Organization Active NPI

Oasis Spinal Care Inc.

  • Chiropractor
  • Roanoke, VA
National Provider Identifier
1225057458
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001266 Issued in VA
Legal business name
OASIS SPINAL CARE INC.
Practice address
41 Summers Way
Suite 103
Roanoke, VA 24019-8291
Phone
(540) 966-1423
Fax
(540) 966-4125
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Dr. Karen Reese Baader, DCNPI 1003838350
Title
Owner
Phone
(540) 966-1423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 0104001266 VA Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 0104001231 VA
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 0104556233 VA

Addresses

Primary practice location

41 Summers Way
Suite 103
Roanoke, VA 24019-8291

Mailing address

PO Box 1364
Roanoke, VA 24007-1364
Phone (540) 966-1423

Other identifiers 6

IdentifierTypeStateIssuer
281806OtherVAANTHEM BLUE CROSS
4579046OtherVAAETNA
7046529OtherVAAETNA
281817OtherVAANTHEM BLUE CROSS
5115029OtherVAAETNA
185516OtherVAANTHEM BLUE CROSS

Other names 1

  • Oasis Chiropractic & Wellness Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050323001094 VA Part B Supplier - Clinic/Group Practice 7719933696 Receives reassigned benefits from 1 practitioner
Practice locations: Roanoke, VA

National Provider Directory

National Provider Directory

Locations

41 Summers Way
Ste 103
Roanoke, VA 24019
Phone (540) 966-1423

Practitioners & affiliated clinicians

Practitioners 3

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1225057458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1364",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240071364",
            "telephone_number": "540-966-1423",
            "fax_number": "540-966-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SUMMERS WAY",
            "address_2": "SUITE 103",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240198291",
            "telephone_number": "540-966-1423",
            "fax_number": "540-966-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS SPINAL CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "BAADER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "REESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-966-1423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001266",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001231",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556233",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "281806",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4579046",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7046529",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "281817",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5115029",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "185516",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oasis Chiropractic & Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.