Virginia Interventional Pain and Spine LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

VIRGINIA INTERVENTIONAL PAIN AND SPINE LLC

Practice address

601 Old Wagner Rd
Petersburg, VA 23805-9313

Phone

(607) 425-1810

NPI assigned

Jul 17, 2020

Last updated

Jul 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Saeed Anwar, MDNPI 1518939594

Title

Owner

Phone

(607) 425-1810

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Saeed Anwar, MD

  • Anesthesiology Physician
  • Petersburg, VA
  • NPI 1518939594
  Medicare reassignment NPD Authorized official
• Kimone Latoya Johns, DNP, FNP-BC, PMHNP-B

  • Psychiatric/Mental Health Nurse Practitioner
  • North Chesterfield, VA
  • NPI 1982277117
  Medicare reassignment NPD

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1629686449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 SWANEE MILL TRCE",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230594858",
            "telephone_number": "607-425-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 OLD WAGNER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059313",
            "telephone_number": "607-425-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA INTERVENTIONAL PAIN AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "ANWAR",
        "authorized_official_first_name": "SAEED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-425-1810",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANESTHESIOLOGY",
            "identifier": "0101251701",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Anesthesiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.