Mid Atlantic Vascular Holding, LLC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

MID ATLANTIC VASCULAR HOLDING, LLC

Practice address

1415 Eastridge Rd
Richmond, VA 23229-5501

Phone

(757) 333-2066

Fax

(757) 467-2703

NPI assigned

Jun 22, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Angela N Schwarzkopf, CPC, CMPE, MBA

Title

Administrator

Phone

(757) 333-2066

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1346503463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 EASTRIDGE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295501",
            "telephone_number": "757-333-2066",
            "fax_number": "757-467-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 EASTRIDGE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295501",
            "telephone_number": "757-333-2066",
            "fax_number": "757-467-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID ATLANTIC VASCULAR HOLDING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "SCHWARZKOPF",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "757-333-2066",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC, CMPE, MBA"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela A Mickell, MD
• Melody Mickens
• Ashley C Mickle, LCSW
• Shirley A Mickleberry
• Mid Atlantic Laboratory Services, LLC (Midalabs)
• Mid-Atlantic Kidney Center (Mid-Atlantic Kidney Centers)
• Midatlantic Spine Specialists P C
• Middleton Gee Community Group Home, LLC
• Angela D Middleton, M.D.
• Kimberly Rhea Middleton, M.D.

• Vascular Surgery Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Vascular Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.