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GILL MEMORIAL ENT CLINIC, PC
NPI 1497957419
Specialist in Roanoke, VA

Active since June 01, 2007
707 S JEFFERSON ST FL 5, ROANOKE, VA 24016(540) 344-2071(540) 982-8490 Get Directions Write a Review

NPPES record last updated: July 30, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gill Memorial Ent Clinic, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GILL MEMORIAL ENT CLINIC, PC (NPI 1497957419) is a healthcare organization registered as a specialist in Roanoke, Virginia and active in the NPI registry since June 2007. The organization lists Mark R Hanabury, Owner, as its authorized official.

NPPES Registry Identity

NPI1497957419
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGILL MEMORIAL ENT CLINIC, PC
Location Address707 S JEFFERSON ST FL 5Roanoke, VA 24016-5100
Mailing Address707 S Jefferson St Fl 5Roanoke, VA 24016-5100 · (540) 344-2071 · Fax (540) 982-8490
Phone(540) 344-2071
Fax(540) 982-8490
Organization SubpartNo
Authorized OfficialMark R HanaburyOwner · (540) 344-2071
Enumeration DateJune 1, 2007
Last NPPES UpdateJuly 30, 2007
✔ NPI 1497957419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 0101031266
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
707 S JEFFERSON ST FL 5, Roanoke, VA 24016
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Other Identifiers 6

Other143175VA · Anthem
Medicare UPINB07330VA
Other4243474VA · Aetna
Other243144VA · Southern Health
OtherP00143294VA · Railroad Medicare
Medicare ID-Type UnspecifiedCO9151VA · Medicare Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gill Memorial Ent Clinic, PC's NPI number?

The NPI number for Gill Memorial Ent Clinic, PC is 1497957419. It was assigned to this organization in the NPPES registry on June 1, 2007.

Where is Gill Memorial Ent Clinic, PC located?

Gill Memorial Ent Clinic, PC is located at 707 S Jefferson St Fl 5, Roanoke, VA 24016. The listed phone number is (540) 344-2071.

What is Gill Memorial Ent Clinic, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Gill Memorial Ent Clinic, PC was last updated on July 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.