BELLE HAVEN FAMILY MEDICINE (NPI# 1184769200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184769200 |
Entity Type | Organization |
Organization Name | BELLE HAVEN FAMILY MEDICINE |
Practice Address |
2867 Duke St Alexandria VA 22314-4512 |
Practice Telephone | 7032127397 |
Practice Fax Number | 7032127399 |
Mailing Telephone | 7032127397 |
Mailing Fax Number | 7032127399 |
Enumeration Date | 2007-02-20 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. WARREN BASIL SHAFFER (MEDICAL DIRECTOR) |
Authorized Official Telephone | 7032127397 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 0101057177 | VA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FEDERAL DEA NUMBER | BS5769433 | 01 | |
VA | STATE LICENSE NUMBER | 0101057177 | 01 |
Street Address |
2867 DUKE ST |
City | ALEXANDRIA |
State | VA |
Zip Code | 22314-4512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346232014 | Mark Rodney King | Anesthesiology | 2867 Duke St, Alexandria, VA 22314-4512 | 2005-08-18 |
1295066652 | Alexandria Interventional Pain Management | Anesthesiology | 2867 Duke St, Alexandria, VA 22314-4512 | 2010-01-26 |
1346385457 | Warren Basil Shaffer | Family Medicine | 2867 Duke St, Alexandria, VA 22314-4512 | 2007-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992359889 | Faustina Darko Sarpong | Registered Nurse | Alexandria Residential Treatment Center, 2355 Mill Rd, Alexandria, VA 22314 | 2019-07-29 |
1184276396 | Alyah Ann Gilberry | Behavior Technician | 2801 Duke St, Alexandria, VA 22314 | 2019-07-09 |
1194287961 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 915 N Saint Asaph Street, Suite 130, Alexandria, VA 22314 | 2019-04-02 |
1508321860 | Turning Point Counseling Services LLC | Social Worker | 500 North Washington St, Alexandria, VA 22314 | 2019-01-31 |
1841769981 | Melanie Lynn Froemke | Social Worker | Alexandria Place Therapy, 108a South Columbus St, Alexandria, VA 22314 | 2018-11-19 |
1245718394 | Kmt Medical Transport LLC | Non-emergency Medical Transport (VAN) | 1727 King St Ste 300, Alexandria, VA 22314 | 2018-07-31 |
1730678632 | Jacquelyn Clarissa Lusk | Social Worker | 1340 Braddock Place, Alexandria, VA 22314 | 2018-05-07 |
1083142160 | Kings Medical Transportation Incorported | Non-emergency Medical Transport (VAN) | 1727 King Strreet, Suite 300, Alexandria, VA 22314 | 2017-06-01 |
1114478930 | Tanne B Gabler | Social Worker | 719 S. Fayette St, Alexandria, VA 22314 | 2016-10-17 |
1902359409 | Emily Chow | Dentist | 1725 Duke St, Suite Gr03, Alexandria, VA 22314 | 2016-08-01 |
Find all providers in zip 22314 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245853803 | Alexandria Primary Care Clinic | Clinic/Center | 224 Pecan Park Ave Rm B1, Alexandria, LA 71303-3308 | 2020-05-18 |
1316461007 | Integrated Healthcare Solutions LLC | Clinic/Center | 139 Woods Edge Dr, Alexandria, LA 71303-7130 | 2017-08-03 |
1912367764 | Alexandria Midwife | Clinic/Center | 2816 Schooley Dr, Alexandria, VA 22306-1638 | 2016-03-07 |
1457735086 | Ali and Mady Dental Anesthesiology Pllc | Clinic/Center | 5284 Dawes Ave, Alexandria, VA 22311-1404 | 2015-07-14 |
1215226600 | Cardinal Chiropractic of Alexandria LLC | Clinic/Center | 460 Northside Dr Ne Ste 10, Alexandria, MN 56308-2486 | 2011-04-06 |
1710283650 | Urgent Care of Mount Vernon, LLC | Clinic/Center | 7609 B Richmond Hwy, Alexandria, VA 22306 | 2011-02-09 |
1861646887 | Allergy & Asthma Centernof Central La | Clinic/Center | 3832 Independence Drive, Alexandria, LA 71301 | 2008-11-05 |
1073774030 | Alexandria Rheumatology, LLC | Clinic/Center | 3311 Prescott Rd Ste 211, Alexandria, LA 71301-3983 | 2008-06-23 |
1932167772 | Alexandria Eye Clinic P.a. | Clinic/Center | 1501 Hawthorne St, Alexandria, MN 56308-2512 | 2006-05-02 |
1740822246 | Alexandria Medical Center, Inc | Clinic/Center | 3606 Forest Dr, Alexandria, VA 22302-1005 | 2019-10-16 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 22314 |
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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.