MEDIKO, PC (NPI# 1659658805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659658805 |
| Entity Type | Organization |
| Organization Name | MEDIKO, PC |
| Practice Address |
301 Concourse Blvd Suite 210 Glen Allen VA 23059-5643 |
| Practice Telephone | 8044331010 |
| Practice Fax Number | 8044331055 |
| Mailing Telephone | 8044331010 |
| Mailing Fax Number | 8044331055 |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |
| Authorized Official Name | DR. KAVEH OFOGH (PRESIDENT) |
| Authorized Official Telephone | 8044331040 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
VA | Allopathic & Osteopathic Physicians |
| Street Address |
301 CONCOURSE BLVD SUITE 210 |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23059-5643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912907650 | Suzanne Granados Spadafora | Dermatology | 301 Concourse Blvd, Suite 190, Glen Allen, VA 23059-5643 | 2005-07-22 |
| 1487867958 | Kaveh Ofogh | Internal Medicine | 301 Concourse Blvd, Suite# 210, Glen Allen, VA 23059 | 2007-05-08 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609138031 | Rami R Zanoun | Psychiatry & Neurology | 4870 Sadler Rd Ste 300, Glen Allen, VA 23060-6294 | 2012-06-12 |
| 1194847178 | William Michael Sauve | Psychiatry & Neurology | 5231 Hickory Park Dr, Suite C, Glen Allen, VA 23059-2619 | 2007-04-03 |
| 1790866812 | Yaacov Pushkin | Psychiatry & Neurology | 5213 Hickory Park Dr Ste A, Glen Allen, VA 23059-2617 | 2006-10-17 |
| 1356441745 | Linda M Bugbee | Psychiatry & Neurology | 4101 Cox Rd, Suite 340, Glen Allen, VA 23060 | 2006-09-25 |
| 1528081106 | Alla Lerner-brandon | Psychiatry & Neurology | 5213 Hickory Park Drive, Ste A, Glen Allen, VA 23059 | 2006-07-25 |
| 1003870379 | Bruce Robert Stevens | Psychiatry & Neurology | 4470 Cox Rd Ste 170, Glen Allen, VA 23060 | 2006-04-13 |
| 1063020170 | Lauren Dorsey | Psychiatry & Neurology | 5213 Hickory Park Dr Ste A, Glen Allen, VA 23059-2617 | 2020-07-15 |
| 1447698014 | Sailatha Bobba | Psychiatry & Neurology | 5213 Hickory Park Dr, Glen Allen, VA 23059-2617 | 2013-06-05 |
| 1275709651 | Stephen E Brown | Psychiatry & Neurology | 5324 Twin Hickory Rd, Suite 103, Glen Allen, VA 23059-5753 | 2008-05-05 |
| 1548478688 | Caroline Victoria Coster | Psychiatry & Neurology | 10299 Woodman Rd, Glen Allen, VA 23060-4419 | 2007-05-21 |
| Find all providers in GLEN ALLEN | ||||
| City | GLEN ALLEN |
| Zip Code | 23059 |
Please comment or provide details below to improve the information on MEDIKO, PC.
| 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.