VICTOR C ARCHIE (NPI# 1710970017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710970017 |
| Entity Type | Individual |
| Full Name | VICTOR C ARCHIE |
| Credential | MD |
| Practice Address |
2790 Godwin Blvd Suite 101 Suffolk VA 23434-8151 |
| Mailing Address |
5900 Lake Wright Dr Suite 300 Norfolk VA 23502-1871 |
| Practice Telephone | 7575390670 |
| Practice Fax Number | 7575391062 |
| Mailing Telephone | 7572135700 |
| Mailing Fax Number | 7572135701 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2014-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
0101241369 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RAILROAD MEDICARE | P00396160 | 01 |
| VA | OPTIMA | 10018054 | 01 |
| VA | 1710970017 | 05 |
| Street Address |
2790 GODWIN BLVD SUITE 101 |
| City | SUFFOLK |
| State | VA |
| Zip Code | 23434-8151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497757835 | Benigno D Federici | Obstetrics & Gynecology | 2790 Godwin Blvd, Suite 360, Suffolk, VA 23434-8151 | 2005-08-15 |
| 1942757265 | Catherine Adickes | Registered Nurse | 2790 Godwin Blvd, Suite 305, Suffolk, VA 23434-8151 | 2016-09-02 |
| 1568918480 | Sentara Medical Group | Durable Medical Equipment & Medical Supplies | 2790 Godwin Blvd, Ste 355, Suffolk, VA 23434-8151 | 2016-08-31 |
| 1700259520 | Virginia Oncology Associates | Durable Medical Equipment & Medical Supplies | 2790 Godwin Blvd, Suite 101, Suffolk, VA 23434-8151 | 2015-11-02 |
| 1629409156 | Sentara Medical Group | Otolaryngology | 2790 Godwin Blvd, Ste 205, Suffolk, VA 23434-8151 | 2013-12-10 |
| 1780013367 | Knox Audiology LLC | Audiologist | 2790 Godwin Blvd, Suite 205, Suffolk, VA 23434-8151 | 2013-11-05 |
| 1720428865 | Jason Rosenwald | Physician Assistant | 2790 Godwin Blvd, Suite 320, Suffolk, VA 23434-8151 | 2013-07-03 |
| 1093091175 | Mary Katherine Williams | Advanced Practice Midwife | 2790 Godwin Blvd, Suite 360, Suffolk, VA 23434-8153 | 2011-11-02 |
| 1609103902 | Sentara Medical Group | Internal Medicine | 2790 Godwin Blvd, Suite 225, Suffolk, VA 23434-8151 | 2009-11-06 |
| 1013150457 | Sentara Medical Group | Psychiatry & Neurology | 2790 Godwin Blvd, Suite 235, Suffolk, VA 23434-8151 | 2009-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235780255 | Chiquita Savage | Home Health | You 1st Healthcare, 112 West Washington Street Suite 502, Suffolk, VA 23434 | 2019-09-20 |
| 1912561713 | Revivication Counseling Services | Counselor | 814 Cripple Creek Lane, Suffolk, VA 23434 | 2019-04-26 |
| 1558826958 | Nita Jenkins | Non-emergency Medical Transport (VAN) | 707 Gittings St. Suite 105, Suffolk, VA 23434 | 2019-02-10 |
| 1730660952 | Latrese L Riddick | Driver | 418 Jackson St, Suffolk, VA 23434 | 2018-08-25 |
| 1114411279 | Percilla D Zeno | Community Health Worker | 102 Niblick Cir, Suffolk, VA 23434 | 2018-06-21 |
| 1437652765 | Aprele Gaddie | Health Educator | 2769 Godwin Boulevard, Suffolk, VA 23434 | 2018-03-13 |
| 1598284283 | Domonic Teheran Scott | Driver | 102 Brewer Ave, Suffolk, VA 23434 | 2017-09-13 |
| 1578089397 | Nakia Shantel Francis | Nurse Practitioner | 2970 Godwin Blvd, Suite 320, Suffolk, VA 23434 | 2017-08-15 |
| 1679093009 | Daisy Mae Aba, LLC | Behavioral Analyst | 3212 Clearcreek Rd., Suffolk, VA 23434 | 2017-06-27 |
| 1114457736 | Better Care Family Homes | Day Training, Developmentally Disabled Services | 813 West Washington Street, Suffolk, VA 23434 | 2017-06-15 |
| Find all providers in zip 23434 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982956678 | Maryview Hospital | Radiology | 7185 Harbour Towne Pkwy S Ste 108, Suffolk, VA 23435-3796 | 2012-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255836953 | Raj Singh | Radiology | Vcu Department of Radiation Oncology, 980058, 1250 E. Marshall Street, Richmond, VA 23298-0058 | 2018-03-26 |
| 1578838553 | Commonwealth Oncology Group, LLC | Radiology | 6801 Gov. G. C. Peery Hwy., Clinch Valley Medical Center, Richlands, VA 24641-2194 | 2012-03-09 |
| 1699089953 | Suasin Cancer Care, Inc. | Radiology | 6801 Gov.g.c. Peery Hwy, Richlands, VA 24641 | 2010-07-28 |
| 1760712434 | Ramesh Kakria | Radiology | 1533 Lake James Dr, Virginia Beach, VA 23464-6750 | 2010-01-01 |
| 1649436510 | Camille Williams | Radiology | 6137 Lincolnia Rd, Unit 11182, Alexandria, VA 22312-8000 | 2008-07-31 |
| 1013175769 | Kelli A. Reardon | Radiology | 2871 Ivy Rd, Charlottesville, VA 22903-9304 | 2008-05-29 |
| 1225200132 | Timothy J Harris | Radiology | 401 College Street, Richmond, VA 23298-0058 | 2008-03-31 |
| 1487785564 | Tyvin A. Rich | Radiology | Uva Hospital West, Hospital Drive, 3rd Floor, Charlottesville, VA 22908-0001 | 2007-03-08 |
| 1194866434 | Maria D. Kelly | Radiology | 1230 Grove Park Ct, Earlysville, VA 22936-2840 | 2007-02-09 |
| 1043371057 | Virginia Radiation Therapy and Oncology | Radiology | 15394 Kings Hwy, Montross, VA 22520-2746 | 2006-12-13 |
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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.