Cardinal Healthcare

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CARDINAL HEALTHCARE

Practice address

436 Hospital Dr
Warrenton, VA 20186-3026

Phone

(540) 216-7776

NPI assigned

Sep 9, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Mitra Hafezi, MDNPI 1043877111

Title

Physician

Phone

(540) 216-7776

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitra Hafezi, MD

  • General Practice Physician
  • Warrenton, VA
  • NPI 1043877111
  Medicare reassignment NPD Authorized official
• Mary Combemale, LCSW

  • Clinical Social Worker
  • Sterling, VA
  • NPI 1265520704
  NPD (past)
• Marcus Stuart Vandiviere, ED.D.

  • Professional Counselor
  • Warrenton, VA
  • NPI 1487772356
  NPD (past)
• Tenne Wordsworth, LCSW

  • Clinical Social Worker
  • Warrenton, VA
  • NPI 1023431970
  NPD (past)

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1457072100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 HOSPITAL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863026",
            "telephone_number": "540-216-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 HOSPITAL DR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863026",
            "telephone_number": "540-216-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "HAFEZI",
        "authorized_official_first_name": "MITRA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "540-216-7776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwen S Callahan, PA C
• Heather Renee Callahan, PA-C
• Emily Cannon, FNP-C
• Amanda Lynn Caputo, FNP
• Cardiac, Vascular & Thoracic Surgery Associates, P.C.
• Care Pharmacy LLC (Havi's Care Pharmacy)
• Brian L. Carino, D.D.S.
• Sarah Courtney Carino, DDS
• Carolina Medicorp Enterprises Inc (Novant Health Express Care)
• Lindsay Anne Carroll, DPT

• General Practice Physician in Warrenton, VA
• Providers in Warrenton, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.