DR. KAVEH OFOGH (NPI# 1487867958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487867958 |
| Entity Type | Individual |
| Full Name | DR. KAVEH OFOGH |
| Credential | M.D |
| Practice Address |
301 Concourse Blvd Suite# 210 Glen Allen VA 23059 |
| Practice Telephone | 8044331041 |
| Practice Fax Number | 8044331050 |
| Mailing Telephone | 8044331041 |
| Mailing Fax Number | 8044331050 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2011-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
01011052243 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
301 CONCOURSE BLVD SUITE# 210 |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912907650 | Suzanne Granados Spadafora | Dermatology | 301 Concourse Blvd, Suite 190, Glen Allen, VA 23059-5643 | 2005-07-22 |
| 1659658805 | Mediko, PC | Psychiatry & Neurology | 301 Concourse Blvd, Suite 210, Glen Allen, VA 23059-5643 | 2011-11-15 |
| 1578688818 | Sarah Breitbach Sneed | Psychologist | 301 Concourse Blvd, Suite 227, Glen Allen, VA 23059-5643 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422163 | Kusum Bhetwal | Nurse Practitioner | 12804 Westin Estates Drive, Glen Allen, VA 23059 | 2020-09-23 |
| 1538704770 | Rise Services LLC | Community/Behavioral Health | 11357 Nuckois Road, Suite 2043, Glen Allen, VA 23059 | 2019-11-12 |
| 1992347116 | Irene Anne Mcgovern | Technician | 5233 Eastbranch Dr, Glen Allen, VA 23059 | 2019-10-09 |
| 1427547322 | Sharon Ann Lott | Audiologist | Short Pump Middle School, 4701 Pouncey Tract Road, Glen Allen, VA 23059 | 2018-05-07 |
| 1518476423 | Thomas Joseph Stein | Pharmacist | 4912 Old Millrace Place, Glen Allen, VA 23059 | 2017-09-22 |
| 1033638440 | Caroline Taylor | Specialist/Technologist | 5143 Dorin Hill Ct., Glen Allen, VA 23059 | 2017-09-18 |
| 1003335167 | Rva Transport, Inc. | Non-emergency Medical Transport (VAN) | 830 Brassie Ln, Apt F, Glen Allen, VA 23059 | 2017-09-10 |
| 1639628407 | Jessica Jasmine Green | Nurse Practitioner | 4687 Poucey Tract Road, Glen Allen, VA 23059 | 2016-09-22 |
| 1255512760 | Peggy Ellen York | Psychologist | 13314 Greenwood Rd, Glen Allen, VA 23059 | 2007-11-27 |
| 1689795940 | Kim Blassic | Dentist | 5225 Hickory Park Dr., Suite D, Glen Allen, VA 23059 | 2007-04-03 |
| Find all providers in zip 23059 | ||||
| Taxonomy Code | 207RA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Adolescent Medicine |
| An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881795557 | Bon Secours Memorial Regional Medical Center LLC | Internal Medicine | 10150 Staples Mill Rd Ste C, Glen Allen, VA 23060-3452 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659552156 | Olumuyiwa Ojediran, M.d P.c | Internal Medicine | 734 S Sycamore St, Petersburg, VA 23803-5817 | 2007-11-26 |
| 1376760140 | Richard Homer Bright | Internal Medicine | 94 Longview Cir, Fishersville, VA 22939-2004 | 2007-04-20 |
| 1730116575 | Alok Rustogi | Internal Medicine | 46090 Lake Center Plz, 201, Potomac Falls, VA 20165-5876 | 2006-06-27 |
| 1306802426 | Martha A. Griswold | Internal Medicine | 173 Waterfront Dr, Colonial Heights, VA 23834-2181 | 2006-04-26 |
| 1043549561 | Hampton Roads Hospitalist Group | Internal Medicine | 3636 High St, Portsmouth, VA 23707-3236 | 2009-12-11 |
| 1700042231 | Michael Tobeh Kometa | Internal Medicine | 200 Medical Park Blvd, Petersburg, VA 23805-9274 | 2008-08-04 |
| 1942364617 | Centre Pointe Health Specialties | Internal Medicine | 3920 Plank Rd, 120, Fredericksburg, VA 22407-7104 | 2006-12-20 |
| 1487712394 | Nushin F Todd | Internal Medicine | 201 North Washington Street, Falls Church, VA 22046-4518 | 2006-12-04 |
| 1265513238 | Jeffrey B Conklin | Internal Medicine | 21785 Filigree Ct, Suite 100, Ashburn, VA 20147-6213 | 2006-10-18 |
| 1932133568 | John M. Bush | Internal Medicine | 4376 Germanna Hwy, Locust Grove, VA 22508 | 2006-07-10 |
| Find all providers with the same taxonomy | ||||
| City | GLEN ALLEN |
| Zip Code | 23059 |
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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.