INTEGRATED WOUND CARE VIRGINIA PLLC (NPI# 1407498397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407498397 |
| Entity Type | Organization |
| Organization Name | INTEGRATED WOUND CARE VIRGINIA PLLC |
| Practice Address |
324 King George Ave Sw Roanoke VA 24016-5213 |
| Mailing Address |
492 Cedar Ln Ste 514 Teaneck NJ 07666-1713 |
| Practice Telephone | 2018701194 |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |
| Authorized Official Name | DIANE LUSAS (MEMBER) |
| Authorized Official Telephone | 7324514318 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Integrated Wound Care Virginia PLLC | 492-C Cedar Ln Ste 514, Teaneck, New Jersey 07666 |
| Street Address |
324 KING GEORGE AVE SW |
| City | ROANOKE |
| State | VA |
| Zip Code | 24016-5213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558444505 | Avante At Roanoke, Inc. | Skilled Nursing Facility | 324 King George Ave Sw, Roanoke, VA 24016-5213 | 2006-10-23 |
| 1760955116 | Accordius Health At Roanoke LLC | Respite Care | 324 King George Ave Sw, Roanoke, VA 24016-5213 | 2019-01-09 |
| 1073001079 | Curis At Roanoke Opco LLC | Skilled Nursing Facility | 324 King George Ave Sw, Roanoke, VA 24016 | 2018-04-25 |
| 1639606528 | Chad Shupe | Physical Therapist | 324 King George Ave Sw, Roanoke, VA 24016-5213 | 2017-05-22 |
| 1629201868 | Valley Gericare Inc | Family Medicine | 324 King George Ave Sw, Roanoke, VA 24016-5213 | 2009-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134758329 | Davis Andrew Sugar | Student in an Organized Health Care Education/Training Program | 1 Riverside Circle, Suite 401, Roanoke, Va, 24016, Suite 401, Roanoke, VA 24016 | 2020-04-08 |
| 1356810659 | Susanne Tribble | Social Worker | 202 Wells Ave Nw, Roanoke, VA 24016 | 2018-11-15 |
| 1801305818 | Rena Lee Daye | Driver | 10 12th St. Sw, Roanoke, VA 24016 | 2017-09-21 |
| 1053841965 | Christin Elledge Clark | Nurse Practitioner | 1234 Franklin Road, Roanoke, VA 24016 | 2017-06-13 |
| 1235685884 | Helen Franck | Physical Therapist | 650 North Jefferson Street, Roanoke, VA 24016 | 2016-09-01 |
| 1457710238 | Frances Marie Gaeta | Social Worker | 360 Campbell Ave, Roanoke, VA 24016 | 2016-02-22 |
| 1982073292 | Sophie Mench Tranmer | Physical Therapist | 1421 Third St. Sw, Roanoke, VA 24016 | 2015-09-16 |
| 1982008181 | National Counseling Group, Inc | Psychiatry & Neurology | 20 Walnut Avenue, Roanoke, VA 24016 | 2014-10-17 |
| 1366858342 | National Counseling Group, Inc | Psychiatry & Neurology | 16 Walnut Avenue, Roanoke, VA 24016 | 2014-07-10 |
| 1427320878 | Kristen L. Jagger | Physical Medicine & Rehabilitation | 1015 First Street Sw Suite 2, Roanoke, VA 24016 | 2012-02-01 |
| Find all providers in zip 24016 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619147691 | Max Erwin Bertholf | General Practice | 498 Coyner Springs Rd, Roanoke Valley Juvenile Detention Center, Med. Director, Roanoke, VA 24012-9038 | 2008-03-06 |
| 1073625109 | Scott Crawford Hippeard | General Practice | 4901 Brambleton Ave, Roanoke, VA 24018-4149 | 2006-08-31 |
| 1407836885 | Starkey Medical | General Practice | 4903 Starkey Rd, Ste 300, Roanoke, VA 24018 | 2006-01-20 |
| 1477550051 | J Melburn D Holmes | General Practice | 1950 Main St, Roanoke, AL 36274-2421 | 2005-06-28 |
| 1164966446 | Balance Wellspace Integrative Medicine, Inc. | General Practice | 2110 Carolina Ave Sw, Roanoke, VA 24014-1738 | 2016-12-06 |
| 1326220591 | J Melburn D Holmes | General Practice | 32 Medical Dr, Ste 7, Roanoke, AL 36274-2421 | 2007-11-29 |
| 1538294640 | Southwest Medical Clinic | General Practice | 4079 Electric Rd, Roanoke, VA 24018-8442 | 2007-02-22 |
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|---|---|---|---|---|
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| 1407465289 | Martine H Long | General Practice | 515 Cornerstone St, Lynchburg, VA 24502-5342 | 2020-07-28 |
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| 1104389337 | Bardia Nemati | General Practice | 731 Walker Rd # E1, Great Falls, VA 22066-2834 | 2019-04-14 |
| 1649733387 | Renaissance Medical Center | General Practice | 284 Blevins Blvd, Bristol, VA 24202-5977 | 2019-04-10 |
| 1174081707 | William Shannon | General Practice | 1751 Admiral Taussig Blvd, Norfolk, VA 23511-2802 | 2019-03-02 |
| 1700367679 | Healthy Schools Virginia LLC | General Practice | 9603 Gayton Rd Ste 100, Richmond, VA 23238-4964 | 2018-08-28 |
| 1114414299 | Alliance Family Practice, Inc | General Practice | 119 W Brookland Park Blvd, Richmond, VA 23222-2633 | 2018-04-15 |
| Find all providers with the same taxonomy | ||||
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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.