Vip Medical Services

Primary specialty

Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X

Legal business name

VIP MEDICAL SERVICES

Practice address

608 Stone Avenue
Talladega, AL 35610-2217

Phone

(205) 427-0691

NPI assigned

Nov 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ronald M Roan, M.D.

Title

President

Phone

(205) 427-0691

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1225584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308873600000",
    "number": "1124271283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 IRVING RD",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352093428",
            "telephone_number": "205-427-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 STONE AVENUE",
            "city": "TALLADEGA",
            "state": "AL",
            "postal_code": "356102217",
            "telephone_number": "205-427-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-02",
        "last_updated": "2011-06-24",
        "status": "A",
        "authorized_official_last_name": "ROAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-427-0691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128722",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Critical Care Medicine (Anesthesiology) Physician in Talladega, AL
• Providers in Talladega, AL by specialty
• Critical Care Medicine (Anesthesiology) Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.