CARDIOTHORACIC SURGEONS OF ROANOKE VALLEY LLC (NPI# 1346343563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346343563 |
| Entity Type | Organization |
| Organization Name | CARDIOTHORACIC SURGEONS OF ROANOKE VALLEY LLC |
| Other Organization Name | CARDIOTHORACIC SURGEONS OF ROANOKE VALLEY |
| Practice Address |
1802 Braeburn Dr Suite 1310 Salem VA 24153-7357 |
| Practice Telephone | 5407762029 |
| Practice Fax Number | 5407762017 |
| Mailing Telephone | 5407762029 |
| Mailing Fax Number | 5407762017 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2008-02-07 |
| Authorized Official Name | BUDDY BLACKWOOD (VP) |
| Authorized Official Telephone | 5407723527 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1346343563 | 05 |
| Other Name | Type Code |
|---|---|
| Cardiothoracic Surgeons of Roanoke Valley | Doing Business As Name - Organization |
| Street Address |
1802 BRAEBURN DR SUITE 1310 |
| City | SALEM |
| State | VA |
| Zip Code | 24153-7357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134121338 | Mark R Hanabury Jr. | Specialist | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2005-06-01 |
| 1841851433 | Grace Julia Valiulis | Physician Assistant | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2019-06-24 |
| 1083279376 | Olivia Jayne Darwin | Physician Assistant | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2019-05-02 |
| 1487166088 | Christopher Cutchin Coulter | Nurse Practitioner | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2017-11-04 |
| 1063946358 | Kimberly Charise Martin | Nurse Practitioner | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2017-04-13 |
| 1699215434 | Shannon Michelle Snyder | Physician Assistant | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2017-02-27 |
| 1255875589 | Sarah Markwood | Nurse Practitioner | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2016-12-06 |
| 1437506789 | Nicole Crowder | Registered Nurse | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2016-05-17 |
| 1508228669 | Mohammed Abdul Khadar Siddiqui | Pediatrics | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2016-03-28 |
| 1851757629 | Alisha O Lipes | Physician Assistant | 1802 Braeburn Dr, Salem, VA 24153-7357 | 2016-01-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
| 1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
| 1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
| 1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
| 1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
| 1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
| 1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
| 1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
| 1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
| 1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
| Find all providers in zip 24153 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598395493 | Center for Vein Restoration Nh Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 224 Main St Ste 1d, Salem, NH 03079-3174 | 2020-01-20 |
| 1225201023 | Katherine Jones | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 875 Oak St Se Ste 5020, Salem, OR 97301-3997 | 2008-04-12 |
| 1538161377 | Jin P Kim Md | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 330 Woodstown Rd, Medical Arts Bldg 2, Salem, NJ 08079 | 2005-08-11 |
| 1750380077 | Bruce W. Barlam | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 Highland Avenue, Suite 203b, Salem, MA 01970-2100 | 2005-07-19 |
| 1861652737 | Nervin Hafez Fanous | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 875 Oak St Se Ste 5020, Salem, OR 97301-3997 | 2008-06-13 |
| 1205935855 | Thomas G Carr | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 81 Highland Ave, Salem, MA 01970-2714 | 2006-09-21 |
| 1124040472 | Ali K Husain | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1802 Braeburn Dr, Suite 1310, Salem, VA 24153-7357 | 2006-07-24 |
| 1043203086 | Thomas Robin Winkler | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 875 Oak St Se, Suite 5020, Salem, OR 97301-3975 | 2005-08-24 |
| 1215920236 | William Walter Shely IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 875 Oak St Se, Suite 5020, Salem, OR 97301-3975 | 2005-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181309 | Quantia Shenae Williford | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 902 Summitt Ln Apt 4d, Newport News, VA 23601-2474 | 2018-10-24 |
| 1841733193 | Virginia Hospital Center Physician Group LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1625 N George Mason Dr Ste 288, Arlington, VA 22205-3683 | 2016-11-18 |
| 1356772461 | John Parker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 656 Lynn Shores Dr, Virginia Beach, VA 23452-2645 | 2013-11-29 |
| 1841574597 | Miguel H Gonzalez | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 44112 Riverpoint Dr, Leesburg, VA 20176-8206 | 2011-09-29 |
| 1003107467 | Katherine Marie Klein | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1250 E Marshall St # 980645, Richmond, VA 23298-5051 | 2011-04-20 |
| 1235456757 | Metropolitan Cardiac Surgical Associates LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4123 N Ridgeview Rd, Mc Lean, VA 22101-5803 | 2010-04-23 |
| 1205168812 | Allen Pois | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1300 Deep Run Rd, Cartersville, VA 23027-9786 | 2010-02-06 |
| 1366699894 | Thomas M. Daniel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1822 Westview Road, Charlottesville, VA 22903 | 2008-08-27 |
| 1285841288 | Leo M Gazoni | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7101 Jahnke Rd Ste 500, Richmond, VA 23225-4017 | 2007-05-17 |
| 1730213349 | Ivan K. Crosby | Thoracic Surgery (Cardiothoracic Vascular Surgery) | The Heart Center Uva Hospital, Lee Street, 2nd Floor, Charlottesville, VA 22908-0001 | 2007-03-15 |
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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.