Organization Active NPI

Roanoke Orthopaedic Center, Inc.

Doing business as Roanoke Orthopaedic Center

  • Occupational Therapist
  • Roanoke, VA
National Provider Identifier
1265514749
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
ROANOKE ORTHOPAEDIC CENTER, INC.
Doing business as
Roanoke Orthopaedic Center
Practice address
4064 Postal Dr
Roanoke, VA 24018-6438
Phone
(540) 776-0200
Fax
(540) 777-5850
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Hugh J Hagan III, M.D.
Title
President/Orthopaedic Surgeon
Phone
(540) 776-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X VA Primary

Addresses

Primary practice location

4064 Postal Dr
Roanoke, VA 24018-6438

Mailing address

4064 Postal Dr
Roanoke, VA 24018-6438
Phone (540) 776-0200

Other identifiers 2

IdentifierTypeStateIssuer
CB4578OtherVARAILROAD MEDICARE
0466200001OtherVADMEPOS

Other names 1

  • Roanoke Orthopaedic Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Roanoke Orthopaedic Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4064 Postal Dr
Roanoke, VA 24018
Phone (540) 776-0200

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265514749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4064 POSTAL DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186438",
            "telephone_number": "540-776-0200",
            "fax_number": "540-777-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4064 POSTAL DR",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240186438",
            "telephone_number": "540-776-0200",
            "fax_number": "540-777-5850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE ORTHOPAEDIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/ORTHOPAEDIC SURGEON",
        "authorized_official_telephone_number": "540-776-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB4578",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEPOS",
            "identifier": "0466200001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roanoke Orthopaedic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.