ROANOKE EAR NOSE & THROAT CLINIC – NPI #1609895267
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.

ROANOKE EAR NOSE & THROAT CLINIC is a provider located in ROANOKE, VA. NPPES has assigned the NPI number 1609895267 to ROANOKE EAR NOSE & THROAT CLINIC on July 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RA0201X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Allergy & Immunology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ROANOKE EAR NOSE & THROAT CLINIC below.

NPI Profile for
ROANOKE EAR NOSE & THROAT CLINIC

NPI Number
1609895267
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ROANOKE EAR NOSE & THROAT CLINIC
Primary location
201 MCCLANAHAN ST SW
ROANOKE, VA 24014-1709
Phone: (540) 345-3556 Fax: (540) 342-2193
Mailing address
PO BOX 8788
ROANOKE, VA 24014-0736
Phone: (540) 345-3556 Fax: (540) 342-2193
Organization Subpart
No
Authorized Official
GEOFFREY HARTER
PRESIDENT
Phone: (540) 345-3556
Updated
Identifiers

Identifiers for ROANOKE EAR NOSE & THROAT CLINIC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERANTHEMVA065839
OTHERRAILROAD MEDICAREVACM5366
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RA0201X
- Internal Medicine / Allergy & Immunology (Primary)
VA 0101044826

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.