Commonwealth Neurovascular Specialists PC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

COMMONWEALTH NEUROVASCULAR SPECIALISTS PC

Practice address

1415 Rolkin CT Ste 203
Charlottesville, VA 22911-3643

Phone

(434) 207-8320

NPI assigned

Mar 4, 2025

Last updated

Mar 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Gaughen, MDNPI 1942418660

Title

President

Phone

(540) 345-3556

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John R Gaughen Jr., MD

  • Vascular & Interventional Radiology Physician
  • Charlottesville, VA
  • NPI 1942418660
  Medicare reassignment NPD Authorized official
• Genevieve F Harway, FNP

  • Family Nurse Practitioner
  • Charlottesville, VA
  • NPI 1154553170
  Medicare reassignment NPD

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1013715333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8310",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240140310",
            "telephone_number": "540-345-3556",
            "fax_number": "540-566-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 ROLKIN CT STE 203",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113643",
            "telephone_number": "434-207-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH NEUROVASCULAR SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "GAUGHEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-345-3556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Saltzmann Colomb, R. PH.
• Aryanna Colvin
• Comfort Home Care Services Company
• Commonwealth Dental Anesthesiology Inc
• Commonwealth Healthcare, LLC (Legacy Hospice)
• Commonwealth of Virginia State Board of Health
• Commonwise Holding Co
• Community Chiropractic Health Care Inc
• Community Health LLC
• Community Medicine University of Virginia LLC (Northridge Internal Medicine)

• Vascular & Interventional Radiology Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Vascular & Interventional Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.