ERIC AMBROZ NPI 1417488230

NPI Information

  • NPI: 1417488230
  • Provider Name: ERIC AMBROZ
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2001 CRYSTAL SPRING AVE SW STE 201
    ROANOKE, VA
    ZIP 24014
  • Phone: (540) 853-0100

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NPI Details

Eric Ambroz is a vascular surgery surgery in Roanoke, VA with 8 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Eric Ambroz NPI is 1417488230. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduation Year:2017

The provider's business location address is:

2001 CRYSTAL SPRING AVE SW STE 201
ROANOKE, VA
ZIP 24014-465
Phone: (540) 853-0100

The NPI 1417488230 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 enumeration date for this NPI number is 3/23/2017 and was last updated on 7/16/2024.

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
12086S0129XSurgeryVascular Surgery0102208672VIRGINIAYes
2390200000XStudent in an Organized Health Care Education/Training ProgramNo

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: 11/21/2025

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