Commonwealth General & Vascular Surgery, P.C. in Richmond - Specialist
Commonwealth General & Vascular Surgery, P.C. - NPI 1144279076
Commonwealth General & Vascular Surgery, P.C. is a Specialist in Richmond, Virginia. Commonwealth General & Vascular Surgery, P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Commonwealth General & Vascular Surgery, P.C. is 1144279076. The last update date is 2018-08-17.
Commonwealth General & Vascular Surgery, P.C.'s current location address is 1401 Johnston Willis Dr, Richmond, Virginia. You can contact this provider via phone number 8043305436 and fax number 8045600584. The mailing address for Commonwealth General & Vascular Surgery, P.C. is 1401 Johnston Willis Dr, Richmond, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Commonwealth General & Vascular Surgery, P.C. |
|---|---|
| Address | 1401 Johnston Willis Dr, Richmond, Virginia |
| Phone Number | 8043305436 |
| Fax Number | 8045600584 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Poliquin R James |
| Credentials | M.D. |
| Telephone Number | 8043305436 |
NPI Number Detail
| NPI Number | 1144279076 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2018-08-17 |
Provider Mailing Address Detail
| Address | 1401 Johnston Willis Dr |
|---|---|
| City | Richmond |
| State | Virginia (VA) |
| Post Code | 232354730 |
| Phone Number | 8043305436 |
| Fax Number | 8045600584 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 101033088 |
|
Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 71139 | ANTHEM | ||
| 4543869 | AETNA PPO/MC | ||
| 1013678 | AETNA HMO |
Post Comment/ Review Below
What is the Commonwealth General & Vascular Surgery, P.C.'s unique identification number?
The Commonwealth General & Vascular Surgery, P.C. has been assigned the NPI (National Provider Identifier) Number 1144279076 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Commonwealth General & Vascular Surgery, P.C. located?
The Commonwealth General & Vascular Surgery, P.C. is located at 1401 Johnston Willis Dr, Richmond, VA 232354730.
What is Commonwealth General & Vascular Surgery, P.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Commonwealth General & Vascular Surgery, P.C. is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1144279076 to Commonwealth General & Vascular Surgery, P.C.?
The Centers for Medicare & Medicaid Services assigned the 1144279076 to Commonwealth General & Vascular Surgery, P.C. on 2006-05-08.
As of what date were the details pertaining to Commonwealth General & Vascular Surgery, P.C. last refreshed?
The information related to the Commonwealth General & Vascular Surgery, P.C., including its address, specialty, and other relevant details, was last updated on 2018-08-17.