VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM


Address: 1300 W Broad St, Richmond, VA 23284-9089
Phone: 8048286315

VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM (NPI# 1336367630) 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) 1336367630
Entity Type Organization
Organization Name VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM
Other Organization Name VCU SPORTS MEDICINE-VCU SPORTS MEDICINE
Practice Address 1300 W Broad St
Richmond
VA 23284-9089
Mailing Address Po Box 758997
Baltimore
MD 21275-0001
Practice Telephone 8048286315
Enumeration Date 2007-04-23
Last Update Date 2010-12-31
Authorized Official Name MR. DOMINIC J PULEO (CFO)
Authorized Official Telephone 8048281295
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center H1875 VA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
VA ANTHEM 180914 01
VA ANTHEM-VCU SPORTS MEDICINE 442277 01

Other Provider/Organization Names

Other Name Type Code
VCU Sports Medicine-VCU Sports Medicine Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1326594524 Virginia Commonwealth University Health System Psychiatric Unit 1300 E. Marshall Street, Suite 275 3rd F, Richmond, VA 23298 2016-08-28
1982001640 Virginia Commonwealth University Health System General Acute Care Hospital 701 E Franklin St Fl 9, Richmond, VA 23219-2505 2014-11-24
1588727515 Virginia Commonwealth University Health System Clinic/Center 8222 Meadowbridge Rd, Mechanicsville, VA 23116-2331 2006-12-19
1871640359 Virginia Commonwealth University Health System General Acute Care Hospital 1250 E Marshall St, Richmond, VA 23298-5051 2007-01-05

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY 701 E Franklin St Ste 1112, Richmond, VA 23219-2501

Office Location

Street Address 1300 W BROAD ST
City RICHMOND
State VA
Zip Code 23284-9089

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548317308 Virginia Commonwealth University Health System Authority Clinic/Center 1300 W Broad St, Richmond, VA 23284-9089 2007-01-04
1174138101 Meghan Luczkowski Physical Therapist 1300 W Broad St, Richmond, VA 23284-9058 2020-09-15
1477088847 Jeffrey Michael Collins Specialist/Technologist 1300 W Broad St, Richmond, VA 23284-9089 2017-04-24
1891229423 Ray Kim Specialist/Technologist 1300 W Broad St, Richmond, VA 23284-9089 2017-04-20
1861926560 Mike Avey Specialist/Technologist 1300 W Broad St, Richmond, VA 23284-9089 2017-04-19
1538545546 Emily O'laughlin Nurse Practitioner 1300 W Broad St, Suite 2200, Richmond, VA 23284-9089 2015-08-03
1073907135 Bradly Pruett Specialist/Technologist 1300 W Broad St, Richmond, VA 23284-9089 2015-03-26
1336531201 Laura Parry Specialist/Technologist 1300 W Broad St, Suite 130a, Richmond, VA 23284-9089 2015-03-02
1336555226 Christine Hopkins Specialist 1300 W Broad St, Richmond, VA 23284-9089 2014-07-11
1649602657 Nicole Kiku Stevens Specialist/Technologist 1300 W Broad St, Richmond, VA 23284-9089 2013-07-31
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710495635 Vanessa M Ellison Social Worker 907 Floyd Ave Ste 238, Richmond, VA 23284 2018-01-12
1366786790 Elizabeth Winthrop Nurse Practitioner 1200 W Broad St, Richmond, VA 23284 2012-11-26
1134333099 Christine Petze Charbonneau Registered Nurse 1300 W Broad Street, Virginia Commonwealth University Student Health Service, Richmond, VA 23284 2007-05-10
1174745616 Virginia Commonweatlh University Student Health Pharmacy Pharmacy 1300 W. Broad Street, Suite 2200, Richmond, VA 23284 2007-05-03
1912394800 Samuel Grodman Emergency Medicine 821 W Franklin St, Richmond, VA 23284 2015-04-19
1225242183 Jeannette Stien Bishai Registered Nurse 1300 West Broad Street, Richmond, VA 23284 2007-05-10
1194100644 James Thomas Benzel Specialist/Technologist 1300 West Broad St., Suite 130, Richmond, VA 23284-2003 2015-07-27
1093940447 Micah L Mccreary Psychologist 800 W. Franklin Street, Room 107, Richmond, VA 23284-2018 2009-05-28
1649391376 Scott E Ross Specialist/Technologist 1015 W. Main St, Richmond, VA 23284-2020 2007-04-02
1497873814 Alan David Freedman Specialist/Technologist Virginia Commonwealth University School of Education, 1015 West Main St., Box 842020, Richmond, VA 23284-2020 2007-03-26
Find all providers in zip 23284

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346867942 Henry County Memorial Hospital Clinic/Center 4760 National Rd W, Richmond, IN 47374-4745 2020-06-30
1346741667 Bon Secours-st. Mary's Hospital of Richmond, Inc. Clinic/Center 12320 W Broad St Ste 100, Richmond, VA 23233 2018-02-22
1003344417 Healthyway Today LLC Clinic/Center 37282 31 Mile Rd, Richmond, MI 48062-1931 2017-05-30
1447500442 World Ginseng Herb. Co. Inc Clinic/Center 3288 Pierce St Ste C 121, Richmond, CA 94804-5960 2012-09-17
1396053740 Bertram M Brown Od PC Clinic/Center 4941 A Nine Mile Road, Richmond, VA 23223-5738 2010-09-20
1073841649 Pulmonary Assessments Clinic/Center 149 West Square Ct, Richmond, VA 23238 2009-11-19
1679619829 Boardman Family Chiropractic Psc Clinic/Center 837 Eastern Byp Ste A, Richmond, KY 40475-3326 2007-01-29
1548317308 Virginia Commonwealth University Health System Authority Clinic/Center 1300 W Broad St, Richmond, VA 23284-9089 2007-01-04
1760579932 Beth Sholom Rehabilitation Clinic Clinic/Center 2700 Lauderdale Dr, Richmond, VA 23238-8110 2006-10-06
1033609862 Weigh Better Weight Loss, LLC Clinic/Center 501 S Keeneland Dr, Richmond, KY 40475 2018-05-17
Find all providers in RICHMOND

Competitor

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City RICHMOND
Zip Code 23284

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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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