WASHINGTON VASCULAR INSTITUTE (NPI# 1356774731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356774731 |
| Entity Type | Organization |
| Organization Name | WASHINGTON VASCULAR INSTITUTE |
| Other Organization Name | WVI |
| Practice Address |
11110 Medical Campus Rd Suite 100 Hagerstown MD 21742-6700 |
| Mailing Address |
7610 Carroll Ave Suite 100 Takoma Park MD 20912-6384 |
| Practice Telephone | 3018912500 |
| Practice Fax Number | 3014481679 |
| Mailing Telephone | 3018912500 |
| Mailing Fax Number | 3014481679 |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2015-09-04 |
| Authorized Official Name | MUBASHAR A. CHOUDRY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3018912500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WVI | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376822643 | Washington Vascular Institute | Internal Medicine | 7610 Carroll Ave, Suite 100, Takoma Park, MD 20912-6384 | 2011-08-04 |
| Street Address |
11110 MEDICAL CAMPUS RD SUITE 100 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-6700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344592 | Stephen Mark Sachs | Surgery | 11110 Medical Campus Rd, Suite 147, Hagerstown, MD 21742-6700 | 2005-05-23 |
| 1295279214 | Sheri Lynn Denham | Nurse Practitioner | 11110 Medical Campus Rd, Hagerstown, MD 21742-6700 | 2016-12-09 |
| 1952843435 | Hagerstown Management LLC | Surgery | 11110 Medical Campus Rd, Suite 125, Hagerstown, MD 21742-6700 | 2016-11-15 |
| 1013465897 | Juris G. Eyler | Physician Assistant | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742-6700 | 2016-09-21 |
| 1437501236 | Centers for Advanced Orthopaedics, LLC | Physical Therapist | 11110 Medical Campus Rd, Suite 205, Hagerstown, MD 21742 | 2016-07-06 |
| 1487009155 | Foot and Ankle Specialists of The Mid-atlantic, LLC | Podiatrist | 11110 Medical Campus Rd, Suite 100, Hagerstown, MD 21742-6700 | 2016-04-29 |
| 1154791143 | Gastroenterology Solutions LLC | Internal Medicine | 11110 Medical Campus Rd, Suite 242, Hagerstown, MD 21742-6700 | 2015-10-02 |
| 1457721912 | Ryan Williams | Dentist | 11110 Medical Campus Rd, Suite 148, Hagerstown, MD 21742-6700 | 2015-09-28 |
| 1932599636 | Anthony Disalvo | Physical Therapist | 11110 Medical Campus Rd, Suite 201, Hagerstown, MD 21742-6700 | 2015-02-02 |
| 1730588153 | Thoracic & Surgical Specialists of Cumberland Valley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11110 Medical Campus Rd, Suite 127, Hagerstown, MD 21742-6700 | 2014-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662347 | Christopher Glenn Bruce | Internal Medicine | Building 10, Rm 2c713, 10 Center Drive, Bethesda, MD 20814-2081 | 2020-06-05 |
| 1003324989 | Cardiac Cin of Dc LLC | Internal Medicine | 1 Research Ct Ste 450c, Rockville, MD 20850-3221 | 2018-01-13 |
| 1447680137 | Cardiovascular Associates of Maryland LLC | Internal Medicine | 2021b Emmorton Rd Ste 110, Bel Air, MD 21015-8965 | 2013-11-18 |
| 1871729244 | Jonathan Chrispin | Internal Medicine | 600 N Wolfe St Ofc 1638, Baltimore, MD 21287-0005 | 2009-05-29 |
| 1477542306 | Mehrdad Mostaan | Internal Medicine | 6130 Oxon Hill Rd, Suite 301, Oxon Hill, MD 20745-3168 | 2005-10-13 |
| 1063411106 | Joann Urquhart | Internal Medicine | 9420 Key West Ave Ste 340, Rockville, MD 20850-6257 | 2005-07-20 |
| 1497234959 | Arshad Ameer Khan | Internal Medicine | The Johns Hopkins Hospital, 1800 Orleans Street, Baltimore, MD 21287 | 2018-08-07 |
| 1972975894 | Frederick Cardiology Center PC | Internal Medicine | 801 Toll House Ave Ste B2, Frederick, MD 21701-6110 | 2015-10-30 |
| 1760864870 | Lifebridge Community Physicians, Inc | Internal Medicine | 8114 Sandpiper Cir, Suite 206, Nottingham, MD 21236-4934 | 2015-06-25 |
| 1336561091 | Chesapeake Cardiovascular Associates LLC | Internal Medicine | 3333 N Calvert St, Jpb Suite 500, Baltimore, MD 21218-2867 | 2014-01-15 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.