ORACLE HEART & VASCULAR, PLLC (NPI# 1972924520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972924520 |
Entity Type | Organization |
Organization Name | ORACLE HEART & VASCULAR, PLLC |
Practice Address |
4004 Genesee Pl Suite 105 Woodbridge VA 22192-8303 |
Mailing Address |
Po Box 3339 Fredericksburg VA 22402-3339 |
Practice Telephone | 8557399953 |
Practice Fax Number | 5716599445 |
Mailing Telephone | 8557399953 |
Mailing Fax Number | 5716599445 |
Enumeration Date | 2013-12-30 |
Last Update Date | 2015-03-19 |
Authorized Official Name | DR. ASHOK J PRASAD (SOLE MEMBER/ OWNER) |
Authorized Official Telephone | 8557399953 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0101248441 | VA | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
0101248441 | VA | Allopathic & Osteopathic Physicians |
Street Address |
4004 GENESEE PL SUITE 105 |
City | WOODBRIDGE |
State | VA |
Zip Code | 22192-8303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326011958 | Kambeez Berenji | Internal Medicine | 4004 Genesee Pl, Suite 105, Woodbridge, VA 22192-8303 | 2006-02-13 |
1881015436 | Vista Heart & Vascular, Pllc | Internal Medicine | 4004 Genesee Pl, Suite 105, Woodbridge, VA 22192-8303 | 2013-12-30 |
1043648363 | Polaris Heart & Vascular Pllc | Internal Medicine | 4004 Genesee Pl, Suite 105, Woodbridge, VA 22192-8303 | 2013-10-23 |
1992137590 | Magnus Heart and Vascular, Inc. | Nuclear Medicine | 4004 Genesee Pl, Suite 105, Woodbridge, VA 22192-8303 | 2013-08-06 |
1457516718 | Kline Chiropractic & Wellness, Pllc | Chiropractor | 4004 Genesee Pl, Suite 213, Woodbridge, VA 22192-8303 | 2008-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
Find all providers in zip 22192 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811533375 | Sentara Medical Group | Internal Medicine | 1101 First Colonial Rd Ste 300, Virginia Beach, VA 23454-2409 | 2019-11-20 |
1588167944 | Loudoun Cardiology Plc | Internal Medicine | 24430 Stone Springs Blvd Ste 500, Dulles, VA 20166-2247 | 2018-03-13 |
1659889533 | Cardiac Cin of Northern Virginia LLC | Internal Medicine | 1900 Campus Commons Dr Ste 100c, Reston, VA 20191-1561 | 2018-01-13 |
1114287117 | Ashesh N. Buch | Internal Medicine | 111 Medical Pkwy Fl 2, Chesapeake, VA 23320-0302 | 2012-05-23 |
1538429857 | Sentara Medical Group | Internal Medicine | 3920 Bridge Rd # A, Ste 202, Suffolk, VA 23435-1117 | 2012-05-21 |
1790044311 | Sentara Medical Group | Internal Medicine | 713 Volvo Pkwy Ste 200, Chesapeake, VA 23320-1614 | 2012-05-16 |
1053546846 | Dhavalkumar B Patel | Internal Medicine | 7505 Right Flank Rd Ste 700, Mechanicsville, VA 23116-3865 | 2009-05-21 |
1841435377 | Maryview Hospital | Internal Medicine | 5838 Harbour View Blvd Ste 270, Suffolk, VA 23435-3602 | 2008-12-12 |
1770523532 | Patrick Francis Adrian Magee | Internal Medicine | 5514 Alma Ln, Suite 200, Springfield, VA 22151-4000 | 2006-06-08 |
1881680619 | Frans A Vossenberg | Internal Medicine | 1201 Sam Perry Blvd, Suite 280, Fredericksbrg, VA 22401-4490 | 2005-09-27 |
Find all providers with the same taxonomy |
City | WOODBRIDGE |
Zip Code | 22192 |
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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.