CLINCH VALLEY NEPHROLOGY INC (NPI# 1154473296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154473296 |
| Entity Type | Organization |
| Organization Name | CLINCH VALLEY NEPHROLOGY INC |
| Other Organization Name | RICHLANDS EXPRESS DIALYSIS CENTER |
| Practice Address |
2951 W Front Street Cvmp Suite B800 Richlands VA 24641 |
| Mailing Address |
2951 W Front Street Cvmp Suite 1600 Richlands VA 24641 |
| Practice Telephone | 2769644001 |
| Practice Fax Number | 2769644003 |
| Mailing Telephone | 2769644001 |
| Mailing Fax Number | 2769644003 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. IN YOUNG PARK (CEO) |
| Authorized Official Telephone | 2769644001 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 442324 | 01 |
| Other Name | Type Code |
|---|---|
| Richlands Express Dialysis Center | Doing Business As Name - Organization |
| Street Address |
2951 W FRONT STREET CVMP SUITE B800 |
| City | RICHLANDS |
| State | VA |
| Zip Code | 24641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770534042 | In Young Park | Internal Medicine | 2951 W Front Street, Clinch Valley Medical Plaza Suite 1600, Richlands, VA 24641 | 2006-05-12 |
| 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 | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1295914679 | Clinch Valley Nephrology,inc. | Internal Medicine | 2951 Front St, Clinch Valley Medical Plaza, Suite 1600, Richlands, VA 24641-2055 | 2007-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316416522 | Southwest Virginia Nephrology LLC | Internal Medicine | 4806 Pleasant Hill Dr Ste 102, Roanoke, VA 24018-3440 | 2018-11-16 |
| 1780081059 | Belen Nunez | Internal Medicine | 3400 S Crater Rd Ste B, Petersburg, VA 23805-9252 | 2014-12-02 |
| 1770903585 | Salah-ud-din Amjad | Internal Medicine | 480 W Jubal Early Dr Ste 200, Winchester, VA 22601 | 2014-04-19 |
| 1699012005 | Barry S. Strauch | Internal Medicine | 1468 Evans Farm Dr, Mc Lean, VA 22101-5652 | 2013-01-07 |
| 1770858847 | Amanda D. Renaghan | Internal Medicine | 199 Spotnap Rd Ste 1, Charlottesville, VA 22911-8827 | 2012-03-21 |
| 1952671067 | Sumeyye Calp Inal | Internal Medicine | 739 Thimble Shoals Blvd Ste 801, Newport News, VA 23606 | 2012-01-05 |
| 1598080186 | Vineet Kumaar Jassal | Internal Medicine | 3930 Walnut St Ste 101, Fairfax, VA 22030-4750 | 2010-04-07 |
| 1538497698 | James Macleod Cox | Internal Medicine | 4222 Coles Point Way, Glen Allen, VA 23060-7242 | 2009-12-01 |
| 1568625408 | Mahesh Krishnan | Internal Medicine | 1371 Lancia Dr, Mc Lean, VA 22102-2230 | 2008-07-09 |
| 1194907527 | Usama Taha Hussein | Internal Medicine | 1800 Camelot Dr Ste 401, Virginia Beach, VA 23454-2440 | 2007-11-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CLINCH VALLEY NEPHROLOGY INC.
| 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.