MRS. ALLISON K DIVERS (NPI# 1770549826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770549826 |
| Entity Type | Individual |
| Full Name | MRS. ALLISON K DIVERS |
| Credential | MD |
| Practice Address |
4320 Brambleton Ave Suite B Roanoke VA 24018 |
| Mailing Address |
Po Box 18237 Roanoke VA 24014 |
| Practice Telephone | 5403453556 |
| Practice Fax Number | 5403422193 |
| Mailing Telephone | 5403453556 |
| Mailing Fax Number | 5403422193 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 0101231913 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | SOUTHERN HEALTH | 184334 | 01 |
| VA | ANTHEM | 184066 | 01 |
| Street Address |
4320 BRAMBLETON AVE SUITE B |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770970030 | Padma Chitnavis | Dermatology | 1204 Franklin Rd Sw, Roanoke, VA 24016-4606 | 2015-04-23 |
| 1437414703 | Dermatology Practice of Roanoke PC | Dermatology | 2000 Stephenson Ave, Roanoke, VA 24014-1664 | 2012-07-11 |
| 1598939464 | Melanie Rebecca Walter | Dermatology | 2000 Stephenson Ave., Roanoke, VA 24014-0000 | 2008-04-22 |
| 1679581318 | Philip Earl Wakefield | Dermatology | 1 Riverside Cir Ste 300, Roanoke, VA 24016-4962 | 2006-08-04 |
| 1992730519 | The Arts & Science of Dermatology, PC | Dermatology | 4320 Brambleton Ave, Suite B, Roanoke, VA 24018-3405 | 2006-07-12 |
| 1760470496 | Martin T Smith | Dermatology | 3825 Electric Rd Ste C, 419 Office Center, Roanoke, VA 24018-4561 | 2005-10-06 |
| 1053708685 | Joshua Eikenberg | Dermatology | 1906 Belleview Ave Se, Roanoke, VA 24014-1838 | 2015-04-21 |
| 1689935918 | Alex Christopher Holliday | Dermatology | 1 Riverside Cir Ste 300, Roanoke, VA 24016 | 2012-06-04 |
| 1942591375 | Kyle Andrew Prickett | Dermatology | 1 Riverside Cir Ste 300, Roanoke, VA 24016-4962 | 2011-04-19 |
| 1710187547 | Elizabeth Kaufman Mcnamara | Dermatology | 1215 3rd St Sw, Roanoke, VA 24016-4611 | 2007-07-19 |
| 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.