SOUTHPARK VASCULAR CENTER


Address: 445 Charles H Dimmock Pkwy Ste 101, Colonial Heights, VA 23834-2990
Phone: 8045201764

SOUTHPARK VASCULAR CENTER (NPI# 1962046763) 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) 1962046763
Entity Type Organization
Organization Name SOUTHPARK VASCULAR CENTER
Practice Address 445 Charles H Dimmock Pkwy Ste 101
Colonial Heights
VA 23834-2990
Mailing Address 3001 Palm Harbor Blvd Ste A
Palm Harbor
FL 34683-1930
Practice Telephone 8045201764
Practice Fax Number 8667813220
Mailing Telephone 7272140462
Mailing Fax Number 7274740055
Enumeration Date 2019-11-05
Last Update Date 2019-11-05
Authorized Official Name JANET DEES (PRESIDENT)
Authorized Official Telephone 7272140462
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians
Y 207RI0011X Internal Medicine
Specialization: Interventional Cardiology
Allopathic & Osteopathic Physicians

Office Location

Street Address 445 CHARLES H DIMMOCK PKWY STE 101
City COLONIAL HEIGHTS
State VA
Zip Code 23834-2990

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093323040 Latoya Harris Social Worker 3220 Loganwood Dr, South Chesterfield, VA 23834 2020-07-15
1619598653 Jasmine Cutler Nurse Practitioner 445 Charles Dimmock Pkwy, Colonial Heights, VA 23834 2020-04-30
1942841275 Stephanie Benedict Technician 330 King Fisher Way, Col. Heights, VA 23834 2019-10-08
1134628852 Stacie J Lewis Hearing Instrument Specialist 320b Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 2018-02-08
1073020194 Colonial Heights Physicians, LLC Emergency Medicine 60 East Roslyn Court, Colonial Heights, VA 23834 2018-01-10
1639681349 Nicholas C Vickers Hearing Instrument Specialist 320 B Charles Dimmock Pkwy, Suite 4, Colonial Heights, VA 23834 2017-11-03
1962935015 Selfless Service LLC In Home Supportive Care 256 E Ellerslie Ave Ste C, Colonial Heights, VA 23834 2017-04-05
1134594864 Dominion Aba Early Intervention Provider Agency 2903 Bouleavard, Colonial Heights, VA 23834 2015-12-07
1558743039 Dream Care of Va LLC Durable Medical Equipment & Medical Supplies 130 Temple Lake Dr Ste 4, Colonial Heights, VA 23834 2015-06-22
1811311343 Colonial Orthopaedics Inc Orthopaedic Surgery 325 Charles Dimmock Parkway, Suite 301, Colonial Heights, VA 23834 2014-02-04
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Taxonomy Information

Taxonomy Code 207RI0011X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Interventional Cardiology

Taxonomy Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356789010 Dominion Heart and Vascular Clinic Internal Medicine 563 Southpark Blvd, Colonial Heights, VA 23834 2013-06-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811533375 Sentara Medical Group Internal Medicine 1101 First Colonial Rd Ste 300, Virginia Beach, VA 23454-2409 2019-11-20
1588167944 Loudoun Cardiology Plc Internal Medicine 24430 Stone Springs Blvd Ste 500, Dulles, VA 20166-2247 2018-03-13
1659889533 Cardiac Cin of Northern Virginia LLC Internal Medicine 1900 Campus Commons Dr Ste 100c, Reston, VA 20191-1561 2018-01-13
1114287117 Ashesh N. Buch Internal Medicine 111 Medical Pkwy Fl 2, Chesapeake, VA 23320-0302 2012-05-23
1538429857 Sentara Medical Group Internal Medicine 3920 Bridge Rd # A, Ste 202, Suffolk, VA 23435-1117 2012-05-21
1790044311 Sentara Medical Group Internal Medicine 713 Volvo Pkwy Ste 200, Chesapeake, VA 23320-1614 2012-05-16
1053546846 Dhavalkumar B Patel Internal Medicine 7505 Right Flank Rd Ste 700, Mechanicsville, VA 23116-3865 2009-05-21
1841435377 Maryview Hospital Internal Medicine 5838 Harbour View Blvd Ste 270, Suffolk, VA 23435-3602 2008-12-12
1770523532 Patrick Francis Adrian Magee Internal Medicine 5514 Alma Ln, Suite 200, Springfield, VA 22151-4000 2006-06-08
1881680619 Frans A Vossenberg Internal Medicine 1201 Sam Perry Blvd, Suite 280, Fredericksbrg, VA 22401-4490 2005-09-27
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Competitor

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City COLONIAL HEIGHTS
Zip Code 23834

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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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