Carilion Emergency Services Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

CARILION EMERGENCY SERVICES INC

Practice address

1906 Belleview Ave SE
Emergency Dept.
Roanoke, VA 24014-1838

Phone

(540) 981-7000

NPI assigned

May 18, 2006

Last updated

May 24, 2023By 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

Nicole Grisetti

Title

Director of Operational Support

Phone

(540) 224-5352

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Carilion Emergency Services, Inc.

  dba VelocityCare

  • Urgent Care Clinic/Center
  • Roanoke, VA
  • NPI 1255602694

  O20031107000339

  Same enrollment

Locations (25 of 43)

Practitioners 12

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.

• Stella Ekaette Bassey, MD

  • Psychiatry Physician
  • Virginia Beach, VA
  • NPI 1821070475
  NPD (past)
• David Hartman, MD

  • Psychiatry Physician
  • Roanoke, VA
  • NPI 1184607343
  NPD (past)
• Joanna Michelle Murray, PNP

  • Pediatric Nurse Practitioner
  • Roanoke, VA
  • NPI 1760103261
  NPD (past)
• Erin Sullivan, LCSW

  • Clinical Social Worker
  • Christiansburg, VA
  • NPI 1730155292
  NPD (past)
• David Trinkle, MD

  • Geriatric Psychiatry Physician
  • Roanoke, VA
  • NPI 1598749632
  NPD (past)
• Sachinder Vasudeva, MD

  • Psychiatry Physician
  • Salem, VA
  • NPI 1053387167
  NPD (past)
• Nina H Dereska, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Houston, TX
  • NPI 1609842178
  NPD (past)
• Andrew R Dow, M.D.

  • Psychiatry Physician
  • Culver City, CA
  • NPI 1477636504
  NPD (past)
• Brett Wallace Sharp, MD

  • Child & Adolescent Psychiatry Physician
  • Logan, UT
  • NPI 1750301529
  NPD (past)
• Robert Slackman, MD

  • Reproductive Endocrinology Physician
  • Sarasota, FL
  • NPI 1609842954
  NPD (past)
• Cynthia Sue Standridge, D.C.

  • Chiropractor
  • Broken Arrow, OK
  • NPI 1457772980
  NPD (past)
• Kerry N. Whitt, M.D.

  • Gastroenterology Physician
  • Raleigh, NC
  • NPI 1932376506
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1700839958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S JEFFERSON ST STE 1006",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240111713",
            "telephone_number": "540-224-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 BELLEVIEW AVE SE",
            "address_2": "EMERGENCY DEPT.",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141838",
            "telephone_number": "540-981-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILION EMERGENCY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-05-24",
        "certification_date": "2022-08-08",
        "status": "A",
        "authorized_official_last_name": "GRISETTI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONAL SUPPORT",
        "authorized_official_telephone_number": "540-224-5352"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP #",
            "identifier": "104471",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Cargill
• Carilion Behavioral Health, Inc
• Carilion Clinic Patient Transportation, LLC
• Carilion Clinic Physicians, LLC
• Carilion DTC Services Inc
• Carilion Emergency Services, Inc. (VelocityCare)
• Carilion Healthcare Corporation (Bridgewater College Student Health Center)
• Carilion Healthcare Corporation
• Carilion Healthcare Corporation
• Carilion Healthcare Corporation (Carilion Clinic Family Dentistry)

• Emergency Medicine Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Emergency Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.