Owen W Roberts (NPI# 1629179858, PAC ID# 5092948141) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1629179858 |
| PAC ID by PECOS | 5092948141 |
| Professional Enrollment ID | I20170411001084 |
| Full Name | Owen W Roberts |
| Organization Legal Name | LEWIS GALE PHYSICIANS LLC |
| Address |
2400 Lee Hwy N Pulaski VA 24301-2326 |
| Phone Number | 5409948100 |
| Gender | M |
| Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
| Graduation Year | 2003 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 6507886231 |
| Number of Group Practice Members | 176 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490116 | LEWISGALE HOSPITAL PULASKI |
| 490115 | TWIN COUNTY REGIONAL HOSPITAL |
| 490042 | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| 490110 | LEWISGALE HOSPITAL MONTGOMERY |
| Address | Phone | Organization |
|---|---|---|
| 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 5409948100 | LEWIS GALE PHYSICIANS LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | LEWIS GALE PHYSICIANS LLC |
| Physicians | 178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anita I Register | Obstetrics/gynecology | Lewis Gale Physicians LLC | 826 Davis St, Blacksburg, VA 24060-7010 |
| Brent M May | Physician Assistant | Lewis Gale Physicians LLC | 1902 Braeburn Dr, Salem, VA 24153-7304 |
| Vishalakshi K Sundaram | Family Medicine | Lewis Gale Physicians LLC | 4910 Valley View Nwblvd, Roanoke, VA 24012-2040 |
| Patrick William Kenney | Nurse Practitioner | Lewis Gale Physicians LLC | 1940 Braeburn Cir A, Salem, VA 24153-7388 |
| Cemil M Purut | Thoracic Surgery | Lewis Gale Physicians LLC | 1802 Braeburn Dr, Salem, VA 24153-7357 |
| Jessica Fultz | Nurse Practitioner | Lewis Gale Physicians LLC | 801 Davis St, Blacksburg, VA 24060-7008 |
| Jeremy Smalley | Orthopedic Surgery | Lewis Gale Physicians LLC | 400 Scruggs Rd, Suite 2300, Moneta, VA 24121-2683 |
| Teri Pa-c Mccormick-goodha | Physician Assistant | Lewis Gale Physicians LLC | 4550 Lee Hwy, Suite B, Dublin, VA 24084-3820 |
| Kathryn C Hoyt | Physician Assistant | Lewis Gale Physicians LLC | 101 Knotbreak Rd, Salem, VA 24153-5404 |
| Casey R Bowles | Physician Assistant | Lewis Gale Physicians LLC | 4615 Huntridge Rd, Roanoke, VA 24012-8510 |
| Street Address |
2400 LEE HWY N |
| City | PULASKI |
| State | VA |
| Zip | 24301-2326 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph D Cacioppo | Emergency Medicine | Kingsford Emergency Group, LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Anthony G Patriarco | Internal Medicine | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Brandon Warren Johnson | Nurse Practitioner | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Kenneth R Pendergrast | Internal Medicine | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Bita Mansouri | Emergency Medicine | Kingsford Emergency Group, LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Benjamin S Davidson | Emergency Medicine | Kingsford Emergency Group, LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Angela P Blackman | Nurse Practitioner | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Alexander Fernandez | Certified Registered Nurse Anesthetist (crna) | Pulaski Community Hospital Inc | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Aja S Buhler | Nurse Practitioner | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Melanie M Hudgins | Nurse Practitioner | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea W Rupe | Nurse Practitioner | 101 1st Nwst, Suite 2, Pulaski, VA 24301 | |
| Karanita M Ojomo | Radiation Oncology | Oncology and Hematology Associates of Southwest Virginia, Inc. | 2400 Lee N Hwy, Pulaski, VA 24301-2326 |
| Saddam Ehsan Zaidi | Internal Medicine | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Feras J Ghosheh | Internal Medicine | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| J Frederick Hyduke | Anesthesiology | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | |
| Christy Fagg | Internal Medicine | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| David Daniel Bradley | Internal Medicine | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Erica A Waddle | Internal Medicine | Kingsford Physician Services LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Jane S Weiseman | Emergency Medicine | Kingsford Emergency Group, LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Scott A Wright | Internal Medicine | Kingsford Emergency Group, LLC | 2400 Lee Hwy N, Pulaski, VA 24301-2326 |
| Find all physicians in zip 24301 | |||
| City | PULASKI |
| Zip Code | 24301 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | PULASKI + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Owen W Roberts.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.