Dr Susan Kinnison, MD | |
101 Elm Ave Se, Roanoke, VA 24013-2222 | |
(540) 224-4325 | |
Not Available |
Full Name | Dr Susan Kinnison |
---|---|
Gender | Female |
Speciality | Surgery |
Location | 101 Elm Ave Se, Roanoke, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568441046 | NPI | - | NPPES |
007313535 | Medicaid | VA | |
P00310524 | Other | VA | MEDICARE RAILROAD |
1568441046 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101227973 (Virginia) | Secondary |
208600000X | Surgery | 0101227973 (Virginia) | Primary |
Entity Name | Vohra Wound Physicians Of Fl Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205130911 PECOS PAC ID: 6406039882 Enrollment ID: O20141203002671 |
Entity Name | Premier Geriatric Solutions Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568093672 PECOS PAC ID: 3072940279 Enrollment ID: O20200228001800 |
Entity Name | Pai Participant 1 Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093371312 PECOS PAC ID: 8123351954 Enrollment ID: O20211208001934 |
Entity Name | Hospitalist Medicine Physicians Of Washington Tacoma Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740911585 PECOS PAC ID: 5395126270 Enrollment ID: O20240223002812 |
Mailing Address | Practice Location Address |
---|---|
Dr Susan Kinnison, MD 213 S Jefferson St Ste 625, Roanoke, VA 24011-1713 Ph: (540) 224-5679 | Dr Susan Kinnison, MD 101 Elm Ave Se, Roanoke, VA 24013-2222 Ph: (540) 224-4325 |
Kirshan K Tayal, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7544 | |
Dr. Guy Katz, MD Surgery Medicare: Medicare Enrolled Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212 | |
Mark Edward Hamill, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7434 Fax: 540-981-8681 | |
Heather Lynn Geist, MD Surgery Medicare: Medicare Enrolled Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212 | |
Roxanne Davenport, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Circle, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212 | |
John Stephen Rudderow, Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 972-978-8758 | |
Jessica Grace Wright, Surgery Medicare: Medicare Enrolled Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212 |