Active NPI
Atlantic Coast Neurosurgery Inc
- Neurological Surgery Physician
- Roanoke, VA
National Provider Identifier
1013109842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 0101042165
- Legal business name
- ATLANTIC COAST NEUROSURGERY INC
- Practice address
- 2107 Rosalind Avenue
Roanoke, VA 24014 - Phone
- (540) 344-3433
- Fax
- (540) 344-3358
- NPI assigned
- Aug 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa H Meador
- Title
- Office Manager
- Phone
- (540) 344-3433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 0101042165 | VA | Primary |
Addresses
Primary practice location
2107 Rosalind Avenue
Roanoke, VA 24014
Mailing address
2107 Rosalind Avenue
Roanoke, VA 24014
Phone (540) 344-3433
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE8364 | Other | MEDICARE RAILROAD | |
| C09822 | Other | VA | MEDICARE GROUP # |
National Provider Directory
National Provider DirectoryLocations
3243 Electric Rd
Ste 1A
Roanoke, VA 24018
Phone (540) 344-3433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187136000000",
"number": "1013109842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2107 ROSALIND AVENUE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "24014",
"telephone_number": "540-344-3433",
"fax_number": "540-344-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2107 ROSALIND AVENUE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "24014",
"telephone_number": "540-344-3433",
"fax_number": "540-344-3358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTIC COAST NEUROSURGERY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-15",
"last_updated": "2007-08-15",
"status": "A",
"authorized_official_last_name": "MEADOR",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "540-344-3433"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neurological Surgery",
"state": "VA",
"license": "0101042165",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DE8364",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "C09822",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.