SDM VIRGINIA LLC (NPI# 1356821235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356821235 |
| Entity Type | Organization |
| Organization Name | SDM VIRGINIA LLC |
| Practice Address |
4198 Cox Rd Ste 109 Glen Allen VA 23060-3328 |
| Mailing Address |
5960 Fairview Rd Ste 500 Charlotte NC 28210-3113 |
| Practice Telephone | 8049679500 |
| Mailing Telephone | 9802333220 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2020-07-30 |
| Authorized Official Name | DAVID L BRYANT (CEO) |
| Authorized Official Telephone | 9802333200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SDM Virginia LLC | 5955 Carnegie Blvd, Ste 300, Charlotte, North Carolina 28209 |
| Street Address |
4198 COX RD STE 109 |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23060-3328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469715 | Romy Sharieff | Midwife | 10433 Mountain Glen Pkwy, Glen Allen, VA 23060 | 2020-02-13 |
| 1366934549 | Guillermo Del Campo | Optometrist | 4114 Innslake Drive, Glen Allen, VA 23060 | 2018-06-04 |
| 1871013771 | Wecare Medical Transportation Inc. | Driver | 10524 Boscastle Rd, Glen Allen, VA 23060 | 2017-06-21 |
| 1265889570 | Darchelle Braxton Dmd PC | Dentist | 4300 Pouncey Tract Road Suite I, Glen Allen, VA 23060 | 2016-05-17 |
| 1952714842 | Gaynier Orthodontics PC | Clinic/Center | 4701 Cox Rx Ste 285, C/o Ct Corporation, Glen Allen, VA 23060 | 2014-06-09 |
| 1538507819 | Rca Laboratory Services, LLC | Clinical Medical Laboratory | 4060 Innslake Dr, Glen Allen, VA 23060 | 2013-06-10 |
| 1922352772 | Samantha S Stone | Physical Therapist | 4101 Cox Rd Ste 100, Glen Allen, VA 23060 | 2012-11-01 |
| 1609123660 | Stephanie Rene Matsko | Optometrist | 4114 Innslake Dr., Glen Allen, VA 23060 | 2012-08-09 |
| 1851661367 | Lateaka Sheri Vinson | Speech-Language Pathologist | 2250 Old Brick Rd, Suite 2229, Glen Allen, VA 23060 | 2012-01-01 |
| 1568774271 | Cynthia A Koza | Optometrist | 4600 Cox Road, Suite 120, Glen Allen, VA 23060 | 2010-07-10 |
| Find all providers in zip 23060 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932460441 | William Spencer Gillen | Dermatology | 5207 Hickory Park Dr Ste A, Glen Allen, VA 23059-2624 | 2012-05-31 |
| 1316952716 | Dermatology Associates of Richmond PC | Dermatology | 201 Concourse Blvd Ste 110, Glen Allen, VA 23059 | 2006-07-31 |
| 1972581007 | Erin Gilbert Adams | Dermatology | 5201 Hickory Park Dr, Suite A, Glen Allen, VA 23059-2623 | 2006-01-09 |
| 1912907650 | Suzanne Granados Spadafora | Dermatology | 301 Concourse Blvd, Suite 190, Glen Allen, VA 23059-5643 | 2005-07-22 |
| 1568899409 | Bon Secours Virginia Medical Group I, LLC | Dermatology | 5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059-2624 | 2013-10-10 |
| 1659632057 | Patricia W O'connor | Dermatology | 201 Concourse Blvd Ste 110, Glen Allen, VA 23059-5640 | 2012-06-01 |
| 1629377221 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Dermatology | 5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059-2624 | 2011-03-22 |
| 1629230040 | Raj Agarwal | Dermatology | 201 Concourse Blvd Ste 110, Glen Allen, VA 23059-5640 | 2008-06-26 |
| 1366642852 | Dominion Dermatology PC | Dermatology | 5201 Hickory Park Dr, Suite A, Glen Allen, VA 23059-2623 | 2007-07-23 |
| 1720157357 | Julia K. Padgett | Dermatology | 5207 Hickory Park Dr, Suite A, Glen Allen, VA 23059-2624 | 2006-11-07 |
| Find all providers in GLEN ALLEN | ||||
| City | GLEN ALLEN |
| Zip Code | 23060 |
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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.