THOMAS JOHNS CANCER HOSPITAL AT JOHNSTON WILLIS HOSPITAL (NPI# 1952649360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952649360 |
| Entity Type | Organization |
| Organization Name | THOMAS JOHNS CANCER HOSPITAL AT JOHNSTON WILLIS HOSPITAL |
| Other Organization Name | CJW MEDICAL CENTER |
| Practice Address |
1401 Johnston Willis Dr North Chesterfield VA 23235-4730 |
| Practice Telephone | 8043302323 |
| Practice Fax Number | 8042676130 |
| Mailing Telephone | 8043302323 |
| Mailing Fax Number | 8042676130 |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |
| Authorized Official Name | SUSANNE COLLIGON (ONCOLOGY ADMINISTRATOR) |
| Authorized Official Telephone | 8042676074 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 0001159082 | VA | Hospitals |
| Other Name | Type Code |
|---|---|
| CJW Medical Center | Former Legal Business Name - Organization |
| Street Address |
1401 JOHNSTON WILLIS DR |
| City | NORTH CHESTERFIELD |
| State | VA |
| Zip Code | 23235-4730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144838608 | Gmgp Health Group LLC | Physical Medicine & Rehabilitation | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2020-07-21 |
| 1003459421 | Forward Pathology Solutions LLC | Pathology | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2019-10-18 |
| 1336798057 | Dale K Collier | Nurse Practitioner | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2019-09-05 |
| 1013493766 | Arlyn Pericano Salabao | Nurse Practitioner | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2018-07-16 |
| 1316465016 | Sarah Jessee Rohrer | Social Worker | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2017-09-01 |
| 1164968418 | Dina Lucia Leahy | Nurse Practitioner | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2017-01-10 |
| 1790237543 | Anila Abraham | Nurse Practitioner | 1401 Johnston Willis Dr, Suite 100, North Chesterfield, VA 23235-4730 | 2016-10-27 |
| 1962856633 | Timur Albertovich Korshin | Physical Medicine & Rehabilitation | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2016-04-19 |
| 1164803144 | Amanda Nicole Walker | Nurse Practitioner | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2015-06-15 |
| 1760878144 | Randolph Mitchell Jenkins Jr. | Physical Medicine & Rehabilitation | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2015-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588275770 | Melani Jones | Social Worker | 10825 Midlothian Turnpike Ste 201r, Richmond, VA 23235 | 2020-08-12 |
| 1447880109 | Sara Hudson | Pharmacist | 2821 Hicks Rd, North Chesterfield, VA 23235 | 2020-01-22 |
| 1730729096 | Mary Tabitha Varney | Counselor | 101 Buford Rd. Unit 110, North Chesterfield, VA 23235 | 2020-01-14 |
| 1093355133 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2015 Huguenot Road, North Chesterfield, VA 23235 | 2020-01-07 |
| 1255975983 | Louise Rutledge | Psychiatry & Neurology | 1429 Buford Rd, N. Chesterfield, VA 23235 | 2019-11-06 |
| 1114489317 | Therapeutic Learning Consortium LLC | Counselor | 8154 Forest Hill Ave Ste 2, North Chesterfield, VA 23235 | 2019-04-05 |
| 1013400332 | Shawmika Wright | Social Worker | 1301 Whitehead Road, Richmond, VA 23235 | 2018-06-11 |
| 1912490608 | Cara Whiting | Physical Therapist | 1400 Johnston Willis Dr Ste B, North Chesterfield, VA 23235 | 2018-06-07 |
| 1003324682 | David E Fortin | Hearing Instrument Specialist | 10441 Midlothian Turnpike, Richmond, VA 23235 | 2018-01-17 |
| 1053836544 | Hannah Katherine Chisholm | Physical Therapist | 1400 Johnston-willis Drive, Richmond, VA 23235 | 2017-08-07 |
| Find all providers in zip 23235 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194063321 | Susan J Keen | Special Hospital | 1401 Johnston Willis Dr, North Chesterfield, VA 23235-4730 | 2013-01-23 |
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|---|---|---|---|---|
| 1619141926 | Bruce I Longman Dds, LLC | Special Hospital | 5220 Rolleston Dr, Virginia Beach, VA 23464-2541 | 2008-04-17 |
| 1043329758 | Health Care Reformer, Inc. | Special Hospital | 8809 Blue Royale Ln, Fairfax, VA 22031-2150 | 2006-08-29 |
| 1003356593 | Virginia University of Oriental Medicine | Special Hospital | 9401 Mathy Dr, Fairfax, VA 22031-5310 | 2017-03-02 |
| 1285040360 | University of Virginia Medical Center | Special Hospital | 1215 Lee Street, Charlottesville, VA 22903 | 2014-07-09 |
| 1669895868 | Paris D Vaughn Dds PC | Special Hospital | 12581 Milstead Way, Suite 204, Woodbridge, VA 22192-5445 | 2014-01-24 |
| 1063845816 | Eastern Virginia Eye Institute | Special Hospital | 2147 Old Greenbrier Rd, Chesapeake, VA 23320-2635 | 2013-08-15 |
| 1043650815 | Department of Veteran's Affairs | Special Hospital | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2013-06-26 |
| 1184998536 | Fort Belvoir Community Hospital | Special Hospital | 9501 Farrell Rd, Fort Belvoir, VA 22060-5901 | 2012-03-02 |
| 1346428380 | Central Virginia Hospital for Restorative and Rehabilitative Care, LLC | Special Hospital | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2008-02-01 |
| 1366494999 | Veterans Affairs Medical Center | Special Hospital | 1201 Broad Rock Blvd, Richmond, VA 23249-0001 | 2006-05-16 |
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| City | NORTH CHESTERFIELD |
| Zip Code | 23235 |
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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.