VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY (NPI# 1780033050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780033050 |
| Entity Type | Organization |
| Organization Name | VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY |
| Other Organization Name | VCU HEALTH NEUROSCIENCE,ORTHOPAEDIC AND WELLNESS CENTER |
| Practice Address |
11958 W Broad St Henrico VA 23233-1007 |
| Mailing Address |
Po Box 758997 Baltimore MD 21275-8997 |
| Practice Telephone | 8046286643 |
| Mailing Telephone | 8046286643 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |
| Authorized Official Name | MR. JOHN DUVAL (CEO) |
| Authorized Official Telephone | 8048280938 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | H1875 | VA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 00003 | 01 |
| Other Name | Type Code |
|---|---|
| VCU Health Neuroscience,Orthopaedic and Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164056941 | Virginia Commonwealth University Health System Authority | Clinic/Center | 2495 Pocahontas Trl, Quinton, VA 23141-1637 | 2020-03-02 |
| 1366000473 | Virginia Commonwealth University Health System Authority | Clinic/Center | 607 N 10th St, Richmond, VA 23298-5014 | 2019-06-04 |
| 1972026243 | Virginia Commonwealth University Health System Authority | Pharmacy | 11958 W Broad St Fl 2, Henrico, VA 23233-1007 | 2017-07-19 |
| 1548317308 | Virginia Commonwealth University Health System Authority | Clinic/Center | 1300 W Broad St, Richmond, VA 23284-9089 | 2007-01-04 |
| 1588298368 | Virginia Commonwealth University Health System Authority | Clinic/Center | 2495 Pocahontas Trl, Quinton, VA 23141-1637 | 2020-03-02 |
| 1548821630 | Virginia Commonwealth University Health System Authority | General Acute Care Hospital | 325 Charles H Dimmock Pkwy Ste 100, Colonial Heights, VA 23834-2986 | 2019-06-28 |
| 1720506116 | Virginia Commonwealth University Health System Authority | Pharmacy | 1000 E Broad St, Richmond, VA 23219-1930 | 2017-09-06 |
| 1093238206 | Virginia Commonwealth University Health System Authority | Pharmacy | 1250 E Marshall St, Richmond, VA 23298-5023 | 2017-07-19 |
| 1578940953 | Virginia Commonwealth University Health System Authority | Pharmacy | 401 N 12th St, Richmond, VA 23298-5035 | 2015-05-05 |
| 1497132872 | Virginia Commonwealth University Health System Authority | Pharmacy | 401 N 12th St, Richmond, VA 23298-5035 | 2015-05-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM AUTHORITY | 701 E Franklin St Ste 1112, Richmond, VA 23219-2501 |
| Street Address |
11958 W BROAD ST |
| City | HENRICO |
| State | VA |
| Zip Code | 23233-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962012542 | Kathryn May Gallanosa | Nurse Practitioner | 11958 W Broad St, Henrico, VA 23233-1007 | 2020-08-07 |
| 1174942700 | Jessica Hupe | Physical Medicine & Rehabilitation | 11958 W Broad St, Henrico, VA 23233 | 2014-04-10 |
| 1437431756 | Holly R Lake | Pharmacist | 11958 W Broad St, Henrico, VA 23233-1007 | 2011-09-13 |
| 1467748244 | Anish S. Patel | Internal Medicine | 11958 W Broad St, Henrico, VA 23233-1007 | 2011-06-21 |
| 1053607945 | Bradley Alan Stovall | Physical Medicine & Rehabilitation | 11958 W Broad St, Henrico, VA 23233-1007 | 2011-06-20 |
| 1801116371 | Jeremy A. Ross | Orthopaedic Surgery | 11958 W Broad St, Henrico, VA 23233 | 2010-06-08 |
| 1851525729 | Seema Kumar Patel | Internal Medicine | 11958 W Broad St, Henrico, VA 23233-1007 | 2009-05-07 |
| 1871755371 | Andrew Watson Chapman | Anesthesiology | 11958 W Broad St, Henrico, VA 23233-1007 | 2008-06-26 |
| 1326228222 | Scott Robert Haines | Psychiatry & Neurology | 11958 W Broad St, Henrico, VA 23233 | 2007-11-07 |
| 1073716775 | Kelly G. Gwathmey | Psychiatry & Neurology | 11958 W Broad St, Henrico, VA 23233-1007 | 2007-06-08 |
| Find all providers in the same location | ||||
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538669445 | Virginia Hospital Center Arlington Health System | General Acute Care Hospital | 8100 Boone Blvd Ste 140, Vienna, VA 22182-2665 | 2018-02-16 |
| 1871020651 | Virginia Internal Medicine Specialists LLC | General Acute Care Hospital | 44790 Maynard Sq Ste 320, Ashburn, VA 20147-6514 | 2017-05-11 |
| 1730615816 | Sentara Healthcare | General Acute Care Hospital | 100 Ireland St, Hampton, VA 23663-2150 | 2017-05-10 |
| 1528592573 | New York Presbyterian Hospital-weill Cornell | General Acute Care Hospital | 9644 Sutton Green Ct, Vienna, VA 22181-6105 | 2017-04-17 |
| 1386181733 | Lyle Purnell | General Acute Care Hospital | 100 Emancipation Dr Bldg 146, Hampton, VA 23667-0001 | 2017-01-24 |
| 1700233855 | Debra Hafer | General Acute Care Hospital | 33290 Chincoteague Rd, Wallops Island, VA 23337-2204 | 2016-05-18 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1700248796 | Hq Surgical | General Acute Care Hospital | 905 Hathaway Ct, Chesapeake, VA 23322-7622 | 2016-03-28 |
| 1710355649 | Johnston Memorial Hospital, Inc | General Acute Care Hospital | 3175 Linden Dr Ste 3-5, Bristol, VA 24202-5849 | 2015-09-09 |
| 1184092298 | Anita Sites | General Acute Care Hospital | Uva Transplant Center 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22908-3363 | 2015-09-04 |
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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.