MID ATLANTIC VASCULAR HOLDING, LLC (NPI# 1346503463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346503463 |
| Entity Type | Organization |
| Organization Name | MID ATLANTIC VASCULAR HOLDING, LLC |
| Practice Address |
1415 Eastridge Rd Richmond VA 23229-5501 |
| Practice Telephone | 7573332066 |
| Practice Fax Number | 7574672703 |
| Mailing Telephone | 7573332066 |
| Mailing Fax Number | 7574672703 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |
| Authorized Official Name | MS. ANGELA N SCHWARZKOPF (ADMINISTRATOR) |
| Authorized Official Telephone | 7573332066 |
| Authorized Official Credential | CPC, CMPE, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
SC | Allopathic & Osteopathic Physicians |
| Street Address |
1415 EASTRIDGE RD |
| City | RICHMOND |
| State | VA |
| Zip Code | 23229-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508410044 | A&a Hearing Group, LLC | Audiologist-Hearing Aid Fitter | 7601 Forest Ave 311, Richmond, VA 23229 | 2019-08-01 |
| 1174041776 | Amanda Ashby Belding | Speech-Language Pathologist | 901 Maybeury Drive, Richmond, VA 23229 | 2017-09-03 |
| 1861919680 | Stewart Jones Ventures, Incorporated | In Home Supportive Care | 8003 Franklin Farms Dr Rm 113, Richmond, VA 23229 | 2017-08-23 |
| 1093180812 | Chiniqua L Jones | Nurse's Aide | 10 Vintage Dr., #c, Richmond, VA 23229 | 2015-12-04 |
| 1952774416 | Caremore Health Plan | Nurse Practitioner | 8935 Patterson Avenue, Richmond, VA 23229 | 2015-11-05 |
| 1245626894 | William Mauck | Orthopaedic Surgery | 224 Ross Road, Richmond, VA 23229 | 2015-04-10 |
| 1366846305 | Anne Brennan | Nurse Practitioner | 7607 Forest Avenue, Suite 300, Richmond, VA 23229 | 2014-10-20 |
| 1710305966 | Natalie M Dogal | Obstetrics & Gynecology | 7605 Forest Ave Ste 206, Richmond, VA 23229 | 2014-04-04 |
| 1083045405 | Joyce Campbell Wriston | Occupational Therapist | 1503 Michael's Road, Little Sisters of The Poor, Richmond, VA 23229 | 2013-12-11 |
| 1740535780 | Life Journeys Inc | Social Worker | 8413 A Patterson Avenue, Richmond, VA 23229 | 2012-07-16 |
| Find all providers in zip 23229 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770531618 | Barklie Waters Zimmerman | Surgery | 7811 Forest Avenue, Suite 300, Richmond, VA 23229-4920 | 2006-05-04 |
| 1841258332 | Gerardo Joaquin Angel Mendez-picon | Surgery | 7611 Forest Avenue, Suite 300, Richmond, VA 23229-4920 | 2006-05-03 |
| 1083055487 | Michele Richard | Surgery | 1250 E Marshall St, Richmond, VA 23298 | 2013-07-13 |
| 1730405127 | Andrew Evans Leake | Surgery | 417 Libbie Ave, Richmond, VA 23226-2615 | 2010-04-11 |
| 1740414861 | Joshua A Wilensky | Surgery | 1100 Reid Pkwy Ste 215, Richmond, IN 47374-1157 | 2009-05-04 |
| 1427267822 | Michael Fiore Amendola | Surgery | 1250 E Marshall St, Surgery, Richmond, VA 23298-5051 | 2007-05-22 |
| 1033292313 | Francisco Cabral Albuquerque Jr. | Surgery | 1250 E Marshall St, Surgery, Richmond, VA 23298-5051 | 2006-10-23 |
| 1821193921 | Mark M Levy | Surgery | 1250 E Marshall St, Surgery/ Vascular, Richmond, VA 23298-5051 | 2006-09-13 |
| 1881612372 | Surgical Associates of Richmond, Inc | Surgery | 1051 Johnston Willis Dr, Ste 200, Richmond, VA 23235 | 2006-07-17 |
| 1326078874 | Charles Frost Gould II | Surgery | 7702 E Parham Rd, Mob IIi Suite 102, Richmond, VA 23294-4371 | 2006-07-03 |
| Find all providers in RICHMOND | ||||
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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.