Healthwest PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101058429 Issued in VA

Legal business name

HEALTHWEST PC

Doing business as

Dr Rozana Itskovich

Practice address

7660 E Parham Road
Suite 204
Richmond, VA 23294

Phone

(804) 364-8802

Fax

(804) 364-1288

NPI assigned

Oct 4, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gregory Itskovich, MDPHD

Title

Vice President

Phone

(804) 364-8802

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dr Rozana Itskovich Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rozana Itskovich, M.D.

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1386829232
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1003901257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28645",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23228",
            "telephone_number": "804-364-8802",
            "fax_number": "804-364-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7660 E PARHAM ROAD",
            "address_2": "SUITE 204",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23294",
            "telephone_number": "804-364-8802",
            "fax_number": "804-364-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWEST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "ITSKOVICH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "804-364-8802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MDPHD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101058429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5863848",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1291545964657",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "258592",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Rozana Itskovich",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Healthy Minds,LLC
• Healthy Schools Virginia LLC

• Internal Medicine Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.