Michael Samuel Stump (NPI# 1396183232, PAC ID# 8820387970) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1396183232 |
| PAC ID by PECOS | 8820387970 |
| Professional Enrollment ID | I20180821000900 |
| Full Name | Michael Samuel Stump |
| Organization Legal Name | DOMINION PATHOLOGY ASSOCIATES PC |
| Address |
1 Riverside Cir Suite 105 Roanoke VA 24016-4961 |
| Phone Number | 5405810148 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 8628031630 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490024 | CARILION MEDICAL CENTER |
| 490042 | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| 490089 | CARILION FRANKLIN MEMORIAL HOSPITAL |
| 491304 | CARILION STONEWALL JACKSON HOSPITAL |
| 491302 | CARILION GILES COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Riverside Cir, Suite 105, Roanoke, VA 24016-4961 | 5405810148 | DOMINION PATHOLOGY ASSOCIATES PC |
| Organization Legal Name | DOMINION PATHOLOGY ASSOCIATES PC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian K Newman | Pathology | Dominion Pathology Associates PC | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Douglas J Grider | Pathology | Dominion Pathology Associates PC | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Pragna D Sheth | Pathology | Dominion Pathology Associates PC | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| William E Jefferson Iii | Pathology | Dominion Pathology Associates PC | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Robert Budin | Pathology | Dominion Pathology Associates PC | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Patrick S Rush | Pathology | Dominion Pathology Associates PC | 1 Riverside Cir, Suite 105, Roanoke, VA 24016-4961 |
| David P Lebel Ii | Pathology | Dominion Pathology Associates PC | 1 Riverside Cir, Suite 105, Roanoke, VA 24016-4961 |
| Robert Wylie Jarrett Jr. | Pathology | Dominion Pathology Associates PC | 1 Riverside Cir, Suite 105, Roanoke, VA 24016-4961 |
| Kenneth M Algino | Pathology | Dominion Pathology Associates PC | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Robert M White | Pathology | Dominion Pathology Associates PC | 1906 Belleview Seave, Roanoke, VA 24014-1838 |
| Street Address |
1 RIVERSIDE CIR SUITE 105 |
| City | ROANOKE |
| State | VA |
| Zip | 24016-4961 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Armbruster | Gynecological Oncology | Carilion Medical Center | 1 Riverside Cir, Suite 300m, Roanoke, VA 24016-4962 |
| Joshua Eikenberg | Dermatology | Carilion Medical Center | 1 Riverside Cir, Suite 300, Roanoke, VA 24016-4962 |
| Patrick S Rush | Pathology | Dominion Pathology Associates PC | 1 Riverside Cir, Suite 105, Roanoke, VA 24016-4961 |
| David P Lebel Ii | Pathology | Dominion Pathology Associates PC | 1 Riverside Cir, Suite 105, Roanoke, VA 24016-4961 |
| Robert Wylie Jarrett Jr. | Pathology | Dominion Pathology Associates PC | 1 Riverside Cir, Suite 105, Roanoke, VA 24016-4961 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Leland Rasor | Podiatry | Foot and Ankle Associates of Southwest Virginia PC | 222 Walnut St, Roanoke, VA 24016 |
| Ivan Alfonso Rubiano | Podiatry | Foot and Ankle Associates of Southwest Virginia PC | 222 Walnut St, Roanoke, VA 24016 |
| Benjamin Michael Savasky | Podiatry | Foot and Ankle Associates of Southwest Virginia PC | 222 Walnut St, Roanoke, VA 24016 |
| Boyd Jensen | Podiatry | Foot and Ankle Associates of Southwest Virginia PC | 222 Walnut St, Roanoke, VA 24016 |
| Nathan John Young | Podiatry | Foot and Ankle Associates of Southwest Virginia PC | 222 Walnut St, Roanoke, VA 24016 |
| Angela Dawn Link | Nurse Practitioner | Foot and Ankle Associates of Southwest Virginia PC | 222 Walnut St, Roanoke, VA 24016 |
| James A Porter | Physician Assistant | Foot and Ankle Associates of Southwest Virginia PC | 222 Walnut St, Roanoke, VA 24016 |
| Saira Arif | Psychiatry | Blue Ridge Behavioral Healthcare | 611 Mcdowell Ave Nw, Roanoke, VA 24016-1225 |
| Adrien E Monti | Clinical Social Worker | Blue Ridge Behavioral Healthcare | 611 Mcdowell Ave, Roanoke, VA 24016-1225 |
| Jessica L Jeffrey | Psychiatry | Blue Ridge Behavioral Healthcare | 611 Mcdowell Ave Nw, Roanoke, VA 24016-1225 |
| Find all physicians in zip 24016 | |||
| City | ROANOKE |
| Zip Code | 24016 |
| Specialty | PATHOLOGY |
| City + Specialty | ROANOKE + PATHOLOGY |
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| 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.