Provider Demographics
NPI:1669908190
Name:HEALTHVISIONS MD INC
Entity type:Organization
Organization Name:HEALTHVISIONS MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:VERHEUL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-893-7800
Mailing Address - Street 1:1230 ALVERSER DRIVE, SUITE 100
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-4273
Mailing Address - Country:US
Mailing Address - Phone:804-893-7800
Mailing Address - Fax:804-893-7801
Practice Address - Street 1:1230 ALVERSER DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-2653
Practice Address - Country:US
Practice Address - Phone:804-423-9919
Practice Address - Fax:804-423-9917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-03
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB09692Medicare UPIN