VIRGINIA CANCER INSTITUTE INCORPORATED (NPI# 1922102664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922102664 |
| Entity Type | Organization |
| Organization Name | VIRGINIA CANCER INSTITUTE INCORPORATED |
| Practice Address |
6605 W Broad St Suite A Richmond VA 23230-1714 |
| Mailing Address |
7202 Glen Forest Dr Ste 200 Richmond VA 23226-3780 |
| Practice Telephone | 8046730134 |
| Practice Fax Number | 8046731796 |
| Mailing Telephone | 8043914171 |
| Mailing Fax Number | 8042006229 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | PABLO M GONZALEZ (MANAGING PARTNER) |
| Authorized Official Telephone | 8046730134 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RAILROAD MEDICARE | P00470079 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851863815 | Virginia Cancer Institute Incorporated | Internal Medicine | 6130 Harbourside Centre Loop, Suite 101, Midlothian, VA 23112-2170 | 2018-12-31 |
| 1801319587 | Virginia Cancer Institute Incorporated | Clinical Medical Laboratory | 6605 W Broad St Ste A, Richmond, VA 23230-1714 | 2017-07-25 |
| 1770936650 | Virginia Cancer Institute Incorporated | Pharmacy | 6605 W Broad St Ste A, Richmond, VA 23230-1714 | 2016-07-15 |
| 1730130980 | Virginia Cancer Institute Incorporated | Radiology | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2006-05-12 |
| Street Address |
6605 W BROAD ST SUITE A |
| City | RICHMOND |
| State | VA |
| Zip Code | 23230-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629073473 | Elke K Friedman | Internal Medicine | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2005-06-17 |
| 1679103857 | Jessica Rudloff | 6605 W Broad St, Richmond, VA 23230-1714 | 2020-01-16 | |
| 1457997652 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | General Acute Care Hospital | 6605 W Broad St, Richmond, VA 23230-1714 | 2019-11-22 |
| 1518511922 | Jessie O Turner | Nurse Practitioner | 6605 W Broad St, Richmond, VA 23230-1714 | 2019-07-25 |
| 1548743768 | Hem-onc Staffing Solutions, LLC | Internal Medicine | 6605 W Broad St, Richmond, VA 23230-1714 | 2018-09-13 |
| 1831467042 | Ann C Schoeneweis | Registered Nurse | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2011-12-02 |
| 1477868867 | Catherine B Anderson | Nurse Practitioner | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2010-08-10 |
| 1184847055 | Joshua J Mcfarlane | Internal Medicine | 6605 W Broad St, Credentialing Suite A, Richmond, VA 23230-1714 | 2007-04-10 |
| 1922123249 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2007-03-20 |
| 1710017108 | Virginia Cancer Insitute West End | Pharmacy | 6605 W Broad St, Suite A, Richmond, VA 23230-1714 | 2007-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801382163 | Benjamin Joseph Hughes | Dentist | 6400 Forest Avenue, Ste 110, Richmond, VA 23230 | 2018-07-10 |
| 1265935712 | Anne Ganje | Dietitian, Registered | 6627 West Broad Street, Suite 400, Richmond, VA 23230 | 2018-03-12 |
| 1225537285 | Paul Dearman | Counselor | 4906 Cutshaw Ave Suite 105, Richmond, VA 23230 | 2018-02-06 |
| 1235647041 | Renewal Counseling & Consulting, LLC | Social Worker | 4914 Fitzhugh Ave Ste 101, Richmond, VA 23230 | 2018-01-15 |
| 1033637137 | Emily Z Johnson | Behavioral Analyst | 1701 Byrd Avenue, Richmond, VA 23230 | 2017-09-08 |
| 1104377530 | 1st Advanced Pediatric &adult Healthcare Services LLC | Home Health | 1518 Williow Lawn Dr., Richmond, VA 23230 | 2016-10-20 |
| 1952769770 | Geriatric Health Solutions LLC | Internal Medicine | 5602 Markel Road, Suite 102, Richmond, VA 23230 | 2016-02-08 |
| 1497148480 | We Help Our Adolescents | Community/Behavioral Health | 6010 West Broad St., Suite 103, Richmond, VA 23230 | 2015-03-14 |
| 1386081982 | C3 Healthcare Rx | Pharmacy | 2026 Dabney Rd, Richmond, VA 23230 | 2013-05-23 |
| 1619222767 | Bon Secours-virginia Healthsource Inc | Pharmacy | 6900 Forest Ave Ste 100, Richmond, VA 23230 | 2012-07-16 |
| Find all providers in zip 23230 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063566883 | Irwin Kelman Cohen | Physiological Laboratory | 1400 Aqua Vista Ln, Richmond, VA 23231-8136 | 2007-01-22 |
| 1114923976 | Isis Medical, Incorporated | Physiological Laboratory | 119 Garwood Rd, Richmond, IN 47374-6031 | 2005-06-24 |
| 1346784378 | Braincare, LLC | Physiological Laboratory | 7400 Beaufont Springs Dr, Ste 300 (unit 346), Richmond, VA 23225 | 2016-12-09 |
| 1598167603 | C3nexus, LLC | Physiological Laboratory | 737 N 5th St, Richmond, VA 23219-1441 | 2014-09-19 |
| 1881948123 | Biomotion of America LLC | Physiological Laboratory | 7650 E Parham Rd, Suite 100, Richmond, VA 23294-4373 | 2012-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841825593 | Novant Health Uva Health System Imaging Culpeper, LLC | Physiological Laboratory | 509 S Main St Ste 100, Culpeper, VA 22701-3155 | 2020-03-03 |
| 1619347408 | Notalvision Inc. | Physiological Laboratory | 7717 Coppermine Dr, Manassas, VA 20109-2506 | 2015-10-06 |
| 1558750877 | Encephalon Neurodiagnostics | Physiological Laboratory | 46715 Westover Ter, Sterling, VA 20165-7506 | 2015-01-12 |
| 1114263134 | Premier Diagnostics of Virginia | Physiological Laboratory | 430 Southlake Blvd Ste B11, North Chesterfield, VA 23236-3065 | 2012-12-19 |
| 1083880884 | Cougar Sleep Diagnostics, LLC | Physiological Laboratory | 130 Ellett Rd, Christiansburg, VA 24073-1510 | 2008-05-01 |
| 1760576607 | Pulmonary Testing of Virginia, Inc | Physiological Laboratory | 4849 Brigadoon Dr, Virginia Beach, VA 23455-1912 | 2006-10-03 |
| 1295784718 | Dhc of Washington, L.L.C. | Physiological Laboratory | 7799 Leesburg Pike, Suite 104s, Falls Church, VA 22043-2408 | 2006-05-10 |
| 1225007420 | Insight Health Corp | Physiological Laboratory | 2786 S Arlington Mill Dr, Arlington, VA 22206-3402 | 2006-03-17 |
| 1427054170 | Sleep Disorders Institute Northeast, L.L.C. | Physiological Laboratory | 4080 Lafayette Center Dr, Unit 230, Chantilly, VA 20151-1218 | 2005-06-27 |
| 1952844896 | Physicians for Ultrasound | Physiological Laboratory | 14904 Jefferson Davis Hwy, 206, Woodbridge, VA 22191-3908 | 2016-11-26 |
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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.