Active NPI
Anthony Joseph Minisi, MD
- Cardiovascular Disease Physician
- Richmond, VA
National Provider Identifier
1417976218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101033419
- Practice address
- 1201 Broad Rock Blvd.
McGuire V.a. Medical Center
Richmond, VA 23249 - Phone
- (804) 675-5614
- Fax
- (804) 675-5420
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0101033419 | VA | Primary |
| Internal Medicine Physician | 207R00000X | 0101033419 | VA | |
| Interventional Cardiology Physician | 207RI0011X | 0101033419 | VA |
Addresses
Primary practice location
1201 Broad Rock Blvd.
McGuire V.a. Medical Center
Richmond, VA 23249
Mailing address
1201 Broad Rock Blvd.
McGuire V.a. Medical Center
Richmond, VA 23249
Phone (804) 675-5614
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101033419 | VA | MD | Interventional Cardiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1417976218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 BROAD ROCK BLVD.",
"address_2": "MCGUIRE V.A. MEDICAL CENTER",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23249",
"telephone_number": "804-675-5614",
"fax_number": "804-675-5420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 BROAD ROCK BLVD.",
"address_2": "MCGUIRE V.A. MEDICAL CENTER",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23249",
"telephone_number": "804-675-5614",
"fax_number": "804-675-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINISI",
"first_name": "ANTHONY",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101033419",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101033419",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "VA",
"license": "0101033419",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.