Heart and Vascular Institute of Virginia, Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

0101247593 Issued in VA

Legal business name

HEART AND VASCULAR INSTITUTE OF VIRGINIA, INC

Practice address

4004 Genesee PL Ste 105
Woodbridge, VA 22192-8304

Phone

(855) 739-9953

Fax

(571) 659-9445

NPI assigned

Dec 30, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Anna T Czajka, MD

Title

Sole Member/ Owner

Phone

(855) 739-9953

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1699196246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3339",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224023339",
            "telephone_number": "855-739-9953",
            "fax_number": "571-659-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 GENESEE PL STE 105",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928304",
            "telephone_number": "855-739-9953",
            "fax_number": "571-659-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART AND VASCULAR INSTITUTE OF VIRGINIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "CZAJKA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SOLE MEMBER/ OWNER",
        "authorized_official_telephone_number": "855-739-9953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101247593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.