DR. GUSTAVO A ELIAS (NPI# 1992063234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992063234 |
| Entity Type | Individual |
| Full Name | DR. GUSTAVO A ELIAS |
| Credential | M.D. |
| Practice Address |
10401 Spotsylvania Ave Ste 203 Fredericksburg VA 22408 |
| Mailing Address |
10401 Spotsylvania Ave Ste 200 Fredericksburg VA 22408-8606 |
| Practice Telephone | 5406549118 |
| Mailing Telephone | 5403611000 |
| Mailing Fax Number | 5403617010 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2019-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101264619 | VA | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
0101264619 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
10401 SPOTSYLVANIA AVE STE 203 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285108340 | Embrace Foster Care, LLC | Foster Care Agency | 10705 Spotsylvania Avenue, Suite 101, Fredricksberg, VA 22408 | 2019-01-11 |
| 1730698689 | Raza N Syed | Driver | 12804 Willow Point Drive, Fredericksburg, VA 22408 | 2017-09-22 |
| 1184149122 | Eve Hope Pendletom | Driver | 2717 Francis Ct, Fredericksbrg, VA 22408 | 2017-08-10 |
| 1700316304 | Transcendent Truth Inc | Counselor | 2601 Wheatland Wood Drive, Fredericksburg, VA 22408 | 2017-06-15 |
| 1487047361 | Michele Neverdon | Counselor | 150 Olde Greenwich Dr Ste 211, Fredericksburg, VA 22408 | 2015-03-16 |
| 1073903688 | Shelby Jean Galloway | Radiology | 12709 Willow Pt. Dr., Fredericksburg, VA 22408 | 2015-02-03 |
| 1417355066 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 4543 Empire Ct, Fredericksburg, VA 22408 | 2014-12-15 |
| 1154726123 | Md Wellness and Health Center | Internal Medicine | 10518 Spotsylvania Ave, Suite 102, Fredericksburg, VA 22408 | 2014-11-03 |
| 1023358595 | Joyce Catherine Corbin Moya | Social Worker | 19003 Main Street, Fredericksburg, VA 22408 | 2013-02-21 |
| 1730453192 | Physical Therapy of Central Virginia, LLC | Physical Therapist | 10524 Spotsylvania Avenue, Building 2, Fredericksburg, VA 22408 | 2012-03-02 |
| Find all providers in zip 22408 | ||||
| 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 |
|---|---|---|---|---|
| 1902823727 | Virginia Vascular Imaging LLC | Radiology | 1201 Sam Perry Blvd # B, Ste 265, Fredericksburg, VA 22401-4490 | 2006-07-16 |
| 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 | 22408 |
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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.