Active NPI
Raymond V Harron, D.O.
- Neurological Surgery Physician
- Salem, VA
National Provider Identifier
1477564441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 0102050084
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C12923 | Other | RAILROAD MEDICARE LEGACY | |
| 006104321 | Medicaid | VA | |
| 140004949 | Other | RAILROAD MEDICARE | |
| C01334 | Other | VA | MEDICARE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171201002873 | WV | Practitioner - Neurosurgery | 3577691328 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102050084 | VA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Weaver & Weaver P C | Neurological Surgery | Current | 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.
-
- Neurological Surgery Physician
- Roanoke, VA
- NPI 1154419802
-
- Neurological Surgery Physician
- Roanoke, VA
- NPI 1831482264
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.