Organization Active NPI

Cardiovascular Associates LTD

  • Cardiovascular Disease Physician
  • Chesapeake, VA
National Provider Identifier
1114971918
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASCULAR ASSOCIATES LTD
Practice address
612 Kingsborough SQ
Suite 100
Chesapeake, VA 23320-5041
Phone
(757) 547-9294
Fax
(757) 213-9341
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Vincent Donlon
Title
Adminstrator
Phone
(757) 499-2825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

612 Kingsborough SQ
Suite 100
Chesapeake, VA 23320-5041

Mailing address

5700 Cleveland Street
Suite 228
Virginia Beach, VA 23462-1752
Phone (757) 499-2825

Other identifiers 6

IdentifierTypeStateIssuer
054960OtherVAANTHEM BCBS
01878OtherNCBCBS
054961OtherVAANTHEM BCBS
1114971918MedicaidVA
053609OtherVAANTHEM BCBS
8901878MedicaidNC

National Provider Directory

National Provider Directory

Locations

110 Wimbledon Sq
Ste D
Chesapeake, VA 23320
Phone (757) 547-9294

612 Kingsborough Sq
#1
Chesapeake, VA 23320
Phone (757) 547-9294

1080 First Colonial Rd
Ste 309
Virginia Bch, VA 23454
Phone (757) 481-0923

5700 Cleveland St
Ste 228
Virginia Beach, VA 23462

2075 Glenn Mitchell Dr
Ste 300
Virginia Beach, VA 23456
Phone (757) 821-2825

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1114971918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 CLEVELAND STREET",
            "address_2": "SUITE 228",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621752",
            "telephone_number": "757-499-2825",
            "fax_number": "757-499-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 KINGSBOROUGH SQ",
            "address_2": "SUITE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205041",
            "telephone_number": "757-547-9294",
            "fax_number": "757-213-9341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "DONLON",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "757-499-2825"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "054960",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01878",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "054961",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114971918",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "053609",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901878",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.