NPIMap

Organization Active NPI

Cardiothoracic Surgeons of Roanoke Valley LLC

Doing business as Cardiothoracic Surgeons of Roanoke Valley

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Salem, VA
National Provider Identifier
1346343563
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
CARDIOTHORACIC SURGEONS OF ROANOKE VALLEY LLC
Doing business as
Cardiothoracic Surgeons of Roanoke Valley
Practice address
1802 Braeburn Dr
Suite 1310
Salem, VA 24153-7357
Phone
(540) 776-2029
Fax
(540) 776-2017
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

1802 Braeburn Dr
Suite 1310
Salem, VA 24153-7357

Mailing address

1802 Braeburn Dr
Suite 1310
Salem, VA 24153-7357
Phone (540) 776-2029

Other identifiers 1

IdentifierTypeStateIssuer
1346343563MedicaidVA

Other names 1

  • Cardiothoracic Surgeons of Roanoke Valley Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1346343563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 BRAEBURN DR",
            "address_2": "SUITE 1310",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537357",
            "telephone_number": "540-776-2029",
            "fax_number": "540-776-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 BRAEBURN DR",
            "address_2": "SUITE 1310",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537357",
            "telephone_number": "540-776-2029",
            "fax_number": "540-776-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOTHORACIC SURGEONS OF ROANOKE VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2008-02-07",
        "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": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346343563",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiothoracic Surgeons of Roanoke Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.