Friendship Physician Clinic Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FRIENDSHIP PHYSICIAN CLINIC INC

Doing business as

Geriatric Care Associates of Roanoke

Practice address

391 Hershberger Rd
Roanoke, VA 24012-1983

Phone

(540) 384-5977

NPI assigned

Oct 22, 2020

Last updated

Jan 26, 2023By 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

Joseph M Hoff

Title

Pesident/Ceo

Phone

(540) 265-2087

Specialties & licenses 2

Addresses

Other names 1

• Geriatric Care Associates of Roanoke Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 8

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.

• Benita C Bocanegra

  • Acute Care Nurse Practitioner
  • Hardy, VA
  • NPI 1962029827
  Medicare reassignment Care Compare group NPD
• Elizabeth Ashley Draper, D.O.

  • Internal Medicine Physician
  • Woodlawn, VA
  • NPI 1164780102
  Medicare reassignment Care Compare group NPD
• Mazen I Madhoun, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Salem, VA
  • NPI 1518127927
  Medicare reassignment Care Compare group NPD
• Monica Shanique Pannell, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Roanoke, VA
  • NPI 1962235549
  Medicare reassignment Care Compare group NPD
• Pamela Renee Richardson, LCSW

  • Clinical Social Worker
  • Roanoke, VA
  • NPI 1750080974
  Medicare reassignment Care Compare group NPD
• Laura Ringley, FNP-C

  • Family Nurse Practitioner
  • Roanoke, VA
  • NPI 1205640356
  Medicare reassignment Care Compare group NPD
• David Trinkle, MD

  • Geriatric Psychiatry Physician
  • Roanoke, VA
  • NPI 1598749632
  Medicare reassignment Care Compare group NPD
• Marta Pacheco

  • Acute Care Nurse Practitioner
  • Rock Hill, SC
  • NPI 1053076554

  VA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1366041170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 HERSHBERGER RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121983",
            "telephone_number": "540-265-2087",
            "fax_number": "540-212-6357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 HERSHBERGER RD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240121983",
            "telephone_number": "540-384-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDSHIP PHYSICIAN CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "HOFF",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PESIDENT/CEO",
        "authorized_official_telephone_number": "540-265-2087"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geriatric Care Associates of Roanoke",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Friendship Outpatient & Wellness Services, Inc. (Friendship Outpatient Therapy)
• Friendship Pharmacy Inc (Friendship Pharmacy)
• Friendship Pharmacy Inc (Friendship Institutional Pharmacy)
• Friendship Pharmacy, Inc. (Friendship Pharmacy)
• Friendship Pharmacy, Inc. (Friendship Pharmacy)
• Eleanor L Fritsch
• Frontiers in Change LLC
• Jessica Frontus, COTA
• Lisa Frontus, OTR
• Barbara J Frost, NP

• Primary Care Clinic/Center in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.