VASCULAR ACCESS CENTER OF WASHINGTON DC, LLC (NPI# 1902835028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902835028 |
| Entity Type | Organization |
| Organization Name | VASCULAR ACCESS CENTER OF WASHINGTON DC, LLC |
| Practice Address |
1010 Vermont Ave Nw Suite 300 Washington DC 20005-4902 |
| Practice Telephone | 2028240620 |
| Mailing Telephone | 2028240620 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2013-06-27 |
| Authorized Official Name | JAMED F MCGUCKIN (CEO) |
| Authorized Official Telephone | 2152028240620 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | CAREFIRST BLUE SHIELD | 0301 | 01 |
| DC | RAILROAD MEDICARE | DF5789 | 01 |
| DC | 038053200 | 05 | |
| VA | 1902835028 | 05 |
| Street Address |
1010 VERMONT AVE NW SUITE 300 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20005-4902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669847 | Blaise Badoh | Technician | 1010 Vermont Ave Nw, Washington, DC 20005-4902 | 2020-05-06 |
| 1144865031 | Udoka Ijomoh | Home Health Aide | 1010 Vermont Ave Nw, Washington, DC 20005-4902 | 2019-11-14 |
| 1174164347 | Alisha Monquie Livingston | Technician | 1010 Vermont Ave Nw, Washington, DC 20005-4902 | 2019-09-30 |
| 1730730714 | Crystal Diane Battle | Counselor | 1010 Vermont Ave Nw, Washington, DC 20005-4902 | 2019-09-22 |
| 1851949176 | Curshawn Lewis | Technician | 1010 Vermont Ave Nw, Washington, DC 20005-4902 | 2019-08-29 |
| 1376108753 | Theresia Munoh | Home Health Aide | 1010 Vermont Ave Nw, Washington, DC 20005-4902 | 2019-05-01 |
| 1760943468 | Netsihiti Hagos Meharene | Technician | 1010 Vermont Ave Nw, Washington, DC 20005-4902 | 2019-03-26 |
| 1629532999 | Cobertha Bizzelle | Technician | 1010 Vermont Ave Nw, Washington, DC 20005-4902 | 2019-01-30 |
| 1811461569 | Nathan Young | Technician | 1010 Vermont Ave Nw, Washington, DC 20005-4902 | 2019-01-16 |
| 1780167965 | Franca Tifuh Mba | Home Health Aide | 1010 Vermont Ave Nw, Washington, DC 20005-4902 | 2018-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062842 | Nikki Taylor Talarico | Counselor | 601 13th St Sw, Suite 900, Washington, DC 20005 | 2020-10-27 |
| 1962028019 | Care for All Home Services, LLC | Case Management | 1402 N St Nw, Ste# 102, Washington, DC 20005 | 2020-06-24 |
| 1639704398 | Hazel Ware | Behavior Technician | 1200 G Street Nw, Suite 800, Washington, DC 20005 | 2020-03-03 |
| 1528692126 | Candace Wyman | Behavior Technician | 1200 G Street Nw, St, 800, Washington, DC 20005 | 2020-02-24 |
| 1336773936 | Janice Arana | Behavior Technician | 1200 G Street Nw, Ste 800, Washington, DC 20005 | 2020-02-24 |
| 1437796745 | Tinaisha Artis | Behavioral Analyst | 1100 H Street Nw, Suite 640, Washington,dc, DC 20005 | 2019-12-05 |
| 1255972212 | Viviane None Tankeu Djoteng | Home Health Aide | 1010 Vermont Street Suite 1003, Washington, DC 20005 | 2019-10-01 |
| 1891349353 | Natenael Teshome Jenfessa | Registered Nurse | 1504 Kingman Pl Nw, Washington, DC 20005 | 2019-08-01 |
| 1962963280 | Manual Medicine Spine and Sports Physical Therapy | Clinic/Center | 1015 15th St Nw, Ste 614k, Washington, DC 20005 | 2019-03-28 |
| 1245713726 | Erica Featherson | Psychologist | 601 13th St Nw, Washington, DC 20005 | 2018-09-11 |
| Find all providers in zip 20005 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124462213 | Vishal Dixit Kadakia | Radiology | 2221 I St Nw Apt 1009, Washington, DC 20037-2260 | 2013-04-19 |
| 1881039253 | Sarah Joel Kantharia | Radiology | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2013-04-30 |
| 1386975795 | District Vascular Institute LLC | Radiology | 1010 Vermont Ave Nw, Suite 300, Washington, DC 20005-4902 | 2010-01-25 |
| 1174779946 | Donna Carol Buckley | Radiology | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2008-08-13 |
| 1215183991 | Alexander Y Kim | Radiology | 3800 Reservoir Rd Nw, Washington, DC 20007-2113 | 2008-08-13 |
| 1972700334 | Theresa Michelle Caridi | Radiology | 3800 Reservoir Rd Nw, Cg201, Washington, DC 20007-2113 | 2007-06-29 |
| 1851462675 | Anthony Charles Venbrux | Radiology | 900 23rd St Nw, Washington, DC 20037-2342 | 2006-11-13 |
| 1487742029 | Shawn Nath Sarin | Radiology | 900 23rd St Nw, Washington, DC 20037-2342 | 2006-10-10 |
| 1811093727 | Houtan Adib | Radiology | Vamc 50 Irving St Nw, Washington, DC 20422-0001 | 2006-09-16 |
| 1952311607 | Joseph Martin Giordano | Radiology | 2150 Pennsylvania Ave Nw, Washington, DC 20037-3201 | 2006-08-08 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20005 |
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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.