Cardiology Of Virginia, Inc. | |
1570 Early Settlers Rd Richmond VA 23235-4458 | |
(804) 560-8785 | |
(804) 560-8783 |
Full Name | Cardiology Of Virginia, Inc. |
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Speciality | Nurse Practitioner |
Location | 1570 Early Settlers Rd, Richmond, Virginia |
Authorized Official Name and Position | Laura Ann Porter (OFFICE MANAGER) |
Authorized Official Contact | 8045608782 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cardiology Of Virginia, Inc. Po Box 72665 Richmond VA 23235-8017 Ph: (804) 560-8828 | Cardiology Of Virginia, Inc. 1570 Early Settlers Rd Richmond VA 23235-4458 Ph: (804) 560-8785 |
NPI Number | 1093704025 |
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Provider Enumeration Date | 10/21/2005 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4385601376 |
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Medicare Enrollment ID | O20041210000756 |
Identifier | Type | State | Issuer |
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1093704025 | NPI | - | NPPES |
Provider Name | Mark Xenakis |
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Provider Type | Practitioner - Interventional Radiology |
Provider Identifiers | NPI Number: 1477586972 PECOS PAC ID: 7315936622 Enrollment ID: I20040511001183 |
Provider Name | Edson Deguzman |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1174512198 PECOS PAC ID: 7618942939 Enrollment ID: I20040831000584 |
Provider Name | Mark E Johns |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1558350579 PECOS PAC ID: 4789611799 Enrollment ID: I20100804000763 |
Provider Name | Lauren Threatt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366031387 PECOS PAC ID: 5799199857 Enrollment ID: I20210201001329 |
Provider Name | Kaitlin J Delgado |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023742673 PECOS PAC ID: 5395121677 Enrollment ID: I20221103000133 |
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