Active NPI 1821035072 Individual Practitioner Male Practitioner

Dr. Paul C Timmermann , MD

Dermatology • Roanoke, VA

Professional Overview & Biography Verified Profile Summary

Dr. Paul Timmermann, MD is a registered healthcare professional specializing in Dermatology in Roanoke, VA. Practice services are available at 1215 3RD ST SW under active NPI credentials.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1215 3rd St Sw

Roanoke, VA 240164611

Telephone 5409811439

Fax 5403455446

Associated Practice Facility / Clinic

🏢 Dermatology Associates Of Roanoke P C Facility NPI 1174617187

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Roanoke, VA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 17.0 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

21 Specialists

Practicing in Roanoke, VA (440 Statewide)

Telehealth Adoption Rate

4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	553	128	$22.00	$6.42
99213 Established patient office or other outpatient visit, typically 15 minutes	199	196	$155.00	$87.30
17000 Destruction of skin growth	168	166	$136.00	$52.30
11102 Tangential biopsy of single skin lesion	60	60	$224.00	$90.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	39	$219.00	$123.03
17110 Destruction of up to 14 skin growths	34	34	$204.00	$104.89
11103 Biopsy of related skin growth, each additional growth	31	21	$121.00	$47.99
17004 Destruction of precancer skin growth, 15 or more growths	23	23	$428.00	$160.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$97.00	$54.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,538	550	$22.00	$6.61
99213 Established patient office or other outpatient visit, typically 15 minutes	1,282	856	$120.00	$88.33
17000 Destruction of skin growth	1,026	677	$136.00	$54.43
11102 Tangential biopsy of single skin lesion	362	298	$224.00	$94.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	263	228	$185.00	$124.86
17110 Destruction of up to 14 skin growths	219	191	$192.46	$112.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	137	131	$85.00	$55.49
11103 Biopsy of related skin growth, each additional growth	132	76	$121.00	$49.77
17004 Destruction of precancer skin growth, 15 or more growths	115	66	$428.00	$167.11
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	35	27	$248.54	$125.42
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	28	26	$204.39	$114.49
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	22	21	$169.82	$89.34
69100 Biopsy of ear	20	19	$208.00	$71.70
11200 Removal of skin tag, 1-15 skin tags	17	17	$201.00	$87.60
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	13	13	$301.00	$176.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,723	612	$22.00	$6.83
99213 Established patient office or other outpatient visit, typically 15 minutes	1,383	933	$116.69	$90.52
17000 Destruction of skin growth	1,159	776	$136.00	$56.72
11102 Tangential biopsy of single skin lesion	300	260	$224.00	$99.19
17110 Destruction of up to 14 skin growths	222	197	$188.00	$113.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	208	197	$72.54	$56.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	201	175	$174.76	$127.75
11103 Biopsy of related skin growth, each additional growth	106	76	$121.00	$51.84
17004 Destruction of precancer skin growth, 15 or more growths	79	50	$428.00	$170.53
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	52	45	$197.00	$112.59
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	41	31	$241.00	$129.67
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	31	28	$160.00	$95.85
69100 Biopsy of ear	23	23	$208.00	$79.20
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	20	$297.00	$168.04
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	17	14	$232.00	$133.44
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	13	$201.00	$125.09
11200 Removal of skin tag, 1-15 skin tags	13	13	$201.00	$76.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,546	702	$22.00	$6.60
99213 Established patient office or other outpatient visit, typically 15 minutes	1,529	1,030	$116.00	$91.59
17000 Destruction of skin growth	1,359	866	$136.00	$56.41
11102 Tangential biopsy of single skin lesion	397	315	$224.00	$99.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	347	299	$69.00	$56.49
17110 Destruction of up to 14 skin growths	240	209	$188.00	$112.88
96900 Application of ultraviolet light to skin	238	13	$39.00	$23.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	236	214	$171.00	$130.06
11103 Biopsy of related skin growth, each additional growth	149	84	$121.00	$53.74
17004 Destruction of precancer skin growth, 15 or more growths	101	62	$428.00	$168.18
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	68	61	$197.00	$117.39
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	56	53	$160.00	$94.81
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	45	34	$241.00	$135.71
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	33	32	$688.00	$309.34
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	26	25	$297.00	$167.40
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	21	$424.00	$121.41
69100 Biopsy of ear	21	20	$208.00	$86.45
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	17	$504.00	$145.36
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	14	14	$516.00	$322.57
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$119.00	$71.78
11200 Removal of skin tag, 1-15 skin tags	12	12	$201.00	$72.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$172.00	$112.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	4,035	653	$22.00	$6.07
99213 Established patient office or other outpatient visit, typically 15 minutes	1,525	1,110	$113.80	$75.14
17000 Destruction of skin growth	1,184	841	$136.00	$55.36
11102 Tangential biopsy of single skin lesion	299	260	$224.00	$96.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	232	201	$67.62	$45.56
17110 Destruction of up to 14 skin growths	197	181	$188.00	$111.07
96900 Application of ultraviolet light to skin	160	13	$39.00	$22.47
11103 Biopsy of related skin growth, each additional growth	140	86	$121.00	$53.44
17004 Destruction of precancer skin growth, 15 or more growths	112	76	$428.00	$159.26
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	63	56	$182.43	$116.00
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	51	45	$241.00	$123.11
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	40	37	$142.00	$83.29
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$114.40	$76.05
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	35	33	$688.00	$293.82
69100 Biopsy of ear	32	30	$208.00	$79.35
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	26	21	$809.00	$388.09
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	23	$424.00	$124.90
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	23	21	$247.00	$132.92
99201 New patient office or other outpatient visit, typically 10 minutes	22	22	$72.82	$46.06
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	15	$504.00	$136.60
11200 Removal of skin tag, 1-15 skin tags	17	17	$201.00	$79.18
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	16	13	$190.06	$124.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	5,704	804	$22.00	$5.60
