CENTURION VASCULAR CARE LLC


Address: 4230 Forbes Blvd Ste E, Lanham, MD 20706-4399
Phone: 5712828699

CENTURION VASCULAR CARE LLC (NPI# 1386200525) 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) 1386200525
Entity Type Organization
Organization Name CENTURION VASCULAR CARE LLC
Practice Address 4230 Forbes Blvd Ste E
Lanham
MD 20706-4399
Mailing Address 1111 Wythe St
Alexandria
VA 22314-1842
Practice Telephone 5712828699
Mailing Telephone 5712828699
Enumeration Date 2019-05-14
Last Update Date 2019-12-17
Authorized Official Name DR. AMANUEL FESSAHAYE (MEDICAL DIRECTOR)
Authorized Official Telephone 5712828699
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians

Office Location

Street Address 4230 FORBES BLVD STE E
City LANHAM
State MD
Zip Code 20706-4399

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760046775 Ayesha Tappin Occupational Therapist 4200 Parliament Pl. Ste 550, Lanham, MD 20706 2019-04-24
1790240646 Himabindu Gangavarapu Vinodrao Nurse Practitioner 8118, Good Luck Road, Lanhham, MD 20706 2019-02-05
1538644943 Win Team, LLC Clinic/Center 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 2018-10-02
1558846394 Brieana Moore Behavioral Analyst 4551 Parliament Place Suite A, Lanham, MD 20706 2018-09-27
1225511553 Melvis Afanwi Chi Home Health Aide 9861 Goodluck Rd, T1, Lanham, MD 20706 2018-09-12
1346722766 Elsie Clarke Nurse Practitioner 9470 Annapolis Road Suite 311, Lanham, MD 20706 2018-09-01
1821576141 Amie Da Silva Nurse Practitioner 5724 Edge Avenue, Lanham, MD 20706 2018-07-30
1033697313 Iyadunni Omolara Olukorede Home Health Aide 9789 Good Luck Rd Apt 9, Lanham, MD 20706 2018-07-30
1447741459 A Step Ahead Preventive and Holistic Wellness Center LLC Psychologist 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 2018-05-24
1902394398 Ezekiel Kelechukwu Nwafor Home Health Aide 5447 85th Ave Apt 202, Lanham, MD 20706 2018-05-01
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Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407465065 A&e Ir Solutions Radiology 9000 Ewing Dr, Bethesda, MD 20817-3358 2020-07-29
1194374694 Vascular Institute of Maryland Surgical Center, PC Radiology 351 W Camden St Ste 201, Baltimore, MD 21201-7912 2019-09-06
1457873325 Clinton Fibroid & Vascular LLC Radiology 9131 Piscataway Rd Ste 240, Clinton, MD 20735-2578 2017-07-12
1366848632 Vascular Access Center of Southern Maryland LLC Radiology 7651 Matapeake Business Dr, Suite 101, Brandywine, MD 20613-3038 2014-11-13
1184034563 Joanne Lam Radiology 1800 Orleans St Ste 7203, Baltimore, MD 21287-0010 2014-05-06
1609138668 Elie Portnoy Radiology 1800 Orleans St # 7203, Baltimore, MD 21287-0010 2012-06-14
1992039762 Siobhan L Mcgrane Radiology Dept Ir Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21287-0001 2009-09-28
1184859589 Akemi Miller Radiology 20410 Observation Dr Ste 104, Germantown, MD 20876 2009-05-29
1629242425 Nelson R. De Lara Radiology 26 Glen Alpine Rd, Phoenix, MD 21131-2404 2008-04-14
1356541494 Lauren Marie Kim Radiology Bg 10 Rm 1c344/ 10 Center Dr, Bethesda, MD 20814 2007-07-18
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Competitor

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City LANHAM
Zip Code 20706

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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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