HALIFAX HEART CENTER PC (NPI# 1881700169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881700169 |
| Entity Type | Organization |
| Organization Name | HALIFAX HEART CENTER PC |
| Practice Address |
2232 Wilborn Ave South Boston VA 24592-1662 |
| Mailing Address |
Po Box 1115 South Boston VA 24592-1115 |
| Practice Telephone | 4345728977 |
| Practice Fax Number | 4345722510 |
| Mailing Telephone | 4345173515 |
| Mailing Fax Number | 4345724549 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2014-09-25 |
| Authorized Official Name | CECIL F HAZELWOOD (OPERATIONS MANAGER) |
| Authorized Official Telephone | 4345173515 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | VA | Other Service Providers |
| Street Address |
2232 WILBORN AVE |
| City | SOUTH BOSTON |
| State | VA |
| Zip Code | 24592-1662 |
| 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 |
| 1730455411 | Dominion Medical Health Assoc | Internal Medicine | 2232 Wilborn Ave, Suite D, South Boston, VA 24592 | 2012-03-28 |
| 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 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972717221 | Women's Health Center PC | Specialist | 2200 Beechmont Rd, South Boston, VA 24592-1614 | 2007-05-09 |
| 1962420166 | Charles William Rosche | Specialist | 2206 Wilborn Ave, South Boston, VA 24592-1630 | 2006-07-17 |
| 1265436117 | Pulmonary Associates of Southside Virginia, Inc | Specialist | 2210 Wilborn Avenue, South Boston, VA 24592 | 2005-06-09 |
| 1427306315 | Dominion Health Medical Assoc | Specialist | 2232 Wilborn Ave, Suite F, South Boston, VA 24592 | 2012-08-27 |
| 1346553468 | Michelle Wilkens Helms | Specialist | 2212 Wilborn Ave, South Boston, VA 24592-1630 | 2010-07-18 |
| 1316267750 | Gareth Murchison Titus | Specialist | 2232 Wilborn Ave, Suite A, South Boston, VA 24592-1662 | 2010-06-08 |
| 1952465064 | Halifax Radiological Associates, Inc. | Specialist | 2204 Wilborn Ave, Radiology Department, South Boston, VA 24592-1645 | 2006-12-21 |
| 1659444586 | Halifax Ear Nose and Throat Center PC | Specialist | 2100 Wilborn Ave, South Boston, VA 24592-1628 | 2006-11-16 |
| 1821194275 | Southside Wound Care Pllc | Specialist | 2232 Wilborn Ave, South Boston, VA 24592 | 2006-09-15 |
| 1376659870 | Southern Gastroenterology Associates PC | Specialist | 2232 Wilborn Ave, South Boston, VA 24592-1662 | 2006-08-21 |
| Find all providers in SOUTH BOSTON | ||||
| City | SOUTH BOSTON |
| Zip Code | 24592 |
Please comment or provide details below to improve the information on HALIFAX HEART CENTER PC.
| 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.