Jonathan J Carmouche
Orthopaedic Spine Surgeon
2331 Franklin Rd Sw
Roanoke
, Virginia 24014-1111
Jonathan J Carmouche
Orthopaedic Spine Surgeon
2331 Franklin Rd Sw
Roanoke
, Virginia 24014-1111
(540) 857-5306
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Jonathan J Carmouche
- 2331 Franklin Rd Sw
- Roanoke, VA
- Zip : 24014-1111
- Fax : (540) 857-5306
- Phone : (540) 725-1226
Second Address
- Jonathan J Carmouche
- 2331 Franklin Rd Sw
- Roanoke, VA
- Zip : 24014-1111
- Fax : (540) 857-5306
- Phone : (540) 725-1226
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | 0101-240988 | VA |
National Provider Identifier
| NPI | 1275562589 |
|---|---|
| Provider Name | Jonathan J Carmouche |
| First Address | Roanoke, VA 24014-1111 |
| Second Address | Roanoke, VA 24014-1111 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/06/2006 |
| Last Update Date | 21/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1275562589 | (05) | VA |
| 1275562589 | AETNA (01) | VA |
| 1275562589 | ANTHEM (01) | VA |
| 1275562589 | CIGNA (01) | VA |
| 1275562589 | GATEWAY (01) | VA |
| 1275562589 | HEALTHKEEPERS (01) | VA |
| 1275562589 | HEALTHKEEPERS PLUS (01) | VA |
| 1275562589 | HUMANA MEDICARE (01) | VA |
| 1275562589 | INTOTAL (01) | VA |
| 1275562589 | OPTIMA HEALTH PLAN (01) | VA |
| 1275562589 | SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY (01) | VA |
| 1275562589 | UMWA (01) | VA |
| 1275562589 | UNITED HEALTHCARE (01) | VA |
| 1275562589 | VA PREMIER (01) | VA |
| 1275562589 | VIRGINIA HEALTH NETWORK (01) | VA |
| 371194700 | BLACK LUNG (01) | VA |
| 3810018726 | MEDICAID OF WEST VIRGINIA (01) | VA |
| 540506332108 | TRICARE/CHAMPUS (01) | VA |
| I62483 | (02) | |
| P00834687 | RAILROAD MEDICARE (01) | VA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.