Head Adn Neck Medicine and Surgery

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101040423 Issued in VA

Legal business name

HEAD ADN NECK MEDICINE AND SURGERY

Practice address

102 Highland Ave SE
Suite 104
Roanoke, VA 24013-2256

Phone

(540) 343-4423

Fax

(540) 343-0495

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

William J Dichtel, M.D.

Title

Secretary

Phone

(540) 343-4423

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598848848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HIGHLAND AVE SE",
            "address_2": "SUITE 104",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132256",
            "telephone_number": "540-343-4423",
            "fax_number": "540-343-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HIGHLAND AVE SE",
            "address_2": "SUITE 104",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240132256",
            "telephone_number": "540-343-4423",
            "fax_number": "540-343-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAD ADN NECK MEDICINE AND SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DICHTEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "540-343-4423",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101040423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorie Hayslett
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• William Zachary Hdoubler, M.D.
• Linda He, MD
• Christopher Head
• Head2Head, Inc.
• Trixy M. Headden, NP-C
• Health Pro LLC
• Brandi Heard, BCBA, LBA

• Specialist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.