HEIDI ROSSOW (NPI# 1568007516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568007516 |
| Entity Type | Individual |
| Full Name | HEIDI ROSSOW |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
1942 Braeburn Cir Salem VA 24153-7388 |
| Mailing Address |
2723 Derwent Dr Sw Roanoke VA 24015-2619 |
| Practice Telephone | 5404441240 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-12-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Elm Ave Se, Roanoke, VA 240132222 | 5409858483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134591829 | Heidi A Rossow | Nurse Practitioner | 200 Hawkins Dr, Dept of Pediatrics, Iowa City, IA 52242-1009 | 2015-10-21 |
| Street Address |
1942 BRAEBURN CIR |
| City | SALEM |
| State | VA |
| Zip Code | 24153-7388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689648883 | Howard B Sherman | Psychiatry & Neurology | 1942 Braeburn Cir, Salem, VA 24153-7388 | 2006-02-14 |
| 1194113464 | David R. Clark | Physician Assistant | 1942 Braeburn Cir, Salem, VA 24153-7388 | 2015-01-08 |
| 1972577997 | Timothy L Hormel | Psychiatry & Neurology | 1942 Braeburn Cir, Salem, VA 24153-7388 | 2006-02-15 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245538990 | Megan S Welch | Physician Assistant | 16 Pelham Rd Ste 1, Salem, NH 03079 | 2011-03-04 |
| 1265971386 | Angela Rehder | Physician Assistant | 875 Oak St Se, Suite 5020, Salem, OR 97301 | 2017-02-22 |
| 1942757224 | Rebecca Theisen | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2016-09-05 |
| 1184965253 | Casey Lewis Shaw | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2013-03-13 |
| 1093062960 | Christopher J Shields | Physician Assistant | 16 Pelham Rd, Ste 1, Salem, NH 03079-2826 | 2012-08-10 |
| 1851658975 | Nicole L Kehrer | Physician Assistant | 1600 State St, Salem, OR 97301-4257 | 2012-04-13 |
| 1063795003 | Kevin Michael Dennis | Physician Assistant | 875 Oak St Se, Suite 5020, Salem, OR 97301-3975 | 2011-09-26 |
| 1386948347 | Timothy Tseng | Physician Assistant | 1233 Edgewater St Nw, Salem, OR 97304-4049 | 2011-01-05 |
| 1144520453 | Melissa Brooke Barone | Physician Assistant | 875 Oak St Se, Suite 5020, Salem, OR 97301-3975 | 2010-11-02 |
| 1700110616 | Dana Nicole Schenker | Physician Assistant | 1970 Roanoke Blvd, Salem, VA 24153-6404 | 2009-09-24 |
| Find all providers in SALEM | ||||
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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.