Active NPI 1366421943 Individual Practitioner Male Practitioner

Dr. Steven Harris , MD

Plastic Surgery • Salem, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Steven Harris, MD is a certified Plastic Surgery practicing in Salem, VA. With approximately 42 years of clinical experience since graduating from Duke University School Of Medicine in 1984, Dr. Harris delivers high-quality medical care to the local community at 1900 ELECTRIC RD.

Dr. Harris is affiliated with Carilion Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1900 Electric Rd

Salem, VA 241537474

Telephone 5407760561

Fax 5407760562

Associated Practice Facility / Clinic

🏢 Valley Anesthesia Pc Facility NPI 1275587115

Medicare Profile & Education

Medical School

Duke University School Of Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Salem, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs Matches City Avg

City Avg: 42.0 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Salem, VA (139 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Harris (42 Years) 42 Yrs

Salem Specialty Average (42.0 Years) 42.0 Yrs

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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$200.00	$104.96
99213 Established patient office or other outpatient visit, typically 15 minutes	65	51	$155.00	$86.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	30	$97.00	$54.66
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	36	31	$688.00	$273.06
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	29	22	$467.59	$118.10
17000 Destruction of skin growth	24	21	$136.00	$49.19
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	19	15	$473.47	$134.97
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	19	17	$587.74	$291.13
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	14	14	$546.00	$273.38
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	11	$525.31	$139.36
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	11	$535.85	$144.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	97	76	$120.00	$89.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$200.00	$111.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	33	$83.81	$55.85
17000 Destruction of skin growth	41	34	$136.00	$48.53
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	40	33	$507.15	$134.59
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	38	31	$688.00	$282.04
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	23	$435.90	$123.10
17003 Destruction of precancer skin growth, 2-14 growths	30	21	$22.00	$6.73
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	28	27	$519.75	$278.82
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	26	24	$522.00	$318.45
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	24	21	$496.13	$256.44
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	20	15	$187.00	$91.22
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	20	18	$447.50	$133.44
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	14	$498.06	$140.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	151	118	$183.58	$90.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$226.00	$111.16
17003 Destruction of precancer skin growth, 2-14 growths	89	23	$13.00	$6.87
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	80	12	$190.90	$91.73
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	46	42	$628.00	$283.88
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	41	33	$549.85	$142.70
17000 Destruction of skin growth	38	35	$134.00	$58.24
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	37	32	$501.84	$127.69
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	29	29	$580.00	$285.19
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	24	24	$533.79	$264.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$113.00	$56.66
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	18	17	$637.83	$313.86
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	14	$572.00	$143.33
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	12	12	$286.00	$129.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	209	138	$127.53	$91.95
17003 Destruction of precancer skin growth, 2-14 growths	143	39	$10.43	$6.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	127	127	$150.36	$112.66
17000 Destruction of skin growth	62	53	$108.71	$47.66
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	59	52	$402.56	$291.13
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	54	12	$133.63	$92.34
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	53	48	$401.66	$282.80
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	49	43	$411.00	$142.70
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	41	35	$342.73	$129.50
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	36	25	$197.00	$98.99
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	31	30	$366.45	$256.01
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	27	26	$381.93	$133.32
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	26	25	$471.92	$311.23
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	25	19	$204.08	$97.42
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	25	23	$366.40	$160.82
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	24	17	$191.58	$78.41
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	23	21	$333.85	$122.56
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	23	18	$208.09	$83.06
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	14	14	$413.00	$242.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$79.77	$56.74
15220 Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs	11	11	$1026.64	$614.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	196	40	$8.00	$6.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	174	174	$121.31	$108.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	99	$122.00	$110.23
99213 Established patient office or other outpatient visit, typically 15 minutes	84	73	$82.15	$75.84
17000 Destruction of skin growth	81	69	$91.00	$51.79
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	70	65	$345.00	$293.40
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	60	48	$276.00	$126.12
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	55	49	$302.00	$259.93
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	47	40	$306.00	$140.93
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	35	25	$158.00	$104.32
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	27	23	$345.00	$259.53
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	25	24	$315.00	$149.50
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	24	17	$137.00	$79.92
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	22	19	$266.00	$121.76
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	19	18	$271.00	$231.11
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	19	14	$164.00	$113.06
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	18	15	$287.00	$166.35
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	18	16	$132.00	$88.82
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	16	15	$328.00	$268.44
15823 Removal of excessive skin and fat of upper eyelid	13	13	$1458.15	$824.29
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	12	11	$361.00	$312.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	299	62	$8.09	$5.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	210	210	$121.26	$108.22
99213 Established patient office or other outpatient visit, typically 15 minutes	166	91	$82.09	$74.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	104	$122.00	$109.08
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	98	83	$345.00	$289.96
17000 Destruction of skin growth	91	80	$92.20	$49.91
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	81	60	$276.00	$157.88
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	72	62	$306.00	$205.88
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	54	52	$302.00	$167.84
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	42	29	$167.57	$94.26
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	40	29	$152.38	$90.59
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	38	37	$345.00	$263.74
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	36	34	$273.72	$148.80
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	32	27	$315.00	$152.27
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	30	24	$287.00	$177.15
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	22	19	$137.00	$76.86
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	15	$183.00	$126.75
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	18	16	$328.00	$224.04
15823 Removal of excessive skin and fat of upper eyelid	14	14	$1604.14	$828.47
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	12	11	$143.42	$72.14
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	12	11	$361.00	$269.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	312	80	$8.09	$5.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	240	240	$121.45	$106.54
99213 Established patient office or other outpatient visit, typically 15 minutes	213	118	$82.07	$72.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	135	$122.38	$106.79
17000 Destruction of skin growth	124	104	$91.88	$49.89
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	121	13	$113.01	$87.23
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	90	84	$346.42	$288.44
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	69	64	$311.86	$203.15
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	64	52	$279.55	$135.80
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	56	54	$309.02	$170.69
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	38	37	$315.00	$145.46
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	37	36	$345.00	$265.72
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	28	17	$164.00	$95.64
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	21	20	$287.00	$158.40
15220 Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs	20	20	$719.00	$618.33
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	19	18	$131.00	$84.96
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	15	15	$266.00	$118.50
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	14	14	$1071.86	$817.85
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	14	14	$271.00	$143.88
49565 Repair of incisional or abdominal hernia, recurrent of secondary, not trapped	13	11	$829.69	$327.06
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	13	13	$328.00	$232.66
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	12	12	$494.00	$161.39
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$379.00	$98.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	410	81	$8.09	$5.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	232	232	$122.16	$105.12
99213 Established patient office or other outpatient visit, typically 15 minutes	182	116	$82.41	$71.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	141	$122.19	$105.59
17000 Destruction of skin growth	126	104	$91.87	$49.14
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	87	80	$346.47	$273.49
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	82	76	$310.93	$193.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	22	$48.29	$42.91
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	55	55	$309.15	$159.57
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	51	42	$280.45	$134.52
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	48	45	$345.00	$235.92
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	30	24	$315.00	$140.00
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	26	24	$128.58	$82.24
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	22	18	$287.00	$144.00
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	21	13	$150.67	$97.67
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	18	14	$122.00	$90.00
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	11	$306.00	$92.19
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	18	17	$328.00	$221.90
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	17	17	$968.00	$861.06
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	16	16	$277.13	$135.07
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	15	14	$266.00	$125.29
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	14	14	$361.00	$304.79
15220 Relocation of patient skin (20 sq centimeters or less) to scalp, arms, and/or legs	11	11	$713.55	$615.13
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	11	11	$183.00	$137.36

