Individual provider Active NPI

Raymond V Harron, D.O.

  • Neurological Surgery Physician
  • Salem, VA
National Provider Identifier
1477564441
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
0102050084 Issued in VA
Practice address
150 Spartan Dr
Salem, VA 24153-3208
Phone
(540) 400-8777
Fax
(540) 400-8795
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 0102050084 VA Primary

Addresses

Primary practice location

150 Spartan Dr
Salem, VA 24153-3208

Mailing address

PO Box 8310
Roanoke, VA 24014-0310
Phone (540) 345-3556

Other practice location 1

2965 Colonnade Dr Ste 140
Roanoke, VA 24018-3541
Phone (540) 400-8777

Other identifiers 4

IdentifierTypeStateIssuer
C12923OtherRAILROAD MEDICARE LEGACY
006104321MedicaidVA
140004949OtherRAILROAD MEDICARE
C01334OtherVAMEDICARE LEGACY GROUP NUM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171201002873 WV Practitioner - Neurosurgery 3577691328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0102050084VAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Weaver & Weaver P C Neurological Surgery CurrentSince Feb 28, 2008 Accepting new patients
Weaver Neurosurgical Spine, PC Neurological Surgery Past Accepting new patients

Locations

5304 Indian Grave Rd
Roanoke, VA 24018
Phone (540) 283-2570

1315 2nd St SW
Ste 102
Roanoke, VA 24016
Phone (540) 206-3677

5304 Indian Grave Rd
Ste A
Roanoke, VA 24018
Phone (540) 772-7107

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1477564441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8310",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240140310",
            "telephone_number": "540-345-3556",
            "fax_number": "540-342-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SPARTAN DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533208",
            "telephone_number": "540-400-8777",
            "fax_number": "540-400-8795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2965 Colonnade Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240183541",
            "country_code": "US",
            "telephone_number": "540-400-8777",
            "fax_number": "540-400-8795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRON",
        "first_name": "RAYMOND",
        "middle_name": "V",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0102050084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE LEGACY",
            "identifier": "C12923",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006104321",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "140004949",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY GROUP NUM",
            "identifier": "C01334",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, VA

Sources for this page

Verify at the official NPI Registry.