Jason Mallow (NPI# 1235423187, PAC ID# 0749527984) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1235423187 |
| PAC ID by PECOS | 0749527984 |
| Professional Enrollment ID | I20190128000303 |
| Full Name | Jason Mallow |
| Organization Legal Name | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| Address |
2012 Drumone Ct Midlothian VA 23112-5538 |
| Phone Number | 9525951100 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 4981608817 |
| Number of Group Practice Members | 291 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490053 | JOHNSTON MEMORIAL HOSPITAL |
| 490002 | RUSSELL COUNTY MEDICAL CENTER |
| 190041 | CHRISTUS HEALTH SHREVEPORT - BOSSIER |
| 490127 | BUCHANAN GENERAL HOSPITAL |
| 190167 | MERCY REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2012 Drumone Ct, Midlothian, VA 23112-5538 | 9525951100 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 3137 Stonewood Dr, Virginia Beach, VA 23456-1563 | 9525951100 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| Organization Legal Name | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| Physicians | 102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheeraz A Daudi | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 23843 N Lookout Pointe Rd, Port Barrington, IL 60010-1091 |
| Andrew H Westmoreland | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 289 Southern Oak Dr, Ponte Vedra, FL 32081-8366 |
| Michael L Doxey | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 801 S Royal St, Alexandria, VA 22314-4340 |
| Saniya A Merchant | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 1737 Old Trenton Rd, Princeton Junction, NJ 08550-3210 |
| Robert Edward Stone | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 4050 Battery Blvd, Apt 419, Williamsburg, VA 23185-4771 |
| Guido E Santacana-laffitte | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 13462 Muirkirk Ln, Herndon, VA 20171-3305 |
| Guy N Gibson | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 905 S 110th Plz, Omaha, NE 68154-3370 |
| Chirag A Patel | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 1522 N E End Ave, Round Lake Beach, IL 60073-2147 |
| Matthew T Hoffman | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 2814 Soft Horizon Way, Las Vegas, NV 89135-1736 |
| Tina Islam | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 112 Academy Hill Rd, Apt 4, Brighton, MA 02135-3958 |
| Street Address |
2012 DRUMONE CT |
| City | MIDLOTHIAN |
| State | VA |
| Zip | 23112-5538 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phyllis J Jones | Clinical Social Worker | 4920 Millridge E Pkwy, Suite 206, Midlothian, VA 23112 | |
| Amelia N Bazzi | Nurse Practitioner | Minuteclinic Diagnostic of Virginia LLC | 13800 Hull St Rd, Midlothian, VA 23112-2002 |
| Cindy Mcgarry | Optometry | Swift Creek Eye Center PC | 13841 Hull St Rd, Midlothian, VA 23112-2056 |
| Rebecca M Kiraly Qualls | Optometry | Swift Creek Eye Center PC | 13841 Hull St Rd, Midlothian, VA 23112-2056 |
| Samuel A Martin | Optometry | Swift Creek Eye Center PC | 13841 Hull St Rd, Midlothian, VA 23112-2056 |
| Robie Robinson | Optometry | 6721 Lake Harbour Dr, Midlothian, VA 23112-2083 | |
| Claude R Hinson Jr. | Family Medicine | Primary Health Group Inc | 13861 Hull St Rd, Midlothian, VA 23112-2091 |
| Jennifer K Stirgwolt | Family Medicine | Primary Health Group Inc | 13861 Hull St Rd, Midlothian, VA 23112-2091 |
| Dandan Li | Family Medicine | Primary Health Group Inc | 13861 Hull St Rd, Midlothian, VA 23112-2091 |
| Bogale Jima | Family Medicine | Primary Health Group Inc | 13861 Hull St Rd, Midlothian, VA 23112-2091 |
| Find all physicians in zip 23112 | |||
| City | MIDLOTHIAN |
| Zip Code | 23112 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MIDLOTHIAN + DIAGNOSTIC RADIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.