POLARIS HEART & VASCULAR PLLC (NPI# 1043648363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043648363 |
| Entity Type | Organization |
| Organization Name | POLARIS HEART & VASCULAR PLLC |
| Practice Address |
4004 Genesee Pl Suite 105 Woodbridge VA 22192-8303 |
| Practice Telephone | 8557399953 |
| Practice Fax Number | 5716599445 |
| Mailing Telephone | 8557399953 |
| Mailing Fax Number | 5716599445 |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2014-05-08 |
| Authorized Official Name | KAMBEEZ BERENJI (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 8557399953 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
4004 GENESEE PL SUITE 105 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-8303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326011958 | Kambeez Berenji | Internal Medicine | 4004 Genesee Pl, Suite 105, Woodbridge, VA 22192-8303 | 2006-02-13 |
| 1881015436 | Vista Heart & Vascular, Pllc | Internal Medicine | 4004 Genesee Pl, Suite 105, Woodbridge, VA 22192-8303 | 2013-12-30 |
| 1972924520 | Oracle Heart & Vascular, Pllc | Internal Medicine | 4004 Genesee Pl, Suite 105, Woodbridge, VA 22192-8303 | 2013-12-30 |
| 1992137590 | Magnus Heart and Vascular, Inc. | Nuclear Medicine | 4004 Genesee Pl, Suite 105, Woodbridge, VA 22192-8303 | 2013-08-06 |
| 1457516718 | Kline Chiropractic & Wellness, Pllc | Chiropractor | 4004 Genesee Pl, Suite 213, Woodbridge, VA 22192-8303 | 2008-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699196246 | Heart and Vascular Institute of Virginia, Inc | Internal Medicine | 4004 Genesee Pl Ste 105, Woodbridge, VA 22192-8304 | 2013-12-30 |
| 1033366067 | Richard Eubanks Fearon | Internal Medicine | 20 Brook Rd, Woodbridge, CT 06525 | 2008-08-21 |
| 1083746325 | Barkev H Banian | Internal Medicine | 14904 Jefferson Davis Hwy Ste 412, Woodbridge, VA 22191-3908 | 2007-03-12 |
| 1184725962 | Stuart A Meyers | Internal Medicine | 1502 Featherstone Rd, Woodbridge, VA 22191-3100 | 2006-09-26 |
| 1326011958 | Kambeez Berenji | Internal Medicine | 4004 Genesee Pl, Suite 105, Woodbridge, VA 22192-8303 | 2006-02-13 |
| 1457773582 | Dominion Cardiac Care PC | Internal Medicine | 14904 Jefferson Davis Hwy, Suite 202, Woodbridge, VA 22191-3908 | 2014-01-08 |
| 1881015436 | Vista Heart & Vascular, Pllc | Internal Medicine | 4004 Genesee Pl, Suite 105, Woodbridge, VA 22192-8303 | 2013-12-30 |
| 1972924520 | Oracle Heart & Vascular, Pllc | Internal Medicine | 4004 Genesee Pl, Suite 105, Woodbridge, VA 22192-8303 | 2013-12-30 |
| 1558663401 | Nova Cardiovascular Care LLC Nvcc | Internal Medicine | 14904 Jefferson Davis Hwy, Suite #106, Woodbridge, VA 22191-3908 | 2010-11-29 |
| 1407094428 | Prachak T Siriprakorn M.d. P.C. | Internal Medicine | 1966 Opitz Blvd, Woodbridge, VA 22191-3304 | 2009-01-29 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on POLARIS HEART & VASCULAR PLLC.
| 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.