RICHARD PROKOPCHAK (NPI# 1083685911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083685911 |
Entity Type | Individual |
Full Name | RICHARD PROKOPCHAK |
Credential | MD |
Practice Address |
2850 Keagy Rd Salem VA 24153-7458 |
Practice Telephone | 5403759375 |
Practice Fax Number | 5403759376 |
Mailing Telephone | 5403759375 |
Mailing Fax Number | 5403759376 |
Enumeration Date | 2006-01-30 |
Last Update Date | 2019-08-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101047984 | VA | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
0101047984 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | MEDICARE RAILROAD | P00290780 | 01 |
VA | 006096891 | 05 |
Street Address |
2850 KEAGY RD |
City | SALEM |
State | VA |
Zip Code | 24153-7458 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568451565 | Southwest Fertility Center, LLC | Obstetrics & Gynecology | 2850 Keagy Rd, Salem, VA 24153-7458 | 2005-10-21 |
1396134250 | Lindsey Murrill | Physician Assistant | 2850 Keagy Rd, Salem, VA 24153-7458 | 2015-01-15 |
1447564422 | Southwest Virginia Cardiology PC | Internal Medicine | 2850 Keagy Rd, Salem, VA 24153-7458 | 2010-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669001228 | Paul Mcguire | Student in an Organized Health Care Education/Training Program | 1906 Braeburn Drive Psychiatry Gme, Salem, VA 24153 | 2020-04-06 |
1386114965 | Dynamic Medical LLC | Clinical Medical Laboratory | 1201 Texas Street, Salem, VA 24153 | 2018-11-27 |
1134607898 | Renew Psychiatry Services | Psychiatry & Neurology | 177 Electric Rd, Salem, VA 24153 | 2018-08-03 |
1508304015 | Samantha Getz | Assisted Living Facility | 3706 Knollridge Rd., Salem, VA 24153 | 2017-02-03 |
1518409762 | Melissa Ward | Case Manager/Care Coordinator | 1380 Southside Dr, Suite 100, Salem, VA 24153 | 2016-11-04 |
1154729051 | Allison Marie Parry | Physician Assistant | 1336 W Main St., Salem, VA 24153 | 2014-12-09 |
1598199457 | Stacy Stanley | Occupational Therapy Assistant | 4812 Moore Rd, Salem, VA 24153 | 2013-08-28 |
1366888034 | Dolores Hager | Speech-Language Pathologist | 1851 Harrogate Dr, Salem, VA 24153 | 2013-05-21 |
1073850764 | Joel Aaron Nickerson | Specialist/Technologist | 400 Spartan Dr., Salem High School, Salem, VA 24153 | 2013-01-15 |
1023387271 | National Diabetic Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 2153 Apperson Drive, Salem, VA 24153 | 2011-12-16 |
Find all providers in zip 24153 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992902555 | Sohah N Iqbal | Internal Medicine | 81 Highland Ave, Salem, MA 01970-2714 | 2007-06-28 |
1861695165 | Hrishikesh S Iyengar | Internal Medicine | 610 Hawthorne Ave Se Ste 110, Salem, OR 97301 | 2007-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811533375 | Sentara Medical Group | Internal Medicine | 1101 First Colonial Rd Ste 300, Virginia Beach, VA 23454-2409 | 2019-11-20 |
1588167944 | Loudoun Cardiology Plc | Internal Medicine | 24430 Stone Springs Blvd Ste 500, Dulles, VA 20166-2247 | 2018-03-13 |
1659889533 | Cardiac Cin of Northern Virginia LLC | Internal Medicine | 1900 Campus Commons Dr Ste 100c, Reston, VA 20191-1561 | 2018-01-13 |
1114287117 | Ashesh N. Buch | Internal Medicine | 111 Medical Pkwy Fl 2, Chesapeake, VA 23320-0302 | 2012-05-23 |
1538429857 | Sentara Medical Group | Internal Medicine | 3920 Bridge Rd # A, Ste 202, Suffolk, VA 23435-1117 | 2012-05-21 |
1790044311 | Sentara Medical Group | Internal Medicine | 713 Volvo Pkwy Ste 200, Chesapeake, VA 23320-1614 | 2012-05-16 |
1053546846 | Dhavalkumar B Patel | Internal Medicine | 7505 Right Flank Rd Ste 700, Mechanicsville, VA 23116-3865 | 2009-05-21 |
1841435377 | Maryview Hospital | Internal Medicine | 5838 Harbour View Blvd Ste 270, Suffolk, VA 23435-3602 | 2008-12-12 |
1770523532 | Patrick Francis Adrian Magee | Internal Medicine | 5514 Alma Ln, Suite 200, Springfield, VA 22151-4000 | 2006-06-08 |
1881680619 | Frans A Vossenberg | Internal Medicine | 1201 Sam Perry Blvd, Suite 280, Fredericksbrg, VA 22401-4490 | 2005-09-27 |
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.