AUSTIN ELLERBE PEAT (NPI# 1356548796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356548796 |
Entity Type | Individual |
Full Name | AUSTIN ELLERBE PEAT |
Credential | MD |
Practice Address |
1508 Willow Lawn Dr Ste 117 Richmond VA 23230-3421 |
Mailing Address |
1508 Willow Lawn Dr Ste 117 Richmond VA 23230 |
Practice Telephone | 8042888327 |
Practice Fax Number | 8042823744 |
Mailing Telephone | 8042888327 |
Mailing Fax Number | 8042823744 |
Enumeration Date | 2007-06-29 |
Last Update Date | 2013-09-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101251103 | VA | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 0116019471 | VA | Student, Health Care |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | MEDICARE R/R | P01200810 | 01 |
VA | ANTHEM | 224564 | 01 |
VA | 1356548796 | 05 |
Street Address |
1508 WILLOW LAWN DR STE 117 |
City | RICHMOND |
State | VA |
Zip Code | 23230-3421 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154312940 | Todd Biery Baird | Radiology | 1508 Willow Lawn Dr, Ste 117, Richmond, VA 23230-3421 | 2005-11-02 |
1679726285 | Amos Q Habib | Radiology | 1508 Willow Lawn Dr, Ste 117, Richmond, VA 23230-3421 | 2008-10-28 |
1043476815 | Namit Mahajan | Radiology | 1508 Willow Lawn Dr, Ste 117, Richmond, VA 23230-3421 | 2008-07-31 |
1205097441 | Matthew C. Somerville | Radiology | 1508 Willow Lawn Dr, Ste 117, Richmond, VA 23230-3421 | 2008-06-20 |
1306013438 | Daniel James Musick | Radiology | 1508 Willow Lawn Dr, Ste 117, Richmond, VA 23230-3421 | 2008-05-08 |
1740499490 | Christian E Shield | Radiology | 1508 Willow Lawn Dr, Ste 117, Richmond, VA 23230-3421 | 2007-05-21 |
1154534055 | Turner Morrison Lewis | Radiology | 1508 Willow Lawn Dr, Ste 117, Richmond, VA 23230-3421 | 2007-05-07 |
1699987313 | Mark S Dixon | Radiology | 1508 Willow Lawn Dr, Ste 117, Richmond, VA 23230-3421 | 2007-05-04 |
1912027442 | Alex Leonard Sleeker | Radiology | 1508 Willow Lawn Dr, Ste 117, Richmond, VA 23230-3421 | 2007-03-29 |
1932293545 | Pamela E Kiser | Radiology | 1508 Willow Lawn Dr, Ste 117, Richmond, VA 23230-3421 | 2006-10-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801382163 | Benjamin Joseph Hughes | Dentist | 6400 Forest Avenue, Ste 110, Richmond, VA 23230 | 2018-07-10 |
1265935712 | Anne Ganje | Dietitian, Registered | 6627 West Broad Street, Suite 400, Richmond, VA 23230 | 2018-03-12 |
1225537285 | Paul Dearman | Counselor | 4906 Cutshaw Ave Suite 105, Richmond, VA 23230 | 2018-02-06 |
1235647041 | Renewal Counseling & Consulting, LLC | Social Worker | 4914 Fitzhugh Ave Ste 101, Richmond, VA 23230 | 2018-01-15 |
1033637137 | Emily Z Johnson | Behavioral Analyst | 1701 Byrd Avenue, Richmond, VA 23230 | 2017-09-08 |
1104377530 | 1st Advanced Pediatric &adult Healthcare Services LLC | Home Health | 1518 Williow Lawn Dr., Richmond, VA 23230 | 2016-10-20 |
1952769770 | Geriatric Health Solutions LLC | Internal Medicine | 5602 Markel Road, Suite 102, Richmond, VA 23230 | 2016-02-08 |
1497148480 | We Help Our Adolescents | Community/Behavioral Health | 6010 West Broad St., Suite 103, Richmond, VA 23230 | 2015-03-14 |
1386081982 | C3 Healthcare Rx | Pharmacy | 2026 Dabney Rd, Richmond, VA 23230 | 2013-05-23 |
1619222767 | Bon Secours-virginia Healthsource Inc | Pharmacy | 6900 Forest Ave Ste 100, Richmond, VA 23230 | 2012-07-16 |
Find all providers in zip 23230 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336623123 | Dominion Imaging LLC | Radiology | 6600 W Broad St Ste 200, Richmond, VA 23230-1709 | 2018-09-18 |
1497140644 | Eric Young You | Radiology | Pob 980615, 1250 E. Marshall St, Richmond, VA 23298-0615 | 2015-04-04 |
1871869875 | Charles Wilbur Yates Jr. | Radiology | 1709 Hawthorn Dr, Richmond, TX 77469-4819 | 2012-03-24 |
1740570597 | Joel Prithvi Pereira | Radiology | 1201 Broad Rock Blvd Dept Of, Richmond, VA 23249-1009 | 2011-04-13 |
1760716708 | Charles Pinckney Winkler Sr. | Radiology | 8952 Bellefonte Rd, Richmond, VA 23229-7151 | 2009-09-23 |
1467628636 | Susanna Spence | Radiology | 22111 Skyridge Lane, Richmond, TX 77469 | 2008-05-07 |
1922208701 | Buford Road Imaging LLC | Radiology | 8923 Three Chopt Road, Ste 103, Richmond, VA 23229 | 2007-07-20 |
1922208719 | Short Pump Imaging LLC | Radiology | 9930 Independence Park Dr., Ste 100, Richmond, VA 23233 | 2007-07-20 |
1487861720 | Atul Kumar Gupta | Radiology | 329 Wickham Glen Dr, Richmond, VA 23238-6161 | 2007-05-17 |
1447463658 | Matthew J Austin | Radiology | 5801 Bremo Rd Ste 208, Richmond, VA 23226-1907 | 2007-05-07 |
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.