Dermatology Associates Of Roanoke
Specialist in Roanoke, VA. Organization (NPI-2).
NPI number1134536832
StatusActive
Last updated in NPPESJul 15, 2014
Details
- NPI
- 1134536832
- Entity type
- Organization (NPI-2)
- Legal business name
- Dermatology Associates Of Roanoke
- Organization subpart
- No
- Enumeration date
- Jul 15, 2014
- Last updated
- Jul 15, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 0101049323 | VA | Yes |
Practice location
1215 3rd St SwRoanoke, VA 24016-4611
Phone 540-345-6010 · Fax 540-345-5446
Mailing address
1215 3rd St SwRoanoke, VA 24016-4611
Phone 540-345-6010 · Fax 540-345-5446
Authorized official
Susie R Craig
Office Manager
5403456010
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