UNIVERSITY OF VIRGINIA IMAGING, LLC (NPI# 1639128259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639128259 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF VIRGINIA IMAGING, LLC |
| Practice Address |
415 Ray C Hunt Dr Ste 1100 Charlottesville VA 22903-2980 |
| Mailing Address |
840 Crescent Centre Dr Suite 200 Franklin TN 37067-4626 |
| Practice Telephone | 4342439198 |
| Practice Fax Number | 4342430243 |
| Mailing Telephone | 6155506009 |
| Mailing Fax Number | 6155506004 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2018-04-27 |
| Authorized Official Name | WILLIAM PERRY BAKER (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6155506009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4991451 | 05 | |
| VA | ANTHEM BLUE CROSS | 442302 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033439500 | University of Virginia Imaging, LLC | Radiology | 2965 Ivy Road, Suite 101, Charlottesville, VA 22903 | 2010-06-08 |
| 1518281476 | University of Virginia Imaging, LLC | Radiology | 245 Crispell Drive, Charlottesville, VA 22903 | 2010-03-22 |
| 1083055842 | University of Virginia Imaging, LLC | Radiology | 1015 Spring Creek Pkwy, Suite 130, Zion Crossroads, VA 22942-7019 | 2013-07-09 |
| 1720233596 | University of Virginia Imaging, LLC | Radiology | 545 Ray C Hunt Dr, Ste 140, Charlottesville, VA 22903-2981 | 2008-11-20 |
| Street Address |
415 RAY C HUNT DR STE 1100 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-2980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992257497 | Ahmed Refaat Dakhly Mohamed | Radiology | 428 Monroe Ln, Apt 206, Charlottesville, VA 22903-3325 | 2016-10-31 |
| 1033439500 | University of Virginia Imaging, LLC | Radiology | 2965 Ivy Road, Suite 101, Charlottesville, VA 22903 | 2010-06-08 |
| 1518281476 | University of Virginia Imaging, LLC | Radiology | 245 Crispell Drive, Charlottesville, VA 22903 | 2010-03-22 |
| 1700014792 | Garrett D. Walters | Radiology | 945 Rockledge Dr, Charlottesville, VA 22908-9775 | 2009-06-29 |
| 1649440959 | Matthew D. Moore | Radiology | Uva Children's Hospital @ The Battle Bldg, Charlottesville, VA 22908-4617 | 2008-03-04 |
| 1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
| 1003029620 | Alfred T Shilling | Radiology | 1124 Hilltop Rd, Charlottesville, VA 22903-1221 | 2007-05-08 |
| 1104848902 | Thomas Dix Henry | Radiology | 687 Tilman Rd, Charlottesville, VA 22903-7060 | 2006-07-24 |
| 1831163831 | Stanley Washington | Radiology | 1215 Lee St Fl 1, Charlottesville, VA 22908-4590 | 2006-02-15 |
| 1437630597 | Salma O Abbas | Radiology | 1215 Lee St, Charlottesville, VA 22908-0816 | 2018-08-27 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
Please comment or provide details below to improve the information on UNIVERSITY OF VIRGINIA IMAGING, LLC.
| 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.