SOUTHPARK VASCULAR CENTER NPI 1962046763

NPI Information

  • NPI: 1962046763
  • Provider Name: SOUTHPARK VASCULAR CENTER
  • Classification: Internal Medicine - 207RI0011X
  • Specialization: Interventional Cardiology
  • Entity Type: Organization
  • CLIA Number: 49D2329115
  • Address: 445 CHARLES H DIMMOCK PKWY STE 101
    COLONIAL HEIGHTS, VA
    ZIP 23834
  • Phone: (804) 520-1764

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NPI Details

SOUTHPARK VASCULAR CENTER is an interventional cardiology internal medicine in Colonial Heights, VA. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. SOUTHPARK VASCULAR CENTER NPI is 1962046763. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

445 CHARLES H DIMMOCK PKWY STE 101
COLONIAL HEIGHTS, VA
ZIP 23834-990
Phone: (804) 520-1764
Fax: (866) 781-3220

The provider's authorized official is Janet Dees .
The authorized official title is President and has the following contact phone number (727) 214-0462.

The CLIA number assigned to this NPI record is 49D2329115 - ambulatory surgery center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/5/2019 and was last updated on 11/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular DiseaseNo
2207RI0011XInternal MedicineInterventional CardiologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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