Individual provider Active NPI

Aaron Jun, M.D.

  • Diagnostic Radiology Physician
  • Roanoke, VA
National Provider Identifier
1033194253
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101242706 Issued in VA
Practice address
1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone
(540) 981-7000
Fax
(540) 981-8260
NPI assigned
Dec 9, 2005
Last updated
May 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101242706 VA Primary
Diagnostic Radiology Physician 2085R0202X A81322 CA
Diagnostic Radiology Physician 2085R0202X 35079892 OH
Diagnostic Radiology Physician 2085R0202X C1-0025771 DE
Diagnostic Radiology Physician 2085R0202X MD26502 OR
Diagnostic Ultrasound Physician 2085U0001X A81322 CA
Diagnostic Ultrasound Physician 2085U0001X 35079892 OH

Addresses

Primary practice location

1906 Belleview Ave SE
Roanoke, VA 24014-1838

Mailing address

213 S Jefferson St Ste 1006
Roanoke, VA 24011-1713
Phone (540) 224-5516

Other practice location 1

930 SW Abbey St
Newport, OR 97365-4820
Phone (541) 475-4710

Other practice location 2

505 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 451-6950

Other practice location 3

3043 NE 28th St
Lincoln City, OR 97367-4518
Phone (541) 994-3661

Other practice location 4

525 N Santiam Hwy
Lebanon, OR 97355-4363
Phone (541) 258-2101

Other practice location 5

1046 6th Ave SW
Albany, OR 97321-1916
Phone (541) 812-4000

Other practice location 6

157 Spaulding Ave
Brownsville, OR 97327-0000
Phone (541) 451-6940

Other practice location 7

8599 Haven Ave.
Suite 300
Rancho Cucamonga, CA 91730-4849
Phone (909) 620-8180

Other practice location 8

3600 NW Samaritan Dr
Corvallis, OR 97330-5472
Phone (541) 768-5111

Other practice location 9

35 Mullins Dr Ste 2
Lebanon, OR 97355-3985
Phone (541) 451-7915

Other practice location 10

5234 SW Philomath Blvd Ste B
Corvallis, OR 97333-1042
Phone (541) 768-7300

Other practice location 11

3615 NW Samaritan Dr Ste 101
Corvallis, OR 97330-3756
Phone (541) 768-5187

Other practice location 12

832 Elm St SW Ste 101
Albany, OR 97321-2062
Phone (541) 812-5820

Other practice location 13

845 SW 30th St
Corvallis, OR 97331-8629
Phone (541) 768-7700

Other practice location 14

5234 SW Philomath Blvd
Corvallis, OR 97333-1042
Phone (541) 768-4970

Other practice location 15

1700 Geary St SE Ste 400
Albany, OR 97322-6842
Phone (541) 812-5500

Other identifiers 4

IdentifierTypeStateIssuer
2694688MedicaidOH
P00353643OtherOHRR MEDICARE
000000500786OtherOHANTHEM
00AA813220MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, TX, NY, WA, FL, NM, IL, MI, DE10 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
I20051102001193 CA Practitioner - Diagnostic Radiology 5496773061 Reassigns benefits to 29 organizations
I20081009000498 AZ Practitioner - Diagnostic Radiology 5496773061 Reassigns benefits to 2 organizations
I20140626000838 TX Practitioner - Diagnostic Radiology 5496773061 Reassigns benefits to 12 organizations
I20200305002534 NY Practitioner - Diagnostic Radiology 5496773061 Reassigns benefits to 2 organizations
I20200323003022 WA Practitioner - Diagnostic Radiology 5496773061 Reassigns benefits to 1 organization
I20200910001462 FL Practitioner - Diagnostic Radiology 5496773061 Reassigns benefits to 1 organization
I20210115000527 NM Practitioner - Diagnostic Radiology 5496773061 Reassigns benefits to 2 organizations
I20210210001135 IL Practitioner - Diagnostic Radiology 5496773061 Reassigns benefits to 7 organizations
I20240801002828 MI Practitioner - Diagnostic Radiology 5496773061 Reassigns benefits to 1 organization
I20240826002386 DE Practitioner - Diagnostic Radiology 5496773061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Radiological Associates PAGroup PAC ID 4385740141, 61 clinicians
Humboldt Park HealthGroup PAC ID 8921907072, 106 clinicians
La Paz Regional Hospital IncGroup PAC ID 1557273356, 50 clinicians
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians
Central Valley Community Medical ImagingGroup PAC ID 5799679874, 97 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians
Lubbock County Hospital DistrictGroup PAC ID 4385538941, 97 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians
Thorek Radiology Group NFPGroup PAC ID 1658786421, 41 clinicians
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians
Grays Harbor Community HospitalGroup PAC ID 3577462365, 91 clinicians
Bayhealth Radiologists LLCGroup PAC ID 0446601876, 91 clinicians
Pco PCGroup PAC ID 5395179329, 82 clinicians
Jason L Hwang MD IncGroup PAC ID 6103171012, 50 clinicians

