RETREAT CARDIOLOGY LLC (NPI# 1770613044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770613044 |
| Entity Type | Organization |
| Organization Name | RETREAT CARDIOLOGY LLC |
| Practice Address |
505 W Leigh St Suite 205 Richmond VA 23220-3239 |
| Practice Telephone | 8047880004 |
| Practice Fax Number | 8046435935 |
| Mailing Telephone | 8047880004 |
| Mailing Fax Number | 8046435935 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2010-06-11 |
| Authorized Official Name | WILLIAM TEDRICK JOHNSON (VP) |
| Authorized Official Telephone | 8042377760 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1770613044 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073646501 | Retreat Cardiology LLC | Internal Medicine | 505 W Leigh St, Suite 205, Richmond, VA 23220-3200 | 2007-03-13 |
| Street Address |
505 W LEIGH ST SUITE 205 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23220-3239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821086646 | Lloyd Arden Bonner | Internal Medicine | 505 W Leigh St, Suite 303, Richmond, VA 23220-3200 | 2005-10-06 |
| 1427454552 | Culpepper Dds Pllc | Clinic/Center | 505 W Leigh St, Suite 204, Richmond, VA 23220-3200 | 2014-11-18 |
| 1619246733 | Heart Specialists of Richmond, PC | Internal Medicine | 505 W Leigh St, Suite 205, Richmond, VA 23220-3200 | 2011-12-19 |
| 1639456825 | Jacqueline Johnette Brown | Dentist | 505 W Leigh St, Suite 106, Richmond, VA 23220-3200 | 2011-11-16 |
| 1821241746 | Preventive Foot Care Inc | Podiatrist | 505 W Leigh St, Ste 105-a, Richmond, VA 23220-3200 | 2008-10-23 |
| 1750576948 | Jill Bussey | Dentist | 505 W Leigh St, Suite 204, Richmond, VA 23220-3200 | 2007-09-11 |
| 1962623090 | Harry W. Royal, Md | Obstetrics & Gynecology | 505 W Leigh St, Suite302, Richmond, VA 23220-3200 | 2007-05-02 |
| 1447373006 | Pamela J Royal | Specialist | 505 W Leigh St, Suites 304 & 306, Richmond, VA 23220-3200 | 2007-04-09 |
| 1073646501 | Retreat Cardiology LLC | Internal Medicine | 505 W Leigh St, Suite 205, Richmond, VA 23220-3200 | 2007-03-13 |
| 1477643435 | Franklin C Ognelodh | Podiatrist | 505 W Leigh St, Suite 105a, Richmond, VA 23220-3200 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538637855 | Lindsay Kruger | Health Educator | 2 W Franklin Street, Richmond, VA 23220 | 2018-11-05 |
| 1578045993 | Lauren Jernegan | Physician Assistant | 204 S Mulberry St, Richmond, VA 23220 | 2018-09-01 |
| 1699266312 | Madhura Vikas Chitnavis | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Radiology, 980615, 1250 E Marshall St, Richmond, VA 23220 | 2018-05-29 |
| 1457842759 | Alfred Vann II | Social Worker | 119 W. Leigh St., Richmond, VA 23220 | 2018-05-22 |
| 1598269193 | Lilah Sol | Health Educator | Ymca, 2 W Franklin St., Richmond, VA 23220 | 2018-03-20 |
| 1568965531 | Anne Danforth | Health Educator | 2 West Franklin Street, Downtown Ymca, Richmond, VA 23220 | 2018-03-15 |
| 1154840791 | Constant Change Enterprises LLC | Counselor | 1805 Monument Avenue, Suite 208, Richmond, VA 23220 | 2017-09-14 |
| 1023534393 | Diane H Brown | Social Worker | 2106 Rosewood Avenue, Richmond, VA 23220 | 2017-08-18 |
| 1831624295 | Trent Roubleau | Student in an Organized Health Care Education/Training Program | 2114 Maplewood Ave, Richmond, VA 23220 | 2017-04-24 |
| 1679013312 | Blair Fine | Social Worker | 2117 West Main Street, Richmond, VA 23220 | 2017-02-28 |
| Find all providers in zip 23220 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1770947806 | Rajiv Ashok Kabadi | Internal Medicine | Vcuhs Department of Cards Fellowship, 980509, 1250 E. Marshall Street, Richmond, VA 23298-0509 | 2016-04-05 |
| 1932512050 | April Marie Shewmake | Internal Medicine | Po Box 980053, Richmond, VA 23298-0053 | 2014-06-05 |
| 1396176228 | Dominion Cardiovascular Specialists LLC | Internal Medicine | 7129 Jahnke Rd, Richmond, VA 23225-4073 | 2013-12-03 |
| 1184993412 | Joseph C Nuara Md Plc | Internal Medicine | 110 North Robinson Street, Suite 401, Richmond, VA 23220 | 2011-12-15 |
| 1528377850 | Abdullah Khan | Internal Medicine | 9131 Stony Point Pkwy Apt 3104, Richmond, VA 23235-2072 | 2010-10-05 |
| 1700959459 | Robert H Levitt | Internal Medicine | 7702 East Parham Road, Suite 106, Richmond, VA 23294 | 2006-11-17 |
| 1124036512 | James R. Mcclamroch | Internal Medicine | 22001 Southwest Fwy, Suite 210, Richmond, TX 77469-7001 | 2006-08-03 |
| 1215958657 | Virginia Cardiovascular Specialists | Internal Medicine | 8001 Franklin Farms Dr, Suite 130, Richmond, VA 23229-5108 | 2006-07-21 |
| 1376578765 | John Mark Digrazia | Internal Medicine | 7401 Beaufont Springs Dr, Suite 100, Richmond, VA 23225-5520 | 2006-07-12 |
| 1164452363 | Michael Lawrence Arcarese | Internal Medicine | 7101 Jahnke Rd Ste 550, Richmond, VA 23225-4017 | 2006-07-03 |
| Find all providers in RICHMOND | ||||
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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.