Community Cardiology

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

0101233334 Issued in VA

Legal business name

COMMUNITY CARDIOLOGY

Practice address

43 Rives Rd Ste 201
Petersburg, VA 23805-9255

Phone

(804) 490-8773

NPI assigned

Sep 11, 2017

Organization subpart

No

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

Authorized official

Name

Kwabena Osei Agyeman, MDNPI 1508806456

Title

Owner

Phone

(804) 490-8773

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 5

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

• Kwabena Osei Agyeman, MD

  • Cardiovascular Disease Physician
  • Petersburg, VA
  • NPI 1508806456
  Medicare reassignment NPD Authorized official
• Alexander C Mount, DPM

  • Foot & Ankle Surgery Podiatrist
  • North Chesterfield, VA
  • NPI 1215282652
  NPD
• Marc Jay Pinsky, D.P.M.

  • Podiatrist
  • Petersburg, VA
  • NPI 1174590186
  NPD
• Joseph W Siko Jr., DPM

  • Podiatrist
  • Petersburg, VA
  • NPI 1578635934
  NPD
• Jeffrey Hall Pinsky, DPM

  • Podiatrist
  • Petersburg, VA
  • NPI 1386698124
  NPD (past)

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1083133144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11768",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232300168",
            "telephone_number": "804-353-4000",
            "fax_number": "804-213-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 RIVES RD STE 201",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059255",
            "telephone_number": "804-490-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "AGYEMAN",
        "authorized_official_first_name": "KWABENA",
        "authorized_official_middle_name": "OSEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-490-8773",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101233334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "0101233334",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Commonwealth of Virginia Central State Hospital (Central State Hopsital)
• Commonwealth of Virginia Hiram W Davis Medical Center (Hiram W Davis Medical Center)
• Commonwealth of Virginia Hiram W. Davis Medical Center (Hiram W. Davis Medical Center)
• Commonwealth of Virginia Southside VA Training Center
• Commonwealth of Virginia State Board of Health (Petersburg Health Department)
• Community Connectors LLC
• Community Counseling Group
• Community Involvement Services. LLC
• Community Resource Pharmacy
• Community Stability LLC

• Cardiovascular Disease Physician in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Cardiovascular Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.