CARDIO DIAGNOSTIC CENTER (NPI# 1528041761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528041761 |
| Entity Type | Organization |
| Organization Name | CARDIO DIAGNOSTIC CENTER |
| Other Organization Name | VIVRA |
| Practice Address |
5530 Wisconsin Ave Suite #740 Chevy Chase MD 20815-4404 |
| Practice Telephone | 3016540434 |
| Practice Fax Number | 3019869380 |
| Mailing Telephone | 3016540434 |
| Mailing Fax Number | 3019869380 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SHEILA R BERRY (ADMINISTRATOR) |
| Authorized Official Telephone | 3016540434 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
| X | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Vivra | Other Name - Individual/Organization |
| Street Address |
5530 WISCONSIN AVE SUITE #740 |
| City | CHEVY CHASE |
| State | MD |
| Zip Code | 20815-4404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051424 | Madjid Matin | Dentist | 5530 Wisconsin Ave, Ste 1110, Chevy Chase, MD 20815-4330 | 2005-05-23 |
| 1508328378 | Bryn Marie Bonner | Physical Therapist | 5530 Wisconsin Ave, Chevy Chase, MD 20815-4404 | 2019-04-02 |
| 1578090791 | Eileen Patricia Goohs | Counselor | 5530 Wisconsin Ave, Chevy Chase, MD 20815-4404 | 2017-05-18 |
| 1427595107 | Anthony Alexander Gipe | Physical Therapist | 5530 Wisconsin Ave, Suite #1650, Chevy Chase, MD 20815-4404 | 2017-01-19 |
| 1528411253 | Scott D. Shapiro M.d., Ph.d., LLC | Internal Medicine | 5530 Wisconsin Ave, Suite 711, Chevy Chase, MD 20815-4404 | 2016-07-18 |
| 1669826517 | Cortney Elizabeth Tanner | Physician Assistant | 5530 Wisconsin Ave, Suite 1660, Chevy Chase, MD 20815-4404 | 2016-04-18 |
| 1386007565 | Elizabeth A Holcombe | Advanced Practice Midwife | 5530 Wisconsin Ave, Suite 1200, Chevy Chase, MD 20815-4404 | 2016-04-04 |
| 1083088355 | Miranda Stauffer | Physical Therapy Assistant | 5530 Wisconsin Ave, 1650, Chevy Chase, MD 20815-4404 | 2015-11-24 |
| 1063886042 | Emily Duke Wishik | Speech-Language Pathologist | 5530 Wisconsin Ave, Suite 1135, Chevy Chase, MD 20815-4404 | 2015-11-13 |
| 1285002469 | Mgmc, LLC | General Practice | 5530 Wisconsin Ave, Suite 960, Chevy Chase, MD 20815-4404 | 2015-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456454 | Sarah Trandel-korenchuk | Nurse Practitioner | 4622 Norwood Drive, Chevy Chase, MD 20815 | 2020-08-04 |
| 1730709254 | Lorelyn Pierola | Physical Therapist | 8700 Jones Mill Road, Chevy Chase, MD 20815 | 2020-04-24 |
| 1194292391 | Bradley T Nguyen | Student in an Organized Health Care Education/Training Program | 5454 Wisconsic Ave, Bethesda, MD 20815 | 2018-10-26 |
| 1053897652 | Seth Parker Worthing | Orthopaedic Surgery | 5454 Wisconsin Ave Ste 1000, Chevy Chase, MD 20815 | 2018-07-17 |
| 1104310382 | Brendan F. Burke, M.d., L.L.C. | Obstetrics & Gynecology | 5530 Wisconsin Ave Ste 850, Chevy Chase, MD 20815 | 2018-06-20 |
| 1740778240 | Miriam Brazer | Student in an Organized Health Care Education/Training Program | 4810 Bradley Blvd, Chevy Chase, MD 20815 | 2018-04-30 |
| 1285131201 | Juventino Aceves | Speech-Language Pathologist | 5530 Wisconsin, Chevy Chase, MD 20815 | 2018-04-06 |
| 1386167351 | Seth A. Greenblatt | Social Worker | 2 Wisconsin Circle, Suite 700, Your Health Concierge, Inc, Bethesda, MD 20815 | 2017-07-21 |
| 1932636990 | Katelyn Marie Engbert | Registered Nurse | 4717 Morgan Dr, Chevy Chase, MD 20815 | 2017-05-20 |
| 1043752512 | Erin Leeland Nes | Marriage & Family Therapist | 4405 East West Highway Suite 408, Bethesda, MD 20815 | 2016-11-15 |
| Find all providers in zip 20815 | ||||
| Taxonomy Code | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881701175 | Patuxent Cardiology Associates LLC | Nuclear Medicine | 2419 Solomons Island Rd, Huntingtown, MD 20639-8732 | 2006-08-24 |
| 1225525256 | Advanced Imaging Diagnostics,llc | Nuclear Medicine | 10801 Lockwood Dr Ste 140, Silver Spring, MD 20901 | 2018-04-16 |
| 1811053127 | Gabriel Soudry Md Pa | Nuclear Medicine | 9000 Franklin Square Dr, Baltimore, MD 21237-3901 | 2006-12-29 |
| City | CHEVY CHASE |
| Zip Code | 20815 |
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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.