POTOMAC VASCULAR SURGERY
NPI 1093075319
Surgery - Vascular Surgery in Woodbridge, VA

NPI Status: Active since May 21, 2012

Contact Information

2296 OPITZ BLVD
STE 260A
WOODBRIDGE, VA
ZIP 22191
Phone: (540) 657-8180

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Surgery
Vascular Surgery

About POTOMAC VASCULAR SURGERY

This page provides the complete NPI Profile along with additional information for Potomac Vascular Surgery, a provider established in Woodbridge, Virginia operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1093075319 assigned on May 2012. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Potomac Vascular Surgery. The authorized official of this NPI record is Mrs. Cindy A Taylor (Manager)

NPI: 1093075319
Provider Legal Name: SENTARA MEDICAL GROUP
Other Organization Name: POTOMAC VASCULAR SURGERY
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 2296 OPITZ BLVD STE 260A WOODBRIDGE, VA 22191
Location Phone: (540) 657-8180
Mailing Address: 2296 OPITZ BLVD STE 260A WOODBRIDGE, VA 22191
Mailing Phone: (540) 657-8180
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 05-21-2012
Last Update Date: 05-21-2012
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Surgery Vascular Surgery
Taxonomy Code: 2086S0129X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MRS. CINDY A TAYLOR
Authorized Official Title: MANAGER
Authorized Official Phone: (757) 252-3344

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
C02033	OTHER (01)	VA	MEDICARE GROUP NUMBER

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	9	3	0	7	5	3	1	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	18	3	0	7	10	3	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 0 + 7 + 1 + 0 + 3 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 9									9

The NPI number 1093075319 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

DR. PRATIK S DESAI M.D.

Urology

2296 OPITZ BLVD
SUITE 350
WOODBRIDGE, VA
ZIP 22191

About POTOMAC VASCULAR SURGERY

Location Map

Specialty - Primary Taxonomy

Surgery Vascular Surgery

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

Insurance Plans Accepted

Medicare

Medicaid

Authorized Official

MRS. CINDY A TAYLOR

Additional Identifiers

Reviews for POTOMAC VASCULAR SURGERY

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is SENTARA MEDICAL GROUP's NPI number?

Where is the provider located?

What is the provider's specialty?

What insurance does SENTARA MEDICAL GROUP accept?