99213 Established patient office or other outpatient visit, typically 15 minutes	2,063	1,303	$109.00	$73.44
17000 Destruction of skin growth	1,620	1,027	$136.00	$54.46
11102 Tangential biopsy of single skin lesion	480	388	$224.00	$94.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	341	282	$66.00	$44.65
96900 Application of ultraviolet light to skin	268	15	$39.00	$21.03
17110 Destruction of up to 14 skin growths	254	221	$188.00	$107.49
11103 Biopsy of related skin growth, each additional growth	189	103	$120.36	$52.92
17004 Destruction of precancer skin growth, 15 or more growths	160	104	$428.00	$151.47
99202 New patient office or other outpatient visit, typically 20 minutes	132	132	$112.00	$75.04
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	82	74	$124.00	$78.82
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	69	64	$163.00	$116.75
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	60	54	$685.45	$300.66
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	51	39	$241.00	$122.96
99201 New patient office or other outpatient visit, typically 10 minutes	41	41	$66.00	$45.42
69100 Biopsy of ear	39	35	$208.00	$79.07
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	36	32	$809.00	$393.69
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	35	33	$504.00	$178.12
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	34	31	$247.00	$122.51
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	30	28	$424.00	$123.68
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	28	26	$487.00	$141.37
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	26	24	$297.00	$162.17
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	22	22	$506.00	$261.30
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	21	21	$516.00	$278.21
10060 Simple or single drainage of skin abscess	19	19	$203.00	$113.64
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	17	$445.00	$127.88
11200 Removal of skin tag, 1-15 skin tags	15	14	$113.47	$82.22
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	13	$176.00	$121.10
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	13	13	$483.00	$142.43
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	12	12	$129.00	$97.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	5,454	824	$23.06	$5.24
99213 Established patient office or other outpatient visit, typically 15 minutes	1,753	1,161	$109.94	$72.30
17000 Destruction of skin growth	1,534	1,005	$132.95	$55.41
11100 Biopsy of single growth of skin and/or tissue	486	400	$174.17	$100.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	360	300	$69.14	$43.51
17110 Destruction of up to 14 skin growths	239	214	$184.12	$109.28
17004 Destruction of precancer skin growth, 15 or more growths	165	110	$422.72	$143.97
11101 Biopsy of each additional growth of skin and/or tissue	142	91	$63.10	$32.53
99202 New patient office or other outpatient visit, typically 20 minutes	131	131	$114.52	$73.98
96900 Application of ultraviolet light to skin	105	14	$38.75	$20.63
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	64	60	$161.05	$115.16
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	60	50	$231.60	$134.27
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	58	52	$524.66	$291.19
69100 Biopsy of ear	43	40	$202.42	$78.30
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	41	38	$415.61	$129.78
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	41	40	$121.80	$79.91
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	37	32	$504.22	$149.89
99201 New patient office or other outpatient visit, typically 10 minutes	32	32	$73.88	$44.20
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	30	25	$291.40	$154.59
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	30	27	$653.77	$391.46
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	27	26	$513.56	$287.85
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	22	21	$247.00	$113.14
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	18	17	$306.50	$172.83
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	13	$462.36	$141.73
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	13	13	$280.00	$156.86
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	12	12	$500.50	$276.06
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$441.45	$127.94
11200 Removal of skin tag, 1-15 skin tags	11	11	$100.00	$81.19
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$30.00	$21.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	6,272	873	$31.00	$5.53
99213 Established patient office or other outpatient visit, typically 15 minutes	1,755	1,201	$118.00	$71.73
17000 Destruction of skin growth	1,684	1,075	$110.00	$55.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	454	337	$95.00	$42.97
11100 Biopsy of single growth of skin and/or tissue	418	346	$150.00	$95.24
17110 Destruction of up to 14 skin growths	219	197	$159.00	$105.40
17004 Destruction of precancer skin growth, 15 or more growths	212	129	$361.00	$148.35
96900 Application of ultraviolet light to skin	197	14	$38.00	$20.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	141	$169.00	$106.01
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	103	92	$114.73	$78.78
11101 Biopsy of each additional growth of skin and/or tissue	98	67	$74.00	$32.34
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	85	68	$194.00	$124.60
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	81	71	$138.00	$112.76
99202 New patient office or other outpatient visit, typically 20 minutes	51	51	$142.00	$72.99
99201 New patient office or other outpatient visit, typically 10 minutes	50	50	$108.00	$43.36
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	40	36	$255.00	$163.91
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	40	35	$506.00	$204.50
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	34	32	$460.00	$294.83
69100 Biopsy of ear	33	30	$178.00	$69.37
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	29	$338.00	$138.32
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	29	22	$194.00	$132.94
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	29	22	$393.00	$352.33
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	24	24	$148.00	$121.13
17260 Destruction of cancer skin growth of trunk, arms, or legs, 0.5 cm or less	23	22	$154.00	$69.10
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	22	21	$280.00	$150.05
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	20	17	$372.00	$217.01
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	19	19	$131.00	$110.01
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	19	19	$450.00	$282.52
11305 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less	19	18	$108.00	$92.73
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	16	15	$259.00	$100.20
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	15	$406.00	$190.10
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	14	13	$298.00	$169.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$176.00	$106.64
10060 Simple or single drainage of skin abscess	12	12	$173.00	$116.09
17270 Destruction of malignant growth (0.5 centimeters) of scalp, neck, hands, feet, or genitals	11	11	$229.00	$141.88

