Provider Demographics
NPI:1316914674
Name:SINACORI, JOHN T (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:T
Last Name:SINACORI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 S JEFFERSON ST STE 1006
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24011-1713
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4348 ELECTRIC RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-0720
Practice Address - Country:US
Practice Address - Phone:540-769-0700
Practice Address - Fax:540-772-8159
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101232708207YX0007X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006503225Medicaid
VA53917OtherSENTARA
VAPAROtherAETNA
VA245937OtherUHC/MAMSI
VAPAROtherMULTIPLAN
NC89065GMMedicaid
VAPAROtherVA PREMIER HEALTH
VAPAROtherVA HEALTH NETWORK
VAPAROtherFIRST HEALTH COMMERCIAL
VA-004OtherTRICARE/CHAMPUS
VAPAROtherUSA MANAGED CARE
VAPAROtherCIGNA
NC065GMOtherBC/BS
VA245546OtherANTHEM
VAPAROtherCORVEL/CORCARE
VA006503225Medicaid
NC89065GMMedicaid
VA245546OtherANTHEM