DR. CASSANDRA MIERISCH M. D. NPI 1760672489

NPI Information

NPI: 1760672489
Provider Name: DR. CASSANDRA MIERISCH, M. D.
Classification: Orthopaedic Surgery - 207XS0106X
Entity Type: Individual

Specialization: Hand Surgery

PECOS Registration: Yes

Address:
2331 FRANKLIN RD SW
ROANOKE, VA
ZIP 24014
Phone: (540) 725-1226
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DR. Cassandra Mierisch, M. D. is a hand surgery orthopaedic surgery in Roanoke, VA. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. DR. Cassandra Mierisch, M. D. NPI is 1760672489. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

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 1760672489 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/30/2007 and was last updated on 1/25/2016.

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	207X00000X	Orthopaedic Surgery		0101242071	VIRGINIA	No
2	207XS0106X	Orthopaedic Surgery	Hand Surgery	0101242071	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	371194700	OTHER	VIRGINIA	BLACK LUNG
2	1760672489	OTHER	VIRGINIA	VIRGINIA PREMIER
3	761760	OTHER	VIRGINIA	MEDICAID OF NORTH CAROLINA
4	1760672489	OTHER	VIRGINIA	HEALTHKEEPERS
5	1760672489	OTHER	VIRGINIA	SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
6	3810010540	OTHER	VIRGINIA	MEDICAID OF WVA
7	1760672489	OTHER	VIRGINIA	ANTHEM
8	1760672489	OTHER	VIRGINIA	OPTIMA HEALTH PLAN
9	1760672489	OTHER	VIRGINIA	GATEWAY
10	1760672489	OTHER	VIRGINIA	VIRGINIA HEALTH NETWORK
11	P00450222	OTHER	VIRGINIA	RAILROAD MEDICARE
12	1760672489	OTHER	VIRGINIA	HEALTHKEEPERS PLUS
13	1760672489	OTHER	VIRGINIA	INTOTAL
14	1760672489	OTHER	VIRGINIA	AETNA
15	1760672489	OTHER	VIRGINIA	UMWA
16	015559C19	MEDICARE PIN	VIRGINIA
17	1760672489	OTHER	VIRGINIA	HUMANA MEDICARE
18	1760672489	OTHER	VIRGINIA	UNITED HEALTHCARE
19	1760672489	MEDICAID	VIRGINIA
20	1760672489	OTHER	VIRGINIA	CIGNA
21	540506332004	OTHER	VIRGINIA	TRICARE

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

NPI Synchronization or Removal

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