NEUROSERVICE OF VIRGINIA PC (NPI# 1720513278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720513278 |
| Entity Type | Organization |
| Organization Name | NEUROSERVICE OF VIRGINIA PC |
| Practice Address |
11533 Busy St Pmb #306 North Chesterfield VA 23236-4073 |
| Practice Telephone | 8042204643 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |
| Authorized Official Name | DR. THOMAS RALEY (PRESIDENT) |
| Authorized Official Telephone | 8042204643 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204R00000X | Electrodiagnostic Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Street Address |
11533 BUSY ST PMB #306 |
| City | NORTH CHESTERFIELD |
| State | VA |
| Zip Code | 23236-4073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170064 | Yuly Angelica Willard | Assistant Behavior Analyst | 300 Arboretum Pl, Suite 500, Richmond, VA 23236 | 2020-09-28 |
| 1134752892 | Michelle Bland | Mastectomy Fitter | 11533 Busy Street, Mailbox #307, N. Chesterfield, VA 23236 | 2020-02-20 |
| 1629610449 | Daniel John Lammon IIi | Behavioral Analyst | 9201 Arboretum Pkwy #160, Richmond, VA 23236 | 2019-10-14 |
| 1932750320 | Carmelle A Roberts | Technician | 929 Meadowcreek Dr, North Chesterfield, VA 23236 | 2019-09-26 |
| 1386208163 | Mincey Enterprises Inc Dba Senior Helpers | Homemaker | 257 Wadsworth Drive, Richmond, VA 23236 | 2019-04-26 |
| 1306321591 | Katherine Gail Villacorta | Behavior Technician | 9201 Arboretum Pkwy #160, Richmond, VA 23236 | 2018-10-03 |
| 1841713120 | Your Taxi, Inc. | Taxi | 9409 Hull Street Road, Suite F-2, North Chesterfield, VA 23236 | 2017-07-19 |
| 1790125987 | James River Home Health Care, LLC | Home Health | 9100 Arboretum Parkway, Ste 290, North Chesterfield, VA 23236 | 2013-07-02 |
| 1164779591 | Christian Thomsen | Military Health Care Provider | 2510 Camelback Road, Richmond, VA 23236 | 2012-08-03 |
| 1780959171 | Shelby Johnson | Anesthesiology | 215 Wadsworth Drive, Richmond, VA 23236 | 2012-03-19 |
| Find all providers in zip 23236 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649427386 | Michael H Pfeiffer | Psychiatry & Neurology | 8101 Hinson Farm Rd Ste 112, Alexandria, VA 22306-3404 | 2008-08-25 |
| 1528005485 | Francisco Vega-bermudez | Psychiatry & Neurology | 96 Sandy Bay Dr, Poquoson, VA 23662-1028 | 2006-06-01 |
| 1497782320 | Scott A Vota | Psychiatry & Neurology | 417 N 11th St, Neurology - 7th Floor, Richmond, VA 23298-5002 | 2006-06-27 |
| 1629028238 | Eric J Goldberg | Psychiatry & Neurology | 3235 Academy Ave, Ste 305, Portsmouth, VA 23703-3200 | 2006-05-12 |
| 1689623258 | Tidewater Neurologists Inc | Psychiatry & Neurology | 3235 Academy Ave, Suite 305, Portsmouth, VA 23703-3200 | 2006-05-09 |
| City | NORTH CHESTERFIELD |
| Zip Code | 23236 |
Please comment or provide details below to improve the information on NEUROSERVICE OF VIRGINIA 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.