DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ANTHONY STAVOLA MD

MEDICARE: ANTHONY STAVOLA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician0101029765VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1497727531
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY STAVOLA MD
Provider Business Mailing Address
First Line : 1836 GREENWOOD RD SW
Second Line :
City : ROANOKE
State : VA
Zip : 24015-2820
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6415 PETERS CREEK RD
Second Line :
City : ROANOKE
State : VA
Zip : 24019-4021
Country : US
Telephone Number : 540-265-5500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 08/11/2011

Similar Medicare Providers

1942272083 — CLIFFORD NOTTINGHAM MD
Practice Location Address:
6415 PETERS CREEK RD
ROANOKE, VA
24019-4021
Practice Phone: 540-265-5500
Practice Fax:
1104898246 — NANCY HARVEY NP
Practice Location Address:
6415 PETERS CREEK RD
ROANOKE, VA
24019-4021
Practice Phone: 540-265-5500
Practice Fax:
1003888140 — VICTORIA SHELLY NP
Practice Location Address:
6415 PETERS CREEK RD
ROANOKE, VA
24019-4021
Practice Phone: 540-265-5500
Practice Fax:
1457323594 — WILLIAM HARRIS MD
Practice Location Address:
6415 PETERS CREEK RD
ROANOKE, VA
24019-4021
Practice Phone: 540-265-5500
Practice Fax:
1902878051 — ROBERT AMICK MD
Practice Location Address:
6415 PETERS CREEK RD
ROANOKE, VA
24019-4021
Practice Phone: 540-265-5500
Practice Fax:
1013989847 — TODD PALMERTON MD
Practice Location Address:
6415 PETERS CREEK RD
ROANOKE, VA
24019-4021
Practice Phone: 540-265-5500
Practice Fax:

Directions to “ ANTHONY STAVOLA MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.