NPIMap

Organization Active NPI

Ion Healthcare Corporation

  • Durable Medical Equipment & Medical Supplies
  • Roanoke, VA
National Provider Identifier
1588763551
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ION HEALTHCARE CORPORATION
Practice address
1 Riverside Cir
Suite 103
Roanoke, VA 24016-4961
Phone
(540) 342-3336
Fax
(540) 342-0122
NPI assigned
Sep 22, 2006
Last updated
Jun 27, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ION HEALTHCARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mr. Stephen A Burton, PHD
Title
President
Phone
(804) 794-9290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X VA Primary

Addresses

Primary practice location

1 Riverside Cir
Suite 103
Roanoke, VA 24016-4961

Mailing address

9011 Arboretum Pkwy
Suite 150
Richmond, VA 23236-3476
Phone (804) 794-9290

Other identifiers 2

IdentifierTypeStateIssuer
1588763551MedicaidVA
208592OtherVAANTHEM

National Provider Directory

National Provider Directory
Tax ID family
Ion Healthcare Corporation6 organizations share this tax ID, including this one
Part of
Ion Healthcare Corporation

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1588763551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9011 ARBORETUM PKWY",
            "address_2": "SUITE 150",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232363476",
            "telephone_number": "804-794-9290",
            "fax_number": "804-794-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVERSIDE CIR",
            "address_2": "SUITE 103",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164961",
            "telephone_number": "540-342-3336",
            "fax_number": "540-342-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ION HEALTHCARE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ION HEALTHCARE CORPORATION",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-794-9290",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588763551",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "208592",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.