DOMINION MEDICAL HEALTH ASSOC (NPI# 1730455411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730455411 |
Entity Type | Organization |
Organization Name | DOMINION MEDICAL HEALTH ASSOC |
Other Organization Name | SENTORA SOUTHSIDE HEMATOLOGY & ONCOLOGY |
Practice Address |
2232 Wilborn Ave Suite D South Boston VA 24592 |
Mailing Address |
P.o. Box 860 South Boston VA 24592 |
Practice Telephone | 4345173640 |
Practice Fax Number | 4345173887 |
Mailing Telephone | 4345173513 |
Mailing Fax Number | 4345173887 |
Enumeration Date | 2012-03-28 |
Last Update Date | 2015-02-10 |
Authorized Official Name | CECIL F HAZELWOOD (MANAGER (SDHG)) |
Authorized Official Telephone | 4345173515 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Sentora Southside Hematology & Oncology | Doing Business As Name - Organization |
Street Address |
2232 WILBORN AVE SUITE D |
City | SOUTH BOSTON |
State | VA |
Zip Code | 24592 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700881885 | Tessie Otero-truitt | Internal Medicine | 2232 Wilborn Ave, Ste B, South Boston, VA 24592-1662 | 2005-06-16 |
1225658206 | Brandi S Thompson | Nurse Practitioner | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2020-04-20 |
1588189609 | Allison Newbill Pope | Nurse Practitioner | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2017-08-09 |
1619370087 | Anthony Wilkerson | Nurse Practitioner | 2232 Wilborn Ave, Suite A, South Boston, VA 24592-1662 | 2014-09-30 |
1962744508 | Whitney A Myers | Nurse Practitioner | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2013-03-21 |
1285970236 | Katherine Gambino | Physician Assistant | 2232 Wilborn Ave, Suite G, South Boston, VA 24592-1662 | 2012-12-19 |
1427306315 | Dominion Health Medical Assoc | Specialist | 2232 Wilborn Ave, Suite F, South Boston, VA 24592 | 2012-08-27 |
1801175567 | Dominion Health Medical Associates | Clinic/Center | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2011-08-12 |
1316267750 | Gareth Murchison Titus | Specialist | 2232 Wilborn Ave, Suite A, South Boston, VA 24592-1662 | 2010-06-08 |
1598099376 | Janardhan Srinivasan | Internal Medicine | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2009-09-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154966398 | Transformations Center for Health Wellness LLC | Counselor | 2170 Sandy Beach Road, South Boston, VA 24592 | 2019-11-12 |
1740830215 | Kirstyn Lokker | Occupational Therapist | 1 High School Circle, South Boston, South Boston, VA 24592 | 2019-09-17 |
1841764248 | Nicole Ivey | Occupational Therapy Assistant | 103 Rosehil Rd, South Boston, VA 24592 | 2019-01-18 |
1841700960 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 130 Aubreys Loop, South Boston, VA 24592 | 2017-10-03 |
1659828820 | Family Preservation Services, Inc | Community/Behavioral Health | 1 High School Circle, South Boston, VA 24592 | 2016-09-06 |
1316222821 | Family and Children Enrichment Services Inc. | Health Maintenance Organization | 220 Paradise Lane, South Boston, VA 24592 | 2011-10-15 |
1326365578 | Brinda Howard | Nurse's Aide | 104 Love Shop Park Rd Lot #25, South Boston, VA 24592 | 2010-04-28 |
1356513543 | Betts Medical Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 403 Factory Street, Suite B, South Boston, VA 24592 | 2008-03-27 |
1407051873 | Dominion Health Medical Assoc | Legal Medicine | 101 Aubrey's Loop Rd, South Boston, VA 24592 | 2007-06-18 |
1437352945 | Behavioral Health Associates, Inc. | Non-emergency Medical Transport (VAN) | 515 Yancey Ave, South Boston, VA 24592 | 2007-06-11 |
Find all providers in zip 24592 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295746931 | Neil Schacht Md Hematology Oncology Practice of Southside Va PC | Internal Medicine | 2232 Wilborn Ave, Suite D, South Boston, VA 24592-1662 | 2006-08-10 |
1902840663 | Neil Fredric Schacht | Internal Medicine | 2232 Wilborn Ave, Suite D, Hematology Oncology Practice of Southside Va, PC, South Boston, VA 24592-1662 | 2006-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093339764 | Loudoun Medical Group . P.c | Internal Medicine | 19500 Sandridge Way Ste 400, Leesburg, VA 20176-3691 | 2020-05-29 |
1316566839 | Stephen Smith Kennedy | Internal Medicine | 1108 Doe Mountain Rd, Goodview, VA 24095-2496 | 2020-04-14 |
1740640804 | Virginia Hematology Oncology Physicians Inc | Internal Medicine | 2556 Fox Hound Ct, Herndon, VA 20171-2996 | 2016-03-02 |
1326423260 | John J Welch | Internal Medicine | 2040 Antananarivo Pl, Dulles, VA 20189-2039 | 2015-07-21 |
1144637786 | Toshihisa Satta | Internal Medicine | 1250 E Marshall St # 980509, Richmond, VA 23298-5051 | 2014-07-15 |
1366860496 | Krista Isaac | Internal Medicine | 1215 Lee St - Box Number 800716, Charlottesville, VA 22908-0001 | 2014-04-05 |
1760800858 | Sonia Esparza Hepburn | Internal Medicine | 500 Sentara Cir Ste 203, Williamsburg, VA 23188-5727 | 2014-04-04 |
1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
1528326329 | Rahul Singh | Internal Medicine | 8101 Hinson Farm Rd Ste 211, Alexandria, VA 22306 | 2012-04-30 |
1821363219 | Oliver Alabaster | Internal Medicine | 4318 Adrienne Dr, Alexandria, VA 22309-2803 | 2012-03-19 |
Find all providers with the same taxonomy |
City | SOUTH BOSTON |
Zip Code | 24592 |
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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.