Medical Specialties & State Licenses

CMS Verified: 2022-10-21

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License VA 0101049147

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

010273986 (VA)

Hospital & Practice Group Affiliations

Carilion Medical Center

1924 Braeburn Cir, Salem, VA 241537388

Phone: 5402836000

Carilion Medical Center

2017 S Jefferson St, Roanoke, VA 240142419

Phone: 5409817128

Carilion Medical Center

2017 Jefferson St Sw, Roanoke, VA 240142419

Phone: 5409817925

Practice Associates & Co-Workers

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

40 Associated Practitioners

Jenna Pollock

Student in an Organized Health Care Education/Training Program

NPI 1003556937

Dr. Mark Hamilton , MD

Anesthesiology

NPI 1003939737

Doctor of Medicine (M.D.)

Dr. Mitchell Crowe , DO

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1013667518

Doctor of Osteopathic Medicine (D.O.)

Dr. Shehryar Khanzada , DO

Student in an Organized Health Care Education/Training Program

NPI 1013776657

Doctor of Osteopathic Medicine (D.O.)

Dishaben Patel

Student in an Organized Health Care Education/Training Program

NPI 1023956745

Kristin Mirenda , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033513379

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address October 21, 2022

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

✅

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 09, 2007

Registered at 1900 ELECTRIC RD, SALEM, VA 241537474 (Tel: 5407760561)

📍

Updated Business Mailing Address July 09, 2007

Registered at 1900 ELECTRIC RD, SALEM, VA 241537474 (Tel: 5407760561)

👤

Provider Name / Credentials Updated July 09, 2007

Recorded as STEVEN HARRIS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Plastic Surgery (License #0101049147 in VA)

🟢

Initial NPI Registration & Enumeration January 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366421943

Entity Type:

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

Enumeration Date: January 12, 2006

Last Update: October 21, 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).

⚠️ Medical Disclaimer

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.