Raymond Vergne, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101045676 Issued in VA

Practice address

3301 Woodburn Rd Ste 301
Annandale, VA 22003-1294

Phone

(703) 204-9301

NPI assigned

Aug 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fairfax Radiological Consultants

  • Specialist
  • Falls Church, VA
  • NPI 1114902509
  NPD (past)
• Inova Alexandria Hospital

  dba Alexandria Ekg Readers

  • Cardiovascular Disease Physician
  • Alexandria, VA
  • NPI 1457538191
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609888247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN RD STE 301",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031294",
            "telephone_number": "703-204-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 WOODBURN RD STE 301",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031294",
            "telephone_number": "703-204-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGNE",
        "first_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101045676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6052321",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Velasquez, FNP-BC
• Jiselle Amy Velazquez, OTR/L
• Sara Veley, M.S. OTR/L
• Srikrishna Vemana, M.D.
• Benjamin Robert Vena, CNMT, RT(N)
• Viana Healthcare Services Inc
• Luisa Villatoro Benitez, DNP, FNP-BC
• Olmedo Ivan Villavicencio, D.D.S.
• Rubeena Vincent, FNP-C
• Virginia CVS Pharmacy, L.L.C. (CVS Pharmacy #01383)

• Specialist in Annandale, VA
• Providers in Annandale, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.