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DOMINION HEALTH MEDICAL ASSOC
NPI 1487476628
Radiology - Diagnostic Radiology in South Boston, VA

Active since October 29, 2024
2204 WILBORN AVE, SOUTH BOSTON, VA 24592(434) 517-3403(434) 517-3686 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dominion Health Medical Assoc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINION HEALTH MEDICAL ASSOC (NPI 1487476628), doing business as Sentara Imaging Services, is a healthcare organization registered as a diagnostic radiology in South Boston, Virginia and active in the NPI registry since October 2024. The organization lists Doris Prince, Director, as its authorized official.

NPPES Registry Identity

NPI1487476628
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameDOMINION HEALTH MEDICAL ASSOC
Location Address2204 WILBORN AVESouth Boston, VA 24592-1645
Mailing Address2204 Wilborn AveSouth Boston, VA 24592-1645 · (434) 517-3403 · Fax (434) 517-3686
Phone(434) 517-3403
Fax(434) 517-3686
Organization SubpartNo
Authorized OfficialDoris PrinceDirector · (757) 983-5475
Enumeration DateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1487476628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

2204 WILBORN AVE, South Boston, VA 24592
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Other Names 1

Doing Business AsSentara Imaging Services

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HALIFAX REGIONAL HOSPITAL, INC
Skilled Nursing Facility
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3100
HECTOR MARQUEZ M.D.
Anesthesiology
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3139
DR. MING Y. LIU M.D.
Anesthesiology
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3100
REBECCA MAE KIRSCH DO
Emergency Medicine
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3590
GREGORY ALAN SHUFORD MD
Anesthesiology
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3100
ELMER C SAN PEDRO MD
Radiology (Diagnostic Radiology)
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3187
LISA CAUDLE RD
Dietitian, Registered
2204 WILBORN AVE
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3435
BRYAN R MULLIN MD
Pathology (Anatomic Pathology)
2204 WILBORN AVE, HALIFAX REGIONAL MEDICAL CENTER
SOUTH BOSTON, VA 24592
Halifax County (434) 517-3229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominion Health Medical Assoc's NPI number?

The NPI number for Dominion Health Medical Assoc is 1487476628. It was assigned to this organization in the NPPES registry on October 29, 2024.

Where is Dominion Health Medical Assoc located?

Dominion Health Medical Assoc is located at 2204 Wilborn Ave, South Boston, VA 24592. The listed phone number is (434) 517-3403.

What is Dominion Health Medical Assoc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Dominion Health Medical Assoc was last updated on October 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.