Russell Noblett
PHYSICIAN ASSOCIATES OF VIRGINIA PC


Address: 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
Phone: 5403454946

Russell Noblett (NPI# 1255386074, PAC ID# 7719022748) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1255386074
PAC ID by PECOS 7719022748
Professional Enrollment ID I20100302000801
Full Name Russell Noblett
Organization Legal Name PHYSICIAN ASSOCIATES OF VIRGINIA PC
Address 4461 Starkey Rd
Suite 201
Roanoke
VA 24018-0612
Phone Number 5403454946
Gender M
Medical School UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduation Year 1989
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 3870578214
Number of Group Practice Members 12
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
490048 LEWISGALE MEDICAL CENTER

Other Locations

Address Phone Organization
4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612 5403454946 PHYSICIAN ASSOCIATES OF VIRGINIA PC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 100%

Organization Information

Organization Legal Name PHYSICIAN ASSOCIATES OF VIRGINIA PC
Physicians 15

Physicians with the same organization

Name Specialty Organization Address
Carolyn Clark Internal Medicine Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
Daniel Bauer Internal Medicine Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
James H Gardner Internal Medicine Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
Katherine F Barnhill Nurse Practitioner Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
Pamela K Cassell Nurse Practitioner Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
Sharon Anne Crookshanks Physician Assistant Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
Brittany Lower Family Medicine Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
Anne M Jaeger Internal Medicine Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
Ezekiel N Jones Ii Family Medicine Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
Charlotte Hagan Psychiatry Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612

Office Location

Street Address 4461 STARKEY RD
SUITE 201
City ROANOKE
State VA
Zip 24018-0612

Physicians in the same location

Name Specialty Organization Address
Carolyn Clark Internal Medicine Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
Daniel Bauer Internal Medicine Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
James H Gardner Internal Medicine Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
Katherine F Barnhill Nurse Practitioner Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
Pamela K Cassell Nurse Practitioner Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
Sharon Anne Crookshanks Physician Assistant Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
Brittany Lower Family Medicine Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
Anne M Jaeger Internal Medicine Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
Ezekiel N Jones Ii Family Medicine Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
Charlotte Hagan Psychiatry Physician Associates of Virginia PC 4461 Starkey Rd, Suite 201, Roanoke, VA 24018-0612
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Name Specialty Organization Address
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Eliza A Jacob Emergency Medicine Lake Spring Emergency Group LLC 2706 Ogden Rd, Cave Spring, VA 24018-0600
Thomas B Bolton Emergency Medicine Lake Spring Emergency Group LLC 2706 Ogden Rd, Cave Spring, VA 24018-0600
Eric D Kramer Emergency Medicine Lake Spring Emergency Group LLC 2706 Ogden Rd, Cave Spring, VA 24018-0600
Ethan R Freeborn Emergency Medicine Lake Spring Emergency Group LLC 2706 Ogden Rd, Cave Spring, VA 24018-0600
Chad W Mosby Emergency Medicine Lake Spring Emergency Group LLC 2706 Ogden Rd, Cave Spring, VA 24018-0600
Daniel Patrick Sapp Emergency Medicine Lake Spring Emergency Group LLC 2706 Ogden Rd, Cave Spring, VA 24018-0600
David Long Emergency Medicine Lake Spring Emergency Group LLC 2706 Ogden Rd, Cave Spring, VA 24018-0600
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Competitor

Search similar physicians

City ROANOKE
Zip Code 24018
Specialty INTERNAL MEDICINE
City + Specialty ROANOKE + INTERNAL MEDICINE

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Dataset Information

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.

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