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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 1902823727 | 05 |
Street Address |
1201 SAM PERRY BLVD # B STE 265 |
City | FREDERICKSBURG |
State | VA |
Zip Code | 22401-4490 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720206212 | Raushan Abdula | Internal Medicine | 1201 Sam Perry Blvd # B, Suite 205, Fredericksburg, VA 22401-4490 | 2007-04-23 |
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 |
Find all providers in zip 22401 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | FREDERICKSBURG |
Zip Code | 22401 |
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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.