ROANOKE PLASTIC SURGERY PLC NPI 1184768939

NPI Information

NPI: 1184768939
Provider Name: ROANOKE PLASTIC SURGERY PLC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
1118 FIRST STREET SW
ROANOKE, VA
ZIP 24016
Phone: (540) 581-1400
Get Directions

ROANOKE PLASTIC SURGERY PLC is a plastic and reconstructive surgery surgery in Roanoke, VA. The provider is a surgeon who specializes in plastic and reconstructive surgery. ROANOKE PLASTIC SURGERY PLC NPI is 1184768939. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1118 FIRST STREET SW
ROANOKE, VA
ZIP 24016-702
Phone: (540) 581-1400
Fax: (540) 581-1401

The provider's authorized official is Barton Alan Thomas .
The authorized official title is Owner and has the following contact phone number (540) 581-1400.

The enumeration date for this NPI number is 2/16/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	0101050799	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00670189	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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