Dominion Heart and Vascular Clinic

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

0101235808 Issued in VA

Legal business name

DOMINION HEART AND VASCULAR CLINIC

Doing business as

Dominion Heart and Vascular Clinic

Practice address

563 Southpark Blvd
Colonial Heights, VA 23834

Phone

(804) 621-7262

NPI assigned

Jun 4, 2013

Last updated

Oct 23, 2020By 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

Saquib Samee, MDNPI 1548376080

Title

Owner

Phone

(804) 833-8048

Specialties & licenses 1

Addresses

Other names 1

• DOMINION HEART AND VASCULAR CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Locations

Practitioners 20

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.

• Saquib Samee, MD

  • Cardiovascular Disease Physician
  • Colonial Heights, VA
  • NPI 1548376080

  DC

  Medicare reassignment Care Compare group Authorized official
• Syed A Rehman, MD

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1205827615
  Medicare reassignment Care Compare group NPD
• Aubrey Munoz

  • Physician Assistant
  • Colonial Heights, VA
  • NPI 1164099859
  Medicare reassignment Care Compare group
• Nadeem A Faruqi, MD

  • Interventional Cardiology Physician
  • Petersburg, VA
  • NPI 1205886900
  Medicare reassignment NPD
• James Anthony Urso, M.D.

  • Vascular & Interventional Radiology Physician
  • Woodbridge, VA
  • NPI 1891734521
  Medicare reassignment NPD
• Dean K Lurie, M.D.

  • Surgery Physician
  • Silver Spring, MD
  • NPI 1447285408

  VA

  Medicare reassignment NPD
• Uchenna Samuel Nwosu, M.D.

  • Vascular & Interventional Radiology Physician
  • Newark, DE
  • NPI 1588921829

  VA

  Medicare reassignment NPD
• Rameez T Sayyed, MD

  • Cardiovascular Disease Physician
  • Huntington, WV
  • NPI 1811956659

  Interventional Cardiology, VA

  Medicare reassignment NPD
• Kwabena Osei Agyeman, MD

  • Cardiovascular Disease Physician
  • Petersburg, VA
  • NPI 1508806456
  NPD (past)
• Svetlana Barrett, NP

  • Nurse Practitioner
  • Chester, VA
  • NPI 1558080770
  NPD (past)
• Pamela R Clarke, DNP, MSN, APRN, FNPC

  • Family Nurse Practitioner
  • Prince George, VA
  • NPI 1518483023
  NPD (past)
• Agha W Haider, MD PHD

  • Cardiovascular Disease Physician
  • Richmond, VA
  • NPI 1033105408
  NPD (past)

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1356789010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11393",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301393",
            "telephone_number": "804-621-7262",
            "fax_number": "877-840-9785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 SOUTHPARK BLVD",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "23834",
            "telephone_number": "804-621-7262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 Belfield Dr",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "VA",
            "postal_code": "238471217",
            "country_code": "US",
            "telephone_number": "804-833-8048",
            "fax_number": "630-559-7370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "306 Weaver Ave",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "VA",
            "postal_code": "238471232",
            "country_code": "US",
            "telephone_number": "434-336-1900",
            "fax_number": "877-840-9785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2563 S Crater Rd",
            "address_purpose": "LOCATION",
            "city": "Petersburg",
            "state": "VA",
            "postal_code": "238052407",
            "country_code": "US",
            "telephone_number": "804-621-7262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7301 Forest Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232263789",
            "country_code": "US",
            "telephone_number": "804-621-7262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8345 Greensboro Dr Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221023530",
            "country_code": "US",
            "telephone_number": "804-621-7262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 Charles Dimmock Parkway",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "23834",
            "country_code": "US",
            "telephone_number": "804-621-7262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOMINION HEART AND VASCULAR CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "SAMEE",
        "authorized_official_first_name": "SAQUIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-833-8048",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101235808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOMINION HEART AND VASCULAR CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DOMINION HEART AND VASCULAR CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bryan Lee Dixon, DDS
• Kevin Richard Dmytriw, MD
• Thinh DO, PHARMD
• Mark A Doloresco, MD
• Dominion ABA
• Douglas Avery & Associates LTD (Select Physical Therapy)
• Dr Shaw S Lee PC (Shaw S Lee Inc)
• Dr. Phillip Y Shou PC
• Sedina Drake
• Dream Care of VA LLC (Dream Care of Virginia)

• Interventional Cardiology Physician in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Interventional Cardiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.