Active NPI
Gansevoort H Dunnington, M.D.
- Interventional Cardiology Physician
- Richmond, VA
National Provider Identifier
1740200880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 0101023860
- Practice address
- 5875 Bremo Rd
Suite 505
Richmond, VA 23226-1934 - Phone
- (804) 282-2685
- Fax
- (804) 282-0780
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 0101023860 | VA | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 010123860 | VA |
Addresses
Primary practice location
5875 Bremo Rd
Suite 505
Richmond, VA 23226-1934
Mailing address
8001 Franklin Farms Dr
Suite 130
Richmond, VA 23229-5108
Phone (804) 521-5800
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103855 | Other | VI | ANTHEM/VA HEALTHKEEPERS |
| 276348 | Other | VA | ANTHEM/VA HEALTHKEEPERS |
| 44218 | Other | VA | SENTARA HEALTH/OPTIMA |
| 56222 | Other | VA | SOUTHERN HEALTH SERVICES |
| P00226693 | Other | VA | RAILROAD MEDICARE |
| 1416688 | Other | VA | CIGNA |
| 4138009 | Other | VA | AETNA US HEALTHCARE |
| 6093558 | Medicaid | VA | |
| 27413300 | Other | VA | FEDERAL BLACK LUNG |
| 311982 | Other | VA | MAMSI |
| 272173 | Other | VA | AETNA US HEALTHCARE HMO |
| 28746 | Other | VA | ANTHEM/VA HEALTHKEEPERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010123860 | VA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours St Francis Medical Center LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404864000000",
"number": "1740200880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8001 FRANKLIN FARMS DR",
"address_2": "SUITE 130",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232295108",
"telephone_number": "804-521-5800",
"fax_number": "804-545-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5875 BREMO RD",
"address_2": "SUITE 505",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261934",
"telephone_number": "804-282-2685",
"fax_number": "804-282-0780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNNINGTON",
"first_name": "GANSEVOORT",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2014-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "VA",
"license": "0101023860",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "010123860",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM/VA HEALTHKEEPERS",
"identifier": "103855",
"state": "VI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM/VA HEALTHKEEPERS",
"identifier": "276348",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA HEALTH/OPTIMA",
"identifier": "44218",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH SERVICES",
"identifier": "56222",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00226693",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1416688",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "4138009",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6093558",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG",
"identifier": "27413300",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "311982",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE HMO",
"identifier": "272173",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM/VA HEALTHKEEPERS",
"identifier": "28746",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.