Active NPI
Thomas McLeod Baader, DC
- Chiropractor
- Roanoke, VA
National Provider Identifier
1720007966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104001231
- Practice address
- 41 Summers Way
Suite 103
Roanoke, VA 24019-8291 - Phone
- (540) 966-1423
- Fax
- (540) 966-4125
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104001231 | VA | Primary |
Addresses
Primary practice location
41 Summers Way
Suite 103
Roanoke, VA 24019-8291
Mailing address
PO Box 25
Blue Ridge, VA 24064-0025
Phone (540) 966-1423
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170913 | Other | VA | SOUTHERN HEALTH |
| 281817 | Other | VA | ANTHEM BLUE CROSS |
| 197924 | Other | VA | ANTHEM |
| 350039206 | Other | VA | RAILROAD MEDICARE |
| 5115029 | Other | VA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
41 Summers Way
Suite 103
Roanoke, VA 24019-8455
Phone (540) 966-1423
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Spinal Care Inc. | Chiropractor | Current | Accepting new patients |
Locations
41 Summers Way
Ste 103
Roanoke, VA 24019
Phone (540) 966-1423
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Roanoke, VA
- NPI 1225057458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428537600000",
"number": "1720007966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25",
"city": "BLUE RIDGE",
"state": "VA",
"postal_code": "240640025",
"telephone_number": "540-966-1423",
"fax_number": "540-966-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41 SUMMERS WAY",
"address_2": "SUITE 103",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240198291",
"telephone_number": "540-966-1423",
"fax_number": "540-966-4125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAADER",
"first_name": "THOMAS",
"middle_name": "MCLEOD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2015-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104001231",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "170913",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "281817",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "197924",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350039206",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5115029",
"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 Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.