Ischemic Injured Organs and Limbs Foundation

Primary specialty

Organ Procurement OrganizationTaxonomy code 335U00000X

Legal business name

ISCHEMIC INJURED ORGANS AND LIMBS FOUNDATION

Practice address

2000 Kraft Dr Ste 1208
Blacksburg, VA 24060-6703

Phone

(540) 952-2588

Fax

(540) 274-3855

NPI assigned

Jan 12, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Frederick Gage, PH.D.

Title

Director

Phone

(240) 508-6779

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1174394696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11104 LUND PL",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208951623",
            "telephone_number": "240-508-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 KRAFT DR STE 1208",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240606703",
            "telephone_number": "540-952-2588",
            "fax_number": "540-274-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISCHEMIC INJURED ORGANS AND LIMBS FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "GAGE",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-508-6779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "335U00000X",
            "taxonomy_group": "",
            "desc": "Organ Procurement Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara C Inman, LCSW
• Integrated Self Counseling & Supervision, PLLC
• Internal Medicine of Blacksburg LLC
• Sadia Iqbal, DO
• Carissa L Isbell, PHARM. D.
• Hannah Jacqueline Jackson, PTA
• Kristie Lynn Jackson, NP
• Lukas Jackson, DPT
• Minna R Jackson, LPC
• William Materson Jackson, CRNFA

• Organ Procurement Organization in Blacksburg, VA
• Providers in Blacksburg, VA by specialty
• Organ Procurement Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.