COMMONWEALTH VEIN CLINIC (NPI# 1497153084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497153084 |
| Entity Type | Organization |
| Organization Name | COMMONWEALTH VEIN CLINIC |
| Practice Address |
518 W Atlantic St Suite A South Hill VA 23970-1906 |
| Practice Telephone | 8047546707 |
| Mailing Telephone | 8047546707 |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |
| Authorized Official Name | DR. JACK L FOREST (CO OWNER) |
| Authorized Official Telephone | 8047546707 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Commonwealth Vein Clinic P.C. | 428 Mclaws Circle Ste 200, Williamsburg, Virginia 23185 |
| Street Address |
518 W ATLANTIC ST SUITE A |
| City | SOUTH HILL |
| State | VA |
| Zip Code | 23970-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780950360 | Best Health Services | Clinic/Center | 518 W Atlantic St, Suite B, South Hill, VA 23970-1906 | 2012-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043784606 | Elizabeth Jene Ezell | Dental Hygienist | 604 N. Thomas St., South Hill, VA 23970 | 2019-01-17 |
| 1821576901 | Mackenzie Jean Blackwell | Dental Hygienist | 604 N. Thomas St, South Hill, VA 23970 | 2018-08-01 |
| 1316459357 | Bernita Danica Boyd | Contractor | 436 Theater Rd, South Hill, VA 23970 | 2017-10-31 |
| 1194242909 | More Transport LLC | Non-emergency Medical Transport (VAN) | 651 Clearview Dr, South Hill, VA 23970 | 2017-08-23 |
| 1912423534 | Larry D Warren | Driver | 730 Hite Street, Po Box 896, South Hill, VA 23970 | 2017-08-15 |
| 1902320658 | Lakika Lyshon Hicks | Non-emergency Medical Transport (VAN) | 74 Hudgins Road, South Hill, VA 23970 | 2017-08-02 |
| 1053835561 | Vernice Luevine Lewis | Driver | 11525 Highway One, South Hill, VA 23970 | 2017-07-27 |
| 1407376924 | Building Blocks To Success LLC | Occupational Therapist | 20429 Hwy Forty-seven, South Hill, VA 23970 | 2017-06-26 |
| 1316477136 | Eric Blackwell | Driver | 248 Circle Dr, South Hill, VA 23970 | 2017-06-14 |
| 1619341443 | North View Day Support LLC | Day Training, Developmentally Disabled Services | 359 Saffold Road, South Hill, VA 23970 | 2015-11-17 |
| Find all providers in zip 23970 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124294715 | Rona Elsberth Hodge | Surgery | 201 Hughes Medical Center, South Hill, AI2640 | 2008-05-02 |
| 1942245337 | Cmh Surgical Services, LLC | Surgery | 416 Durant St, South Hill, VA 23970-1614 | 2006-06-18 |
| 1205147709 | Yi Wei Zhang | Surgery | 416 Durant St, South Hill, VA 23970-1614 | 2010-06-29 |
| 1578644373 | Jose F Demoya | Surgery | 1755 N Mecklenburg Ave, South Hill, VA 23970-4080 | 2006-10-18 |
| 1093809352 | Commonwealth General Surgery | Surgery | 901 Pace Dr, South Hill, VA 23970-1307 | 2006-10-03 |
| 1750395661 | Lake Country Surgical, Plc | Surgery | 416 Bracey Ln, South Hill, VA 23970-1631 | 2006-07-28 |
| 1821002544 | Michael John Tozzi | Surgery | 416 Bracey Ln, South Hill, VA 23970-1631 | 2006-07-28 |
| 1427033893 | Desiderio J Rimon | Surgery | 1755 N Mecklenburg Ave, South Hill, VA 23970-4080 | 2005-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740819911 | Charles W Hurt | Surgery | 195 Riverbend Dr Ste 1, Charlottesville, VA 22911-8708 | 2020-04-08 |
| 1720616261 | Katherine Maria Barrows | Surgery | 3300 Gallows Rd, Dept of Surgery, Falls Church, VA 22042-3307 | 2020-03-30 |
| 1891202412 | Valley Physician Enterprise, Inc. | Surgery | 1870 Amherst St Ste 2a, Winchester, VA 22601-2841 | 2018-01-04 |
| 1508388554 | Bon Secours-st. Mary's Hospital of Richmond, Inc. | Surgery | 5875 Bremo Rd Ste 110, Richmond, VA 23226-1934 | 2017-07-12 |
| 1457729048 | Donnarose Klemovitch | Surgery | 11226 Goldflower Ct, Fairfax Station, VA 22039-2026 | 2015-09-13 |
| 1114303922 | Loudoun Medical Group PC | Surgery | 19415 Deerfield Ave Ste 213, Lansdowne, VA 20176-8471 | 2015-08-04 |
| 1255728374 | Malinda Lyon | Surgery | 8150 Shore Drive, #522, Norfolk, VA 23518 | 2015-04-16 |
| 1760877377 | Caleb Luke Cutherell | Surgery | 2900 Lamb Cir Ste 302, Christiansburg, VA 24073-6341 | 2015-03-31 |
| 1457745143 | Dwayne North | Surgery | 7554 Hospital Dr Ste D303, Gloucester, VA 23061-4178 | 2015-03-20 |
| 1720479504 | Affinity Healthcare Group LLC | Surgery | 3356 Western Branch Blvd, #f, Chesapeake, VA 23321-5138 | 2015-02-14 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HILL |
| Zip Code | 23970 |
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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.