PREMIER CARDIAC AND VASCULAR LLC (NPI# 1366905523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366905523 |
| Entity Type | Organization |
| Organization Name | PREMIER CARDIAC AND VASCULAR LLC |
| Practice Address |
5514 Alma Ln Ste 200 Springfield VA 22151-4014 |
| Mailing Address |
1854 Macarthur Dr Mc Lean VA 22101-5340 |
| Practice Telephone | 7038273351 |
| Mailing Telephone | 9176202718 |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |
| Authorized Official Name | ANITA BANERJEE (CARDIOLOGIST) |
| Authorized Official Telephone | 9176202718 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
5514 ALMA LN STE 200 |
| City | SPRINGFIELD |
| State | VA |
| Zip Code | 22151-4014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508499849 | Aan Healthcare Services Inc. | Home Health | 6820 Commercial Dr, Ste D, Springfield, VA 22151 | 2020-02-14 |
| 1073093563 | Joy Home Health Care, LLC | Home Health | 6820 Commercial Drive, Suite #14, Springfield, VA 22151 | 2018-08-15 |
| 1457842676 | Community Concepts, Inc. | Behavioral Analyst | 9001 Braddock Rd Ste 220, Springfield, VA 22151 | 2018-05-23 |
| 1245741172 | Abf Home Healthcare Services, LLC | Nursing Care | 6820 Commercial Drive Suite D, Springfield, VA 22151 | 2017-10-18 |
| 1720597834 | Katelyn E Prue | Behavioral Analyst | 5414 Backlick Road, C, Springfield, VA 22151 | 2017-09-21 |
| 1144763806 | Marcus Rein | Physical Therapist | 6805 Industrial Rd, Springfield, VA 22151 | 2016-11-29 |
| 1760843676 | Pablo Enrique Moro | Counselor | 5415-c Backlick Rd, Springfield, VA 22151 | 2016-03-19 |
| 1780938332 | Leticia Duah | Registered Nurse | 8551 Newington Forest Court, Springfield, VA 22151 | 2012-11-05 |
| 1760624613 | Georges Traboulsi | Dentist | 5419 Backlick Rd., C, Springfield, VA 22151 | 2009-03-24 |
| 1952563033 | Nhu-anh Nguyen | Pharmacist | 5424 Backlick Road, Springfield, VA 22151 | 2008-06-30 |
| Find all providers in zip 22151 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760820930 | Shady Henien | Internal Medicine | 800 E Carpenter St # 62, Springfield, IL 62769-1000 | 2013-06-11 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1669784781 | Clifford Eugene Schott Jr. | Internal Medicine | 531 W Woodland Ave, Springfield, PA 19064-1646 | 2010-07-06 |
| 1730406760 | Joseph James Marmora | Internal Medicine | 211 Mountain Avenue, Associates In Cardiovascular Disease, Springfield, NJ 07081 | 2010-04-30 |
| 1083858310 | Brian Scott Wasserman | Internal Medicine | 3300 Main St Fl 2, Springfield, MA 01107-1112 | 2009-04-30 |
| 1104085505 | Sujata Holman | Internal Medicine | 2 Medical Center Dr Ste 410, Springfield, MA 01107-1273 | 2008-06-02 |
| 1932396157 | Centrum Cardiology, Ltd | Internal Medicine | 319 E Madison St Ste 2d, Springfield, IL 62701-3120 | 2007-10-02 |
| 1386858876 | Allen B. Weisse | Internal Medicine | 164 Hillside Ave, Springfield, NJ 07081-2808 | 2007-05-10 |
| 1467541433 | David S. Cochran | Internal Medicine | 2115 S Fremont Ave Ste 4300, Springfield, MO 65804-2232 | 2006-10-11 |
| 1568559359 | Donald L. Yakel Jr. | Internal Medicine | 747 N Rutledge St Ste 1100, Springfield, IL 62702-6700 | 2006-10-05 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 22151 |
Please comment or provide details below to improve the information on PREMIER CARDIAC AND VASCULAR LLC.
| 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.