Organization Active NPI

Central Virginia Oncology, Inc.

  • Specialist
  • Petersburg, VA
National Provider Identifier
1447365945
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101030480 Issued in VA
Legal business name
CENTRAL VIRGINIA ONCOLOGY, INC.
Practice address
700 S Sycamore St
Ste 10
Petersburg, VA 23803
Phone
(804) 732-7900
Fax
(804) 732-7592
NPI assigned
Aug 21, 2006
Last updated
Jul 6, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Dr. Donna Mae Fukumoto, MD
Title
Pres, Up, Sec, Treas
Phone
(804) 732-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101030480 VA Primary

Addresses

Primary practice location

700 S Sycamore St
Ste 10
Petersburg, VA 23803

Mailing address

700 S Sycamore St
Ste 10
Petersburg, VA 23803
Phone (804) 732-7900

Other names 1

  • Petersburg Oncology, Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

700 S Sycamore St
Petersburg, VA 23803
Phone (804) 732-7780

700 S Sycamore St
Ste 10
Petersburg, VA 23803
Phone (804) 732-1300

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1447365945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S SYCAMORE ST",
            "address_2": "STE 10",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23803",
            "telephone_number": "804-732-7900",
            "fax_number": "804-732-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S SYCAMORE ST",
            "address_2": "STE 10",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23803",
            "telephone_number": "804-732-7900",
            "fax_number": "804-732-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VIRGINIA ONCOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "FUKUMOTO",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "PRES, UP, SEC, TREAS",
        "authorized_official_telephone_number": "804-732-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101030480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Petersburg Oncology, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.