Provider Demographics
NPI:1184625626
Name:VIRGINIA HEART INSTITUTE LTD
Entity type:Organization
Organization Name:VIRGINIA HEART INSTITUTE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR & PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:LEWIS
Authorized Official - Last Name:BAIRD
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:804-359-9265
Mailing Address - Street 1:205 N HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23221-2601
Mailing Address - Country:US
Mailing Address - Phone:804-359-9265
Mailing Address - Fax:804-358-0317
Practice Address - Street 1:205 N HAMILTON ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23221-2601
Practice Address - Country:US
Practice Address - Phone:804-359-9265
Practice Address - Fax:804-358-0317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-09
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA73370207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC08297Medicare PIN