LAURA BUENNEMEYER


Address: 3716 Melrose Ave Nw, Roanoke, VA 24017
Phone: 5403620360

LAURA BUENNEMEYER (NPI# 1164930046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164930046
Entity Type Individual
Full Name LAURA BUENNEMEYER
Credential PA-C
Practice Address 3716 Melrose Ave Nw
Roanoke
VA 24017
Mailing Address 3716 Melrose Ave Nw
Roanoke
VA 24017-2716
Practice Telephone 5403620360
Enumeration Date 2018-01-13
Last Update Date 2019-03-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0010-07801 NC Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4647 Fairview Dr Apt 100, Wilmington, NC 284123680 5402306141

Office Location

Street Address 3716 MELROSE AVE NW
City ROANOKE
State VA
Zip Code 24017

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558369827 Victor H Bell Family Medicine 3716 Melrose Ave Nw, Roanoke, VA 24017 2005-07-12
1245879642 Kylie Ann Tangney Pediatrics 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 2020-01-02
1457996761 Sabrina L Royall Nurse Practitioner 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 2019-11-11
1164084596 Arti Patel Dentist 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 2019-07-05
1720549769 Nader Douglas Burpee Dentist 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 2019-03-30
1568976629 Markeia Chenise Young Counselor 3716 Melrose Ave Nw, Roanoke, VA 24017 2017-11-28
1982124954 Matthew Carl Hofrichter Dentist 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 2017-06-21
1982132965 Steven Matthew Woodard Dentist 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 2017-06-02
1881122414 Jessica Renee Dent Counselor 3716 Melrose Ave Nw, Roanoke, VA 24017 2017-05-26
1063943934 Patricia Taylor Dell Family Medicine 3716 Melrose Ave Nw, Roanoke, VA 24017-2716 2017-03-23
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144796749 Rebecca Marie Swanson Physician Assistant 902 S Jefferson St Uppr Level, Roanoke, VA 24016-4404 2018-10-22
1154475267 Wilton Craig Kennedy Physician Assistant 2620 Avenham Ave Sw, Roanoke, VA 24014-1507 2007-01-23
1760567481 Jason Eric Bailey Physician Assistant 2110 Carolina Ave Sw Fl 3, Roanoke, VA 24014-1742 2006-10-25
1083626436 Laura White Physician Assistant 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014-2465 2006-08-13
1225099773 Lucia Maria Kulhavy Physician Assistant 2013 Jefferson St Sw Fl 2, Roanoke, VA 24014-2419 2006-03-31
1386613164 Sharon Anne Crookshanks Physician Assistant 4461 Starkey Rd Ste 201, Roanoke, VA 24018 2006-03-15
1306463906 Christopher J Pucci Physician Assistant 101 Elm Ave Se, Roanoke, VA 24013-2222 2020-06-29
1275197980 Rashadah Jordan Physician Assistant 5673 Airport Rd, Roanoke, VA 24012-1119 2019-04-29
1629561402 Emily Marquina Physician Assistant 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2018-06-07
1104288679 David Shrock Physician Assistant 1906 Belleview Ave Se, Roanoke, VA 24014-1838 2016-03-24
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Competitor

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City ROANOKE
Zip Code 24017

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Dataset Information

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.

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