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JONATHAN J CARMOUCHE MD NPI 1275562589


NPI Information

NPI: 1275562589
Provider Name: JONATHAN J CARMOUCHE, MD
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Individual

Specialization: Orthopaedic Surgery of the Spine

PECOS Registration: Yes

Address:
2331 FRANKLIN RD SW
ROANOKE, VA
ZIP 24014
Phone: (540) 725-1226
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Jonathan J Carmouche, MD is an orthopaedic surgery of the spine orthopaedic surgery in Roanoke, VA with 24 years of experience. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. Jonathan J Carmouche, MD NPI is 1275562589. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2000

The provider's business location address is:

2331 FRANKLIN RD SW
ROANOKE, VA
ZIP 24014-111
Phone: (540) 725-1226
Fax: (540) 857-5306

The NPI 1275562589 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of device into intervertebral disc space of spine and fusion of vertebrae (HCPCS:22853)
  • Partial removal of middle spine bone with release of spinal cord and/or nerves (HCPCS:63047)
  • Partial removal of spine bone with release of spinal cord and/or nerves (HCPCS:63048)
  • Fusion of spine bones, posterior or posterolateral approach (HCPCS:22614)

The enumeration date for this NPI number is 6/30/2006 and was last updated on 7/18/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine0101-240988VIRGINIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11275562589OTHERVIRGINIAVA PREMIER
2371194700OTHERVIRGINIABLACK LUNG
33810018726OTHERVIRGINIAMEDICAID OF WEST VIRGINIA
41275562589OTHERVIRGINIAUMWA
51275562589OTHERVIRGINIAANTHEM
61275562589OTHERVIRGINIAHUMANA MEDICARE
71275562589OTHERVIRGINIAHEALTHKEEPERS PLUS
81275562589OTHERVIRGINIAOPTIMA HEALTH PLAN
91275562589OTHERVIRGINIAUNITED HEALTHCARE
101275562589OTHERVIRGINIAGATEWAY
111275562589OTHERVIRGINIAVIRGINIA HEALTH NETWORK
121275562589OTHERVIRGINIAINTOTAL
13540506332108OTHERVIRGINIATRICARE/CHAMPUS
141275562589OTHERVIRGINIASOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
151275562589OTHERVIRGINIACIGNA
161275562589MEDICAIDVIRGINIA
171275562589OTHERVIRGINIAAETNA
181275562589OTHERVIRGINIAHEALTHKEEPERS
19P00834687OTHERVIRGINIARAILROAD MEDICARE

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.