Kenneth Edward Anselmi, MD
Individual provider Active NPI Ophthalmology Physician · Raven, VA
NPI 1497843346 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497843346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- 0101028748 (VA)
- Practice address
- 5453 Governor GC Peery Hwy
Raven, VA 24639 - Phone
- (276) 963-0895
- Fax
- (276) 963-0897
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101028748 | VA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth E Anselmi MD | Ophthalmology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 0101028748 | VA | Yes |
Addresses
Primary practice location
5453 Governor GC Peery Hwy
Raven, VA 24639
Mailing address
PO Box 236
Doran, VA 24612
Phone (276) 963-0895
Other providers in Raven, VA
- Appalachian Medical Associates LLC
- Chores and Errands Ambulance Inc
- Lucinda Clifton
- Deskins Hometown Pharmacy, Inc.
- Margaret J Gregorczyk
All providers in Raven, VA · Ophthalmology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.