | 3142 Brambleton Ave, Roanoke, VA 24018-3727 | 2006-01-27 |
| 1811997984 | William Rutherford | Internal Medicine | 1615 Franklin Rd Sw, Roanoke, VA 24016-5208 | 2005-07-29 |
| 1013916238 | Joseph L. Austin | Internal Medicine | 127 Mcclanahan St Sw, Suite 300, Roanoke, VA 24014-1728 | 2005-07-19 |
| 1689812760 | Ijeoma N Okogbue | Internal Medicine | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2009-01-28 |
| 1982812574 | Ido Heletz | Internal Medicine | 2001 Crystal Spring Ave Sw, Suite 203, Roanoke, VA 24014-2462 | 2007-05-18 |
| 1861609091 | Molly Stewart Rutherford | Internal Medicine | 1234 Franklin Rd Sw, Roanoke, VA 24016-4606 | 2007-05-17 |
| 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.