Player Prospect, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PLAYER PROSPECT, LLC

Practice address

440 Highland Ave SW
Roanoke, VA 24016-4214

Phone

(540) 815-4557

NPI assigned

Mar 4, 2012

Organization subpart

No

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

Authorized official

Name

Adam McCulloch Williams

Title

President

Phone

(540) 815-4557

Specialties & licenses 1

Addresses

Tax ID family

Edge Sports Performance2 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.

• Edge Sports Performance

  • Multi-Specialty Clinic/Center
  • Roanoke, VA
  • NPI 1982982237
  NPD tax ID

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

{
    "created_epoch": "1330819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330819200000",
    "number": "1659645943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 HIGHLAND AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 HIGHLAND AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164214",
            "telephone_number": "540-815-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAYER PROSPECT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-04",
        "last_updated": "2012-03-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "MCCULLOCH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-815-4557"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amit Piple
• Planned Parenthood Health Systems
• Planned Parenthood South Atlantic
• Platinumcare Home Care Services LLC
• Marc A. Platt, DPM
• Playful Pathways, LLC
• Kerstin Plunkett
• Isaac Lewis Podell, PT, DPT
• Brendan Podszus, MD
• Aristides Poehlman

• Multi-Specialty Clinic/Center in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Multi-Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2012; 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.