Potomac Vascular Surgery

LBN: Sentara Medical Group
Potomac Vascular Surgery is an health care organization with primary practice located at 2300 Opitz Blvd Heart And Vascular Center, Woodbridge VA 22191-3345. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Sentara Medical Group can be contacted via phone (703) 680-4254, or through Taylor, Cindy A via phone (757) 252-3344.

Contact Information

Primary practice address
2300 Opitz Blvd Heart And Vascular Center Woodbridge VA 22191-3345
Phone: (703) 680-4254
Fax: (855) 210-2385
Website:
Map and Directions
Authorized official contact:
Name: Taylor, Cindy A
Phone: (757) 252-3344

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1245577550
LBN Legal business name Sentara Medical Group
DBA Doing business as Potomac Vascular Surgery
Authorized official Taylor, Cindy A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2013
Last updated Jan 7th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245577550 NPPES
Virginia Other C02033 MEDICARE GROUP NUMBER

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