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STEPHEN GORDON REMINE M.D., NPI 1215939426

Surgery in ROANOKE, VA

Last Updated on : Apr 06,2011

About STEPHEN GORDON REMINE (NPI 1215939426)


STEPHEN GORDON REMINE is a Surgery provider in ROANOKE, United States. His medical specialization is Surgery .

1215939426 is NPI number of STEPHEN GORDON REMINE.

STEPHEN GORDON REMINE's primary taxonomy code based on NPI Lookup is 208600000X with license number 4301076893. This taxonomy code refers to Surgery.

STEPHEN GORDON REMINE has more than 16 years of experience.

STEPHEN GORDON REMINE current practice location address is 3 RIVERSIDE CIRCLE, ROANOKE, VA. STEPHEN GORDON REMINE can be reached out via phone at 540-224-5170 and via fax at 540-983-8212 .

You can also correspond with STEPHEN GORDON REMINE through mail at mailing address 3 RIVERSIDE CIRCLE, ROANOKE, VA, United States. Mailing address contact number is 540-224-5170.

The enumeration date of STEPHEN GORDON REMINE is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 11 years ago.

1215939426 NPI Information

Name STEPHEN GORDON REMINE
National Provider Id (NPI) 1215939426
Entity Type Individual
Gender M
Credential M.D.
Practice Address 3 RIVERSIDE CIRCLE,
ROANOKE, VA, United States
Practice Telephone 540-224-5170
Practice Fax Number 540-983-8212
Mailing Address 3 RIVERSIDE CIRCLE , DEPT OF SURGERY
ROANOKE, VA, United States
Mailing Telephone 540-224-5170
Mailing Fax Number 540-983-8212
Enumeration Date 01-Jun-2005
Last Updated Date 06-Apr-2011

STEPHEN GORDON REMINE (NPI 1215939426) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 208600000X Surgery 4301076893 MI

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
007785C19 MEDICARE PIN (08) VA
010174759 MEDICAID (05) VA
010174767 MEDICAID (05) VA
0f36469011 MEDICARE ID-Type Unspecified (04) MI provider
424506610 MEDICAID (05) MI
4301076893 Other (non-Medicare) (01) MI Controlled Substance
A57111 MEDICARE UPIN (02) MI
P00253631 MEDICARE PIN (08) VA

STEPHEN GORDON REMINE (NPI 1215939426) Office Location

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1609910538 RANDOLPH COUNTY HEALTH DEPT-ROANOKE PAT 1ST CM Case Management 468 PRICE ST,
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1629661384 CARLEEN MICHELLE GATES Social Worker, Clinical 443 WHIPPOORWILL LN,
ROANOKE, AL, United States
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FAQs

Whose NPI Number is 1215939426?

1215939426 is the NPI number of STEPHEN GORDON REMINE.

What is the specialty for STEPHEN GORDON REMINE?

The Specialty of STEPHEN GORDON REMINE is Surgery.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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