CARILION EMERGENCY SERVICES INC NPI 1700839958

NPI Information

  • NPI: 1700839958
  • Provider Name: CARILION EMERGENCY SERVICES INC
  • Classification: Emergency Medicine - 207P00000X
  • Entity Type: Organization
  • CLIA Number: 49D2291474
  • Address: 1906 BELLEVIEW AVE SE
    EMERGENCY DEPT.
    ROANOKE, VA
    ZIP 24014
  • Phone: (540) 981-7000

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NPI Details

CARILION EMERGENCY SERVICES INC is an emergency medicine in Roanoke, VA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. CARILION EMERGENCY SERVICES INC NPI is 1700839958. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1906 BELLEVIEW AVE SE
EMERGENCY DEPT.
ROANOKE, VA
ZIP 24014-838
Phone: (540) 981-7000

The provider's authorized official is Nicole Grisetti .
The authorized official title is Director Of Operational Support and has the following contact phone number (540) 224-5352.

The CLIA number assigned to this NPI record is 49D2291474 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 5/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3261QU0200XClinic/CenterUrgent CareNo
4207P00000XEmergency MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1104471OTHERVIRGINIAANTHEM GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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