Sander W Leivy, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

0101049415 Issued in VA

Practice address

2766 Electric Rd
Suite a
Roanoke, VA 24018-3583

Phone

(540) 989-6516

Fax

(540) 989-5730

NPI assigned

Sep 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roanoke Neurosurgery, LLC

  • Neurological Surgery Physician
  • Roanoke, VA
  • NPI 1336184084
  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1922093442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2766 ELECTRIC RD",
            "address_2": "SUITE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183583",
            "telephone_number": "540-989-6516",
            "fax_number": "540-989-5730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2766 ELECTRIC RD",
            "address_2": "SUITE A",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183583",
            "telephone_number": "540-989-6516",
            "fax_number": "540-989-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIVY",
        "first_name": "SANDER",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "VA",
            "license": "0101049415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph D Leech, DO
• Hope Lefew, IBCLC, RN
• Legacy Healthcare Services Inc
• Kayla Nicole Leggett, PA-C
• Carlton Wray Leiner
• Susan R Leivy, M.D.
• Cody Lemley
• Tara Jackson Lemoine, DO
• Misty Dawn Lenk, DDS, MS
• Ashley Elizabeth Lenker-Shiflett, LCSW

• Neurological Surgery Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Neurological Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.