Provider Demographics
NPI:1780841692
Name:WINCHESTER CARDIOLOGY AND VASCULAR MEDICINE, PC
Entity Type:Organization
Organization Name:WINCHESTER CARDIOLOGY AND VASCULAR MEDICINE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TRISHA
Authorized Official - Middle Name:B
Authorized Official - Last Name:NASHED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-662-0306
Mailing Address - Street 1:190 CAMPUS BLVD
Mailing Address - Street 2:STE. 201
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2872
Mailing Address - Country:US
Mailing Address - Phone:540-662-0306
Mailing Address - Fax:
Practice Address - Street 1:190 CAMPUS BLVD
Practice Address - Street 2:STE. 201
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2872
Practice Address - Country:US
Practice Address - Phone:540-662-0306
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810012649Medicaid
VA1780841692Medicaid
VADO0908OtherMEDICARE RR
WVDT6545OtherMEDICARE RR
VADO0908OtherMEDICARE RR
VAGC1034Medicare PIN