VICTOR SOUKOULIS


Address: 1215 Lee St, Charlottesville, VA 22908-0001
Phone: 4342431000

VICTOR SOUKOULIS (NPI# 1053594903) 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) 1053594903
Entity Type Individual
Full Name VICTOR SOUKOULIS
Credential M.D, PH.D.
Practice Address 1215 Lee St
Charlottesville
VA 22908-0001
Mailing Address Po Box 9007
Charlottesville
VA 22906-9007
Practice Telephone 4342431000
Practice Fax Number 4342447551
Enumeration Date 2007-12-14
Last Update Date 2020-10-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 125053209 IL Allopathic & Osteopathic Physicians
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
0101256460 VA Allopathic & Osteopathic Physicians

Office Location

Street Address 1215 LEE ST
City CHARLOTTESVILLE
State VA
Zip Code 22908-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760486328 Kirk W Tanner Nurse Anesthetist, Certified Registered 1215 Lee St, Charlottesville, VA 22908-0816 2005-06-10
1801493283 Angela Jewell Strickler Nurse Practitioner 1215 Lee St, Charlottesville, VA 22908-0816 2020-10-08
1629675475 Kimberlee M Mauck Physician Assistant 1215 Lee St, Charlottesville, VA 22908-0816 2020-10-05
1407463953 Amy Johnston Clinical Nurse Specialist 1215 Lee St, Charlottesville, VA 22908-0816 2020-09-29
1194332882 Mihwa Ahn Nurse Practitioner 1215 Lee St, Charlottesville, VA 22908-0816 2020-09-26
1346856721 Farren Hume Dodson Nurse Practitioner 1215 Lee St, Charlottesville, VA 22908-0816 2020-09-21
1003422619 Darlene Acero Dietitian, Registered 1215 Lee St, Charlottesville, VA 22908-0816 2020-09-18
1689289571 Erin Harr Nurse Practitioner 1215 Lee St, Charlottesville, VA 22908-0816 2020-09-09
1518572460 Juan Pablo Sardi Restrepo Student in an Organized Health Care Education/Training Program 1215 Lee St, Mail Stop 800212, Charlottesville, VA 22908-0816 2020-09-08
1366055956 Erin Louise Tennyson Nurse Practitioner 1215 Lee St, Charlottesville, VA 22908-0816 2020-08-25
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568020410 Alexis Evans Physician Assistant 1215 Lee St Nnicu, Charlottesville, VA 22908 2019-06-04
1649702317 Ryan Aschenbrener Student in an Organized Health Care Education/Training Program 545 Ray C Hunt Drive Suite 2400, Charlottesville, VA 22908 2017-03-31
1215399241 Katherine Gresham Belote Student in an Organized Health Care Education/Training Program 1221 Lee Street Uva Health System, Charlottesville, VA 22908 2016-03-29
1851776215 Catherine Meller Student in an Organized Health Care Education/Training Program 1215 Lee St., Box 800713, Charlottesville, VA 22908 2015-07-28
1295112597 Breanna Campbell Internal Medicine 1220 Lee St Ste 2401, Charlottesville, VA 22908 2015-05-06
1013255637 Melinda Bowles-childress Nurse Practitioner 1 Hospital Dr Fl 1, Charlottesville, VA 22908 2013-01-17
1053521757 Univeristy of Virginia Health System General Acute Care Hospital University of Virginia Health System, 1215 Lee Street, Chalrlottesville, VA 22908 2007-05-23
1730241282 Imre Noth Internal Medicine 1221 Lee St Fl 2, Charlottesville, VA 22908 2006-12-14
1023185394 Tamer Ghanem Otolaryngology Dept. Otolaryngology, University of Virginia, 1 Hospital Dr., 2nd Floor Oms Rm 2747, Charlottesville, VA 22908 2006-11-29
1366401242 Lisa M Christianson Obstetrics & Gynecology Uva Elson Student Health Center, 400 Brandon Avenue, Charlottesville, VA 22908 2006-03-21
Find all providers in zip 22908

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275899700 David Shisler Internal Medicine 1215 Lee St Rm 4025, Charlottesville, VA 22908-3841 2012-04-10
1548428287 Surovi Hazarika Internal Medicine 2955 Ivy Rd Ste 201, Charlottesville, VA 22903-9353 2008-05-29
1376609610 Michael Ragosta Internal Medicine 1215 Lee St Heart Center Lee Street, Charlottesville, VA 22908-0001 2006-12-29
1720141740 Carlos R. Ayers Internal Medicine Uva Northridge, 2955 Ivy Road, Charlottesville, VA 22903 2006-12-19
1215006846 James M. Mangrum Internal Medicine Lee St Ground Floor, Charlottesville, VA 22908-0001 2006-11-07
1225088107 Max A Luna Internal Medicine 500 Ray C Hunt Dr Fl 2, Charlottesville, VA 22903-2981 2006-05-11
1548240344 Blue Ridge Heart and Vascular Plc Internal Medicine 300 Hickman Rd, Suite 202, Charlottesville, VA 22911-3554 2006-01-18
1407836380 Joshua J Fischer Internal Medicine 650 Peter Jefferson Pkwy Ste 100, Charlottesville, VA 22911-8844 2006-01-18
1851376818 Christopher D Friend Internal Medicine 650 Peter Jefferson Pkwy, Ste 100, Charlottesville, VA 22911-8844 2005-12-13
1952302093 Richard P. Shannon Internal Medicine Lee St Fl 1, Charlottesville, VA 22908-0001 2005-08-10
Find all providers in CHARLOTTESVILLE

Competitor

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City CHARLOTTESVILLE
Zip Code 22908

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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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