Roanoke Neurosurgery, LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

ROANOKE NEUROSURGERY, LLC

Practice address

2766 Electric Rd
Suite a
Roanoke, VA 24018-3583

Phone

(540) 989-6516

NPI assigned

Jun 17, 2006

Last updated

Jan 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Buddy Blackwood

Title

VP

Phone

(540) 772-3527

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sander W Leivy, MD

  • Neurological Surgery Physician
  • Roanoke, VA
  • NPI 1922093442
  NPD (past)
• John A Feldenzer, MD

  • Neurological Surgery Physician
  • Lewisburg, WV
  • NPI 1457346975
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1336184084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 ELECTRIC RD",
            "address_2": "SUITE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183583",
            "telephone_number": "540-989-6516",
            "fax_number": "540-989-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 ELECTRIC RD",
            "address_2": "SUITE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183583",
            "telephone_number": "540-989-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE NEUROSURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "BLACKWOOD",
        "authorized_official_first_name": "BUDDY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "540-772-3527"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DB1008",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336184084",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roanoke Family Medicine
• Roanoke Family Medicine Inc
• Roanoke Heart Institute PLC
• Roanoke Imaging LLC (Lewis Gale Imaging at Brambleton)
• Roanoke Neurological Associates
• Roanoke Oral Surgery, Inc.
• Roanoke Orthopaedic Center, Inc. (Roanoke Orthopaedic Center)
• Roanoke Orthopaedic Center, Inc. (Roanoke Orthopaedic Center)
• Roanoke Orthopaedic Center, Inc. (Roanoke Orthopaedic Center)
• Roanoke Orthopedic Appliance Co Inc

• Neurological Surgery Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Neurological Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.