MEDARVA IMAGING (NPI# 1447538558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447538558 |
| Entity Type | Organization |
| Organization Name | MEDARVA IMAGING |
| Other Organization Name | MEDARVA IMAGING |
| Practice Address |
1630 Wilkes Ridge Pkwy Ste 100 Richmond VA 23233-7460 |
| Mailing Address |
8700 Stony Point Pkwy Ste 100 Richmond VA 23235-1962 |
| Practice Telephone | 8047754500 |
| Mailing Telephone | 8047754500 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | JOHN HEADLEY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8047754545 |
| Is Organization Subpart | Y |
| Parent Organization Name | RICHMOND EYE AND EAR HEALTH ALLIANCE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MEDARVA IMAGING | Doing Business As Name - Organization |
| Street Address |
1630 WILKES RIDGE PKWY STE 100 |
| City | RICHMOND |
| State | VA |
| Zip Code | 23233-7460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1770193286 | Penelope Kate Eissenberg | Occupational Therapist | Cedarfields, 2300 Cedarfield Parkway, Richmond, VA 23233 | 2020-08-10 |
| 1962038570 | Samantha Montgomery Warren | Nurse Practitioner | 3900 Westerre Parkway, Suite 300 Pmb# 308, Richmond, VA 23233 | 2020-03-15 |
| 1285269696 | Joyce Prayer Medical Transportion LLC | Transportation Broker | 2437 Bidgeview Ln, Henrico, VA 23233 | 2020-03-05 |
| 1821621228 | Marlon Reyes | Private Vehicle | 2500 Pump Rd, Richmond, VA 23233 | 2020-02-13 |
| 1659840924 | Brent Rusnak River Run Dental Greengate | Dentist | 3700 Haydenpark Lane, Medical Office J, Henrico, VA 23233 | 2018-11-16 |
| 1003309808 | Jeffrey Walker | Pharmacist | 3460 Pump Road, Henrico, VA 23233 | 2018-06-07 |
| 1346741667 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100, Richmond, VA 23233 | 2018-02-22 |
| 1215438544 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Clinic/Center | 12320 W Broad St Ste 100a, Richmond, VA 23233 | 2018-02-22 |
| 1295235026 | Zackery Firesheets | Physical Therapy Assistant | 2422 University Park Blvd., Richmond, VA 23233 | 2018-02-19 |
| Find all providers in zip 23233 | ||||
| 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.