VETERANS AFFAIRS MEDICAL CENTER (NPI# 1366494999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366494999 |
| Entity Type | Organization |
| Organization Name | VETERANS AFFAIRS MEDICAL CENTER |
| Practice Address |
1201 Broad Rock Blvd Richmond VA 23249-0001 |
| Mailing Address |
2102 Capelwood Ct Richmond VA 23235-5705 |
| Practice Telephone | 8046755106 |
| Practice Fax Number | 8046756853 |
| Mailing Telephone | 8042763489 |
| Mailing Fax Number | 8042767510 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RONALD DEAN TAYLOR (SUPERVISORY PSYCHOLOGIST) |
| Authorized Official Telephone | 8046755106 |
| Authorized Official Credential | EDD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 0810002360 | VA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962718692 | Veterans Affairs Medical Center | Clinic/Center | 5709 Education Dr, Apartment 307, Cheyenne, WY 82009-3951 | 2010-08-18 |
| 1316103088 | Veterans Affairs Medical Center | Rehabilitation Hospital | 14506 Highgate Hill Ct, Chesterfield, VA 23832-2457 | 2008-08-01 |
| 1164509477 | Veterans Affairs Medical Center | General Acute Care Hospital | 2946 Kings Gate Blvd, Beavercreek, OH 45431-3900 | 2006-11-01 |
| 1790791069 | Veterans Affairs Medical Center | Exclusive Provider Organization | 132 Northbridge Ave, Warwick, RI 02886-2824 | 2006-07-31 |
| 1124054317 | Veterans Affairs Medical Center | Adult Companion | 2731 Highway 212 Sw, Conyers, GA 30094-3352 | 2006-06-23 |
| 1437402161 | Veterans Affairs Medical Center | General Acute Care Hospital | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2012-10-18 |
| 1578850285 | Veterans Affairs Medical Center | Military Hospital | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2011-07-01 |
| 1255651543 | Veterans Affairs Medical Center | Military Hospital | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2010-06-09 |
| 1376714360 | Veterans Affairs Medical Center | Medicare Defined Swing Bed Unit | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2008-03-18 |
| 1013041334 | Veterans Affairs Medical Center | General Acute Care Hospital | 1201 Nw 16th St, Miami, FL 33125-1624 | 2007-03-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VETERANS AFFAIRS MEDICAL CENTER | 100 Emancipation Dr, Hampton, VA 23667-0001 |
| Street Address |
1201 BROAD ROCK BLVD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23249-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780684480 | Earl M. Rogers I | Pharmacist | 1201 Broad Rock Blvd, Vamc Pharmacy Svc (119), Richmond, VA 23249-0001 | 2005-07-26 |
| 1750981791 | Irene Julia Montero | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-29 |
| 1194325068 | Rodrick Dewayne Shinholster | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-29 |
| 1902406887 | Akia Johnson | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-29 |
| 1982204285 | Shaquana Shanesea Jones | Kinesiotherapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-27 |
| 1396345773 | Freda Sergi | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-27 |
| 1548860091 | Curtis Antoine Robb | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-26 |
| 1891394326 | Paulette Suzanne Beasley | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-26 |
| 1104425636 | Jennifer Lee Vass | Recreation Therapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-10-26 |
| 1760099204 | Caitlyn Andree Pittman | Kinesiotherapist | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2020-09-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184010407 | Chris Dinh Nguyen | Internal Medicine | 1201 Broad Rock Blvd Richmond, Richmond, VA 23249 | 2015-04-14 |
| 1982049425 | Amy Nicole Whiffin | Emergency Medicine | 1201 Broad Rock Blvd. Emergency Department, Richmond, VA 23249 | 2013-05-09 |
| 1770786311 | Katherine Martin | Dentist | Mcguire Vamc Dental Service 1201 Broad Rock Blvd, Richmond, VA 23249 | 2007-06-11 |
| 1407922214 | Thomas Fagan | Pharmacist | 1201 Broadwalk Blvd, Richmond, VA 23249 | 2006-11-27 |
| 1922197474 | Rufus Anthony Harris | Social Worker | 1201 Broadrock Boulevard, Room 1e 114, Richmond, VA 23249 | 2006-10-12 |
| 1497848386 | Patricia S Kelly | Religious Nonmedical Nursing Personnel | 1201 Brock Roack Blvd., Richmond, VA 23249 | 2006-10-02 |
| 1073619938 | Deborah Walck Haynes | Physician Assistant | Mcguire Va Medical Center, 1201 Broad Rock Blvd. (151), Richmond, AL 23249 | 2006-09-16 |
| 1932204682 | James Kenneth Schmitt | Internal Medicine | 1201 Broadrock Rd, Richmond, VA 23249 | 2006-09-14 |
| 1679675045 | Ida Foster | Family Medicine | 1801 Broad Rock Boulevard, Richmond, VA 23249 | 2006-09-05 |
| 1871607176 | James Luther Tatum | Nuclear Medicine | 1201 Broadrock Road, Richmond, VA 23249 | 2006-08-17 |
| Find all providers in zip 23249 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619141926 | Bruce I Longman Dds, LLC | Special Hospital | 5220 Rolleston Dr, Virginia Beach, VA 23464-2541 | 2008-04-17 |
| 1043329758 | Health Care Reformer, Inc. | Special Hospital | 8809 Blue Royale Ln, Fairfax, VA 22031-2150 | 2006-08-29 |
| 1003356593 | Virginia University of Oriental Medicine | Special Hospital | 9401 Mathy Dr, Fairfax, VA 22031-5310 | 2017-03-02 |
| 1285040360 | University of Virginia Medical Center | Special Hospital | 1215 Lee Street, Charlottesville, VA 22903 | 2014-07-09 |
| 1669895868 | Paris D Vaughn Dds PC | Special Hospital | 12581 Milstead Way, Suite 204, Woodbridge, VA 22192-5445 | 2014-01-24 |
| 1063845816 | Eastern Virginia Eye Institute | Special Hospital | 2147 Old Greenbrier Rd, Chesapeake, VA 23320-2635 | 2013-08-15 |
| 1043650815 | Department of Veteran's Affairs | Special Hospital | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2013-06-26 |
| 1194063321 | Susan J Keen | Special Hospital | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2013-01-23 |
| 1952649360 | Thomas Johns Cancer Hospital At Johnston Willis Hospital | Special Hospital | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2013-01-18 |
| 1184998536 | Fort Belvoir Community Hospital | Special Hospital | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-03-02 |
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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.