Medical Specialties & State Licenses

CMS Verified: 2022-08-15

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License VA 0101042049

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Specialist

NUCC Taxonomy Code: 174400000X

State License VA 0101042049

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

005900654 (VA)

Commercial Insurance / Payer ID Anthem Of Va Provider Num

242780 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Lesli Mace , PA-C

Dermatology - Clinical & Laboratory Dermatological Immunology

NPI 1326244104

Physician Assistant (Certified)

Dr. Susan Dorsey , MD

Specialist

NPI 1457308371

Doctor of Medicine (M.D.)

Lauren Lane

Physician Assistant

NPI 1679215693

Dr. Elizabeth Mcnamara , MD

Dermatology

NPI 1710187547

Doctor of Medicine (M.D.)

Dr. Padma Chitnavis , MD

Dermatology

NPI 1770970030

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Business Mailing Address August 15, 2022

Registered at 213 S JEFFERSON ST STE 1006, ROANOKE, VA 240111713 (Tel: 5402245715)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2022

Dermatology (License #0101042049 in VA)

📍

Updated Business Mailing Address February 06, 2019

Registered at 1215 3RD ST SW, ROANOKE, VA 240164611 (Tel: 5409811439)

✅

NPI Profile Active October 06, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 06, 2016

Registered at 1215 3RD ST SW, ROANOKE, VA 240164611 (Tel: 5409811439)

📍

Updated Business Mailing Address October 06, 2016

Registered at 1204 FRANKLIN RD SW, ROANOKE, VA 240164606 (Tel: 5409811439)

👤

Provider Name / Credentials Updated October 06, 2016

Recorded as PAUL TIMMERMANN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2016

Specialist (License #0101042049 in VA)

🟢

Initial NPI Registration & Enumeration May 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1821035072

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 31, 2006

Last Update: August 15, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

213 S Jefferson St Ste 1006

Roanoke, VA 240111713

Phone: 5402245715

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.