Practice addresses (Care Compare)

Rancho Cucamonga, CA 91737
Phone (800) 841-4236

1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8227

11370 Anderson St
Loma Linda, CA 92354-3450

1200 W Mohave Rd
Parker, AZ 85344-6349
Phone (928) 669-7382

1215 E Michigan Ave
Unitversity of Michigan Health Spar
Lansing, MI 48912-1811
Phone (517) 364-5650

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

1713 S Kofa Ave
Suite a
Parker, AZ 85344-6401
Phone (928) 669-7380

1827 E Fir Ave
Suite 101
Fresno, CA 93720-3860
Phone (559) 256-1975

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000

3762 Tibbetts St
Riverside, CA 92506-2605
Phone (951) 686-2224

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

501 W 14TH St
Wilmington, DE 19801-1013

501 W 14TH St FL
6 CCHS Infectious Disease
Wilmington, DE 19801-1013
Phone (302) 320-1300

501 W 14TH St Wilmington Hospital
Wilmington, DE 19801-1013

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-8400

621 Middletown Odessa Rd
Middletown, DE 19709-9602
Phone (302) 203-2260

6901 Medical Pkwy
Waco, TX 76712-7910
Phone (254) 751-4000

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

850 W Irving Park Rd
Chicago, IL 60613-3077
Phone (773) 975-6722

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

915 Anderson Dr
Aberdeen, WA 98520-1006
Phone (360) 532-8330

9593 Enclave Dr
Rancho Cucamonga, CA 91737-2604
Phone (610) 892-8889

File Number
Suite 54701
Los Angeles, CA 90074-4701

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
81322CAMDPharmacist
MD26502ORMDDiagnostic Radiology Physician
0101242706VAMDDiagnostic Radiology Physician

Practice roles (60 of 92)

OrganizationSpecialtyStatusNew patients
Southern Humboldt Community Healthcare District CurrentSince Dec 1, 2025 Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Rockford Health Physicians CurrentSince Sep 1, 2025 Accepting new patients
Ochiltree Hospital District Current Accepting new patients
Seven Star Hospital Associates Inc. Diagnostic Radiology CurrentSince Jul 1, 2021 Accepting new patients
La Paz Regional Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince Aug 21, 2019 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince May 5, 2024 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jun 19, 2020 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
First Medical Center Inc CurrentSince Nov 1, 2021 Accepting new patients
Edward W Sparrow Hospital Association Diagnostic Ultrasound CurrentSince Jul 1, 2024 Accepting new patients
Seven Star Hospital Associates Inc. CurrentSince Jul 1, 2021 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince Apr 15, 2022 Accepting new patients
DHHS IHS Phoenix CurrentSince Mar 30, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Sep 10, 2020 Accepting new patients
La Paz Regional Hospital, Inc. CurrentSince Jun 29, 2022 Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Sep 11, 2024 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jul 1, 2024 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Mar 30, 2024 Accepting new patients
El Paso County Hospital District CurrentSince Nov 1, 2023 Accepting new patients
Bayhealth Radiologists LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Central Valley Community Medical Imaging Diagnostic Radiology CurrentSince May 1, 2020 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince Aug 21, 2019 Accepting new patients
Freeport Memorial Hospital CurrentSince May 1, 2022 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Jul 12, 2023 Accepting new patients
Interfaith Professional Physician Services, P.C. Diagnostic Radiology CurrentSince Dec 13, 2023 Accepting new patients
Carle West Physician Group Inc CurrentSince May 9, 2023 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Jul 16, 2020 Accepting new patients
Grays Harbor Community Hospital CurrentSince Mar 1, 2020 Accepting new patients
Southern Humboldt Community Healthcare District CurrentSince Oct 24, 2019 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Aug 7, 2019 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jun 19, 2020 Accepting new patients
Faculty Physicians and Surgeons of Llusm Diagnostic Radiology CurrentSince Aug 7, 2019 Accepting new patients
Thorek Radiology Group NFP Diagnostic Radiology CurrentSince Oct 13, 2020 Accepting new patients
La Paz Regional Hospital Inc CurrentSince Jun 29, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 1, 2025 Accepting new patients
El Paso County Hospital District CurrentSince Nov 1, 2023 Accepting new patients
Edward W Sparrow Hospital Association Current Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Jan 11, 2020 Accepting new patients
Grays Harbor House Hospitalist CurrentSince Mar 1, 2020 Accepting new patients
Lansing Radiology Associates P C Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince Jul 12, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 1, 2025 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Jan 11, 2020 Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince Apr 15, 2022 Accepting new patients
Humboldt Park Health CurrentSince Sep 6, 2022 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Jul 16, 2020 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital Current Accepting new patients
DHHS IHS Phoenix Area CurrentSince Mar 30, 2024 Accepting new patients
Central Texas Radiological Associates PA Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 12, 2024 Accepting new patients
Pco PC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients

