Virginia Breast Center Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

0101045452 Issued in VA

Legal business name

VIRGINIA BREAST CENTER INC

Practice address

13700 Saint Francis Blvd
Ste 510
Midlothian, VA 23114-3267

Phone

(804) 594-3130

Fax

(804) 594-3130

NPI assigned

Dec 5, 2005

Last updated

Aug 22, 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

James V Pellicane Jr., M.D.NPI 1093704454

Title

President

Phone

(804) 594-3130

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• James V Pellicane Jr., MD, FACS

  • Surgery Physician
  • Midlothian, VA
  • NPI 1093704454
  Authorized official Same address or phone

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982688818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 SAINT FRANCIS BLVD",
            "address_2": "STE 510",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143267",
            "telephone_number": "804-594-3130",
            "fax_number": "804-594-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 SAINT FRANCIS BLVD",
            "address_2": "STE 510",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231143267",
            "telephone_number": "804-594-3130",
            "fax_number": "804-594-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA BREAST CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PELLICANE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-594-3130",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101045452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10187419",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph R Vilseck, MD
• Katherine Milan Virak, L.C.S.W.
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• Virginia Cancer Institute Incorporated (VCI Harbourside CT)
• Virginia Center for Advanced Dentistry, Brandermill LLC
• Virginia Center for Spine & Sports Therapy LLC
• Virginia Child Neurology Specialists, PC (Virginia Child Neurology Specialists)
• Virginia Counseling Associates, LLC

• Surgery Physician in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.