ANTHONY JULIUS CICHOCKI (NPI# 1023078227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023078227 |
| Entity Type | Individual |
| Full Name | ANTHONY JULIUS CICHOCKI |
| Credential | CRNA |
| Practice Address |
2949 West Front Street Richlands VA 24641 |
| Mailing Address |
2951 West Front Street Suite 3050 Richlands VA 24641 |
| Practice Telephone | 2765966160 |
| Mailing Telephone | 2769638504 |
| Mailing Fax Number | 2769636642 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WG0000X |
Registered Nurse Specialization: General Practice |
0001109176 | VA | Nursing Service Providers |
| X | 367500000X | Nurse Anesthetist, Certified Registered | 0024109176 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM/BCBS | 435255 | 01 |
| VA | WV MEDICAID | 2601105-000 | 01 |
| Street Address |
2949 WEST FRONT STREET |
| City | RICHLANDS |
| State | VA |
| Zip Code | 24641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679553895 | Vision Radiology PC | Radiology | 2949 West Front Street, Richlands, VA 24641 | 2006-01-23 |
| 1649408535 | Sarah Elizabeth-shea Thompson | Physical Therapist | 2949 West Front Street, Richlands, VA 24631 | 2009-06-30 |
| 1679517791 | Daisy S Claustro | Anesthesiology | 2949 West Front Street, Richlands, VA 24641 | 2006-06-16 |
| 1194769109 | Monica G Tague | Nurse Anesthetist, Certified Registered | 2949 West Front Street, Richlands, VA 24641 | 2006-06-16 |
| 1013957703 | Rolando A. Guanlao | Emergency Medicine | 2949 West Front Street, Richlands, VA 24641-2099 | 2006-06-08 |
| 1184664872 | Sherif M. Shoukry | Emergency Medicine | 2949 West Front Street, Richlands, VA 24641-2099 | 2006-06-08 |
| 1760442735 | Julie Marie Barr | Registered Nurse | 2949 West Front Street, Richlands, VA 24641 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819374 | Natasha Ramey | Registered Nurse | 6801 Gov George C Peery Highway, Richlands, VA 24641 | 2020-04-06 |
| 1881133585 | Amanda Combs | Nurse Practitioner | 6719 Governor G.c. Perry Highway Suit 3100, Richlands, VA 24641 | 2017-02-15 |
| 1740635549 | Najlaa Jaleesah | Emergency Medicine | 6801 Gov George C. Peery Hwy, Richlands, VA 24641 | 2016-04-28 |
| 1578817938 | Clinch Valley Vascular Surgical Assoc., Pllc | Surgery | 6719 Gov. G.c. Peery Highway, Suite 2600, Richlands, VA 24641 | 2012-11-06 |
| 1033461777 | Carol Keen | Nurse Practitioner | 6719 Gov Gc Perry Hwy, Richlands, VA 24641 | 2012-10-04 |
| 1487930905 | Sami Abdul Jawad | Internal Medicine | 6801 Governor George C. Peery Hwy, Richlands, VA 24641 | 2011-10-28 |
| 1134403090 | Clinch Valley Vascular Surgery Associates | General Acute Care Hospital | 6719 Gov G. C. Peery Highway, 2600, Richlands, VA 24641 | 2011-10-10 |
| 1699089953 | Suasin Cancer Care, Inc. | Radiology | 6801 Gov.g.c. Peery Hwy, Richlands, VA 24641 | 2010-07-28 |
| 1902122922 | Hao Duy Pham | Surgery | 6719 Governor Gc Peery Hwy Ste 2600, Richlands, VA 24641 | 2010-04-15 |
| 1144477134 | Paul R Goyt | Emergency Medicine | 6801 Governor G C Peery Hwy, Richlands, VA 24641 | 2008-08-21 |
| Find all providers in zip 24641 | ||||
| Taxonomy Code | 163WG0000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760442735 | Julie Marie Barr | Registered Nurse | 2949 West Front Street, Richlands, VA 24641 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778709 | Tanisha Nicole Kane | Registered Nurse | 5312 Jennifer Pond Way, Richmond, VA 23223-5852 | 2020-07-23 |
| 1104455823 | Rachel Ruffin Ashley | Registered Nurse | 8342 Silkwood Ct, Mechanicsville, VA 23116-1894 | 2020-04-04 |
| 1164059242 | Philip Yamoah Bandoh | Registered Nurse | 6911 Richmond Hwy Unit 324b, Alexandria, VA 22306-1842 | 2020-03-26 |
| 1205461498 | Jennifer Lynn Breseman | Registered Nurse | 11157 Saffold Way, Reston, VA 20190-3822 | 2020-03-08 |
| 1790310035 | Janet Conrad | Registered Nurse | 3438 Mount Burnside Way, Woodbridge, VA 22192-1013 | 2020-03-06 |
| 1790347714 | Jennifer E Price | Registered Nurse | 1800 N Beauregard St Ste 101, Alexandria, VA 22311-1726 | 2019-06-29 |
| 1467012765 | Mary A. Martin | Registered Nurse | 311 Jacks Pl, Newport News, VA 23608-1292 | 2019-06-18 |
| 1104399088 | Frances Loretta Remines | Registered Nurse | 675 Ben Bow Rd, Tazewell, VA 24651-9190 | 2019-01-03 |
| 1114418183 | Shenika Cherelle Smith | Registered Nurse | 900 Granby St Ste 231, Norfolk, VA 23510-2568 | 2018-05-24 |
| 1366958506 | Whitney Ania Armand | Registered Nurse | 301 Monticello Mews Apt 204, Hampton, VA 23666-2786 | 2017-12-26 |
| Find all providers with the same taxonomy | ||||
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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.