VIRGINIA VASCULAR IMAGING LLC


Address: 1201 Sam Perry Blvd # B, Ste 265, Fredericksburg, VA 22401-4490
Phone: 5406549118

VIRGINIA VASCULAR IMAGING LLC (NPI# 1902823727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902823727
Entity Type Organization
Organization Name VIRGINIA VASCULAR IMAGING LLC
Practice Address 1201 Sam Perry Blvd # B
Ste 265
Fredericksburg
VA 22401-4490
Mailing Address 2809 Emerywood Pkwy
Ste 210
Richmond
VA 23294
Practice Telephone 5406549118
Practice Fax Number 5406549116
Mailing Telephone 8047565130
Mailing Fax Number 8046726899
Enumeration Date 2006-07-16
Last Update Date 2008-04-20
Authorized Official Name MICHAEL P MCDERMOTT (PRESIDENT)
Authorized Official Telephone 5406549118
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 1902823727 05

Office Location

Street Address 1201 SAM PERRY BLVD # B
STE 265
City FREDERICKSBURG
State VA
Zip Code 22401-4490

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720206212 Raushan Abdula Internal Medicine 1201 Sam Perry Blvd # B, Suite 205, Fredericksburg, VA 22401-4490 2007-04-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992313415 Amanda Dodd Behavior Technician 1411 Princess Anne, Fredericksburg, VA 22401 2020-07-21
1215567326 Britteny Whitaker Behavior Technician 1411 Princess Ann, Fredericksburg, VA 22401 2020-01-17
1396389433 Ashley Stanevich Behavior Technician 1411 Princess Anne Lane, Fredericksburg, VA 22401 2019-11-01
1265074231 Anna Kelleher Behavior Technician 1411 Princess Anna St, Frericksburg, VA 22401 2019-10-11
1649824152 Zaan Z Ali Audiologist 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 2019-08-01
1790342426 Michael Williams Jr. Physician Assistant 411 B Park Hill Dr, Frederickburg, VA 22401 2019-05-29
1285290965 Ann Damalie Namabiro Behavior Technician 1411 Princess Ann Street, Fredericksburg, VA 22401 2019-05-17
1922579630 Primary and Urgent Care LLC Family Medicine Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 2018-12-07
1003323056 Mariah Mazzariello Behavior Technician 1411 Princess Anne Stree, Fredericksburg, VA 22401 2017-12-29
1336655281 Hina Zafar Behavior Technician 1411 Princess Anne St., Fredericksburg, VA 22401 2017-12-14
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164471355 Daryle Darden Radiology 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2006-05-08
1609840685 John Daniel Statler Radiology 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 2006-02-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295232726 Reston Radiology Consultants Interventional Services, LLC Radiology 4001 Fair Ridge Dr Ste 103, Fairfax, VA 22033-2917 2018-04-11
1356789622 Robert John Reyes Radiology 9300 Dewitt Loop Rm 53.218, Fort Belvoir, VA 22060-5285 2013-06-10
1992071385 Elden Paul Iverson Radiology Radiology Associates of Richmond, Inc., 2602 Buford Road, North Chesterfield, VA 23235-3422 2012-03-29
1336372903 Healthqare Services, LLC Radiology 3833 N. Fairfax Drive, Suite 400, Arlington, VA 22203-1774 2009-08-31
1306075064 Auh Whan Park Radiology Lee Sreet Fl 1, Charlottesville, VA 22908-0001 2009-07-02
1407947898 American Access Care of Richmond LLC Radiology 2235 Staples Mill Rd, Richmond, VA 23230-2942 2006-09-28
1073531786 Magnetic Resonance Imaging Associates of Va, PC Radiology 2001 N Beauregard St, Suite 200, Alexandria, VA 22311-1739 2006-07-18
1750914164 Hampton Roads Radiology Associates, PC Radiology 110 Kingsley Ln Ste 305, Norfolk, VA 23505-4617 2020-02-14
1225554900 Association of University Radiologists, PC Radiology 310 3rd St Ne, Norton, VA 24273-1137 2017-08-15
1720451438 Fresenius Vascular Care Petersburg LLC Radiology 445 Charles H Dimmock Pkwy, Suite 101, Colonial Heights, VA 23834-2970 2015-11-03
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Competitor

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City FREDERICKSBURG
Zip Code 22401

Improve Information

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Dataset Information

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.

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