Organization Active NPI

Ann E Hedberg MD PLC

  • Psychiatry Physician
  • Roanoke, VA
National Provider Identifier
1194805804
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ANN E HEDBERG MD PLC
Practice address
4045 Postal Dr
Roanoke, VA 24018-6439
Phone
(540) 589-6358
Fax
(815) 366-8271
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Ann E. Hedberg, M.D.
Title
President
Phone
(540) 589-6358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

4045 Postal Dr
Roanoke, VA 24018-6439

Mailing address

PO Box 21859
Roanoke, VA 24018-0602
Phone (540) 589-6358

National Provider Directory

National Provider Directory

Locations

1912 Braeburn Dr
Salem, VA 24153
Phone (540) 589-6358

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1194805804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21859",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180602",
            "telephone_number": "540-589-6358",
            "fax_number": "815-366-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 POSTAL DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186439",
            "telephone_number": "540-589-6358",
            "fax_number": "815-366-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN E HEDBERG MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "HEDBERG",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-589-6358",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 28, 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.

Verify at the official NPI Registry.