Roanoke Ear Nose & Throat Clinic

Primary specialty

Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X

License

0101044826 Issued in VA

Legal business name

ROANOKE EAR NOSE & THROAT CLINIC

Practice address

201 McClanahan St SW
Roanoke, VA 24014-1709

Phone

(540) 345-3556

Fax

(540) 342-2193

NPI assigned

Jul 18, 2006

Last updated

Aug 22, 2020By 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

Geoffrey T Harter, MD

Title

President

Phone

(540) 345-3556

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Roanoke Ear Nose Throat Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Roanoke Ear Nose & Throat Clinic Inc

  • Otolaryngology Physician
  • Roanoke, VA
  • NPI 1841223302
  NPD tax ID

Practitioners 1

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.

• Patrick John Gibbons, M.D.

  • Specialist
  • Midlothian, VA
  • NPI 1336142124
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609895267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8788",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240140736",
            "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": "201 MCCLANAHAN ST SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141709",
            "telephone_number": "540-345-3556",
            "fax_number": "540-342-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE EAR NOSE & THROAT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARTER",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-345-3556",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "VA",
            "license": "0101044826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "065839",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CM5366",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roanoke City Public Schools
• Roanoke Counseling, LLC
• Roanoke County Board of Supervisors
• Roanoke County Public Schools
• Roanoke County Public Schools
• Roanoke Ear Nose & Throat Clinic Inc
• Roanoke Family Medicine
• Roanoke Family Medicine Inc
• Roanoke Heart Institute PLC
• Roanoke Imaging LLC (Lewis Gale Imaging at Brambleton)

• Allergy & Immunology (Internal Medicine) Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Allergy & Immunology (Internal Medicine) Physician 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.