Intravene LLC

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

INTRAVENE LLC

Practice address

2215 Landover PL
Lynchburg, VA 24501-2115

Phone

(434) 947-3900

NPI assigned

Dec 9, 2011

Last updated

Jun 26, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDICAL ASSOCIATES OF CENTRAL VIRGINIA INC.As reported in NPPES

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

Authorized official

Name

Robert Brennan, MDNPI 1659355170

Title

President

Phone

(434) 947-3944

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Part of

Medical Assoc of Centra

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Medical Associates of Central Virginia, Inc.

  • Internal Medicine Physician
  • Lynchburg, VA
  • NPI 1912970260
  NPPES parent name

Practitioners 6

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.

• Robert Owen Brennan, MD

  • Infectious Disease Physician
  • Lynchburg, VA
  • NPI 1659355170
  Medicare reassignment NPD Authorized official
• Luis Angel Matos, M.D., MBA

  • Allergy Physician
  • Forest, VA
  • NPI 1972506509
  Medicare reassignment NPD
• Kensley Nichols, M.D.

  • Infectious Disease Physician
  • Lynchburg, VA
  • NPI 1407054745
  Medicare reassignment NPD
• Joseph Mitri Saabiye, M.D.

  • Internal Medicine Physician
  • Lynchburg, VA
  • NPI 1164803565
  Medicare reassignment NPD
• James Scott Wade, MD

  • Internal Medicine Physician
  • Lynchburg, VA
  • NPI 1467435966

  Infectious Disease

  Medicare reassignment NPD
• Sarah Klizas West, M.D.

  • Infectious Disease Physician
  • Lynchburg, VA
  • NPI 1619196557
  Medicare reassignment NPD

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1285902890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 LANDOVER PL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012115",
            "telephone_number": "434-947-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 LANDOVER PL",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012115",
            "telephone_number": "434-947-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRAVENE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL ASSOCIATES OF CENTRAL VIRGINIA INC.",
        "enumeration_date": "2011-12-09",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-947-3944",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "VA",
            "license": "0201002819",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285902890",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Fuller Ingram, DNP, FNP-BC
• Innovative Family Consultants, Inc.
• Integrative Psychodynamics LLC
• Integrity Counseling, PLLC
• Internal Medicine and Endocrinology of Central Virginia
• Intravene, LLC (Intravene)
• Nicole C Ioli
• Rebecca Britt Irby, PT
• Benjamin Stephen Isakson, M.D.
• Mitey Isles

• Home Infusion Agency in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Home Infusion Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.