NPIMap

Organization Active NPI

Physicians Care of Virginia PC

  • Nephrology Physician
  • Roanoke, VA
National Provider Identifier
1770688145
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
PHYSICIANS CARE OF VIRGINIA PC
Practice address
2602 Franklin Rd SW
Roanoke, VA 24014-1010
Phone
(540) 343-2268
Fax
(540) 985-0325
NPI assigned
Sep 13, 2006
Last updated
Feb 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Robert Devereaux Jarratt
Title
Ceo
Phone
(540) 343-2268

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X
Gastroenterology Physician 207RG0100X
Nephrology Physician 207RN0300X Primary
Surgery Physician 208600000X

Addresses

Primary practice location

2602 Franklin Rd SW
Roanoke, VA 24014-1010

Mailing address

2602 Franklin Rd SW
Roanoke, VA 24014-1010
Phone (540) 343-2268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040419001730 VA Part B Supplier - Clinic/Group Practice 9739174640 Receives reassigned benefits from 33 practitioners
Practice locations: Martinsville, VA; Roanoke, VA; Radford, VA
O20080207000199 WV Part B Supplier - Clinic/Group Practice 9739174640 Receives reassigned benefits from 3 practitioners
Practice locations: Lewisburg, WV

National Provider Directory

National Provider Directory

Locations

1 E Market St
Ste C1
Martinsville, VA 24112
Phone (276) 638-1983

33 Bridge St S
Ste A
Martinsville, VA 24112
Phone (276) 632-3743

401 E Main St
Radford, VA 24141
Phone (540) 283-7252

1125 S Jefferson St
Roanoke, VA 24016
Phone (540) 772-9515

1615 Franklin Rd SW
Roanoke, VA 24016
Phone (540) 224-4800

2002 Stephenson Ave SW
Roanoke, VA 24014
Phone (540) 527-2737

2040 Stephenson Ave SW
Roanoke, VA 24014
Phone (540) 527-2737

2602 Franklin Rd SW
Roanoke, VA 24014
Phone (540) 343-5968

2762 Electric Rd
Ste A
Roanoke, VA 24018
Phone (540) 283-2710

394 McDowell St
Welch, WV 24801
Phone (304) 436-8428

Interoperability endpoints

  • Direct secure messaging: abdelazizelsanjak@pcv.allscriptsdirect.net
  • Direct secure messaging: abigaildiehl@childhlthpc.allscriptsdirect.net
  • Direct secure messaging: bethmiral@childhlthpc.allscriptsdirect.net
  • Direct secure messaging: christinaritter@childhlthpc.allscriptsdirect.net
  • Direct secure messaging: christinelawson@pcv.allscriptsdirect.net
  • Direct secure messaging: danielschnaar@childhlthpc.allscriptsdirect.net
  • Direct secure messaging: debradooley@pcv.allscriptsdirect.net
  • Direct secure messaging: denisemackey@childhlthpc.allscriptsdirect.net
  • Direct secure messaging: dennishu@pcv.allscriptsdirect.net
  • Direct secure messaging: edgarescasinas@pcv.allscriptsdirect.net
  • Direct secure messaging: fjacksonballenger@pcv.allscriptsdirect.net
  • Direct secure messaging: frankiewooten@pcv.allscriptsdirect.net
  • Direct secure messaging: hayleyschafer@childhlthpc.allscriptsdirect.net
  • Direct secure messaging: jamescain@pcv.allscriptsdirect.net
  • Direct secure messaging: jamesrobertson@pcv.allscriptsdirect.net
  • Direct secure messaging: jessicasaunders@pcv.allscriptsdirect.net
  • Direct secure messaging: jonathanlauter@childhlthpc.allscriptsdirect.net
  • Direct secure messaging: kimberlykoval@childhlthpc.allscriptsdirect.net
  • Direct secure messaging: leeweinstein@childhlthpc.allscriptsdirect.net
  • Direct secure messaging: lisaklein@childhlthpc.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 72

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.

View all 72

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1770688145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141010",
            "telephone_number": "540-343-2268",
            "fax_number": "540-985-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 FRANKLIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141010",
            "telephone_number": "540-343-2268",
            "fax_number": "540-985-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS CARE OF VIRGINIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "JARRATT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DEVEREAUX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "540-343-2268"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Feb 14, 2012; 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.