Active NPI
Chadwick Steendam, PA-C
- Physician Assistant
- Richmond, VA
National Provider Identifier
1003393737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110008322
- Practice address
- 5805 Staples Mill Rd
Richmond, VA 23228-5427 - Phone
- (804) 913-2262
- Fax
- (804) 336-0420
- NPI assigned
- Jul 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0005244 | CO | |
| Medical Physician