Locations (25 of 78)

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

1713 S Kofa Ave
Ste A
Parker, AZ 85344
Phone (928) 669-7380

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

1025 S Anaheim Blvd
Anaheim, CA 92805
Phone (714) 533-6220

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

11841 South St
Cerritos, CA 90703
Phone (562) 809-8082

1827 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 297-9002

733 Cedar St
Garberville, CA 95542
Phone (707) 923-3921

1246 W 155th St
Gardena, CA 90247
Phone (310) 323-5330

1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811

890 W Stetson Ave
Ste B
Hemet, CA 92543
Phone (951) 652-2811

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610

2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011

2224 Medical Center Dr
Perris, CA 92571
Phone (951) 436-3460

1770 Iowa Ave
Ste 280
Riverside, CA 92507
Phone (661) 948-4781

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

1001 N Tustin Ave
Santa Ana, CA 92705
Phone (714) 835-3555

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

640 S State St
Dover, DE 19901
Phone (302) 744-4700

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ajun274370@mhsdirect.net

Organizations & group practices 104

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 104

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1033194253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "540-981-7000",
            "fax_number": "540-981-8260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 SW Abbey St",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973654820",
            "country_code": "US",
            "telephone_number": "541-475-4710",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 N Santiam Hwy",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973554363",
            "country_code": "US",
            "telephone_number": "541-451-6950",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3043 NE 28th St",
            "address_purpose": "LOCATION",
            "city": "Lincoln City",
            "state": "OR",
            "postal_code": "973674518",
            "country_code": "US",
            "telephone_number": "541-994-3661",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 N Santiam Hwy",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973554363",
            "country_code": "US",
            "telephone_number": "541-258-2101",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1046 6th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973211916",
            "country_code": "US",
            "telephone_number": "541-812-4000",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "157 Spaulding Ave",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "OR",
            "postal_code": "973270000",
            "country_code": "US",
            "telephone_number": "541-451-6940",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8599 Haven Ave.",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917304849",
            "country_code": "US",
            "telephone_number": "909-620-8180",
            "fax_number": "909-919-7288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 NW Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973305472",
            "country_code": "US",
            "telephone_number": "541-768-5111",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Mullins Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973553985",
            "country_code": "US",
            "telephone_number": "541-451-7915",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5234 SW Philomath Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973331042",
            "country_code": "US",
            "telephone_number": "541-768-7300",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3615 NW Samaritan Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973303756",
            "country_code": "US",
            "telephone_number": "541-768-5187",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "832 Elm St SW Ste 101",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973212062",
            "country_code": "US",
            "telephone_number": "541-812-5820",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "845 SW 30th St",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973318629",
            "country_code": "US",
            "telephone_number": "541-768-7700",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5234 SW Philomath Blvd",
            "address_purpose": "LOCATION",
            "city": "Corvallis",
            "state": "OR",
            "postal_code": "973331042",
            "country_code": "US",
            "telephone_number": "541-768-4970",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Geary St SE Ste 400",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973226842",
            "country_code": "US",
            "telephone_number": "541-812-5500",
            "fax_number": "706-653-1162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUN",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101242706",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A81322",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35079892",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0025771",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD26502",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "CA",
            "license": "A81322",
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "OH",
            "license": "35079892",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2694688",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00353643",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000500786",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AA813220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.