Healthcare Provider Details

I. General information

NPI: 1124777321
Provider Name (Legal Business Name): VIRGINIA CARDIOVASCULAR SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 03/31/2022
Certification Date: 03/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8007 DISCOVERY DR STE B
HENRICO VA
23229-8605
US

IV. Provider business mailing address

8001 FRANKLIN FARMS DR RM 130
RICHMOND VA
23229-5100
US

V. Phone/Fax

Practice location:
  • Phone: 804-528-4444
  • Fax: 804-282-2686
Mailing address:
  • Phone: 804-521-5800
  • Fax: 804-282-2686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANN E HONEYCUTT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 804-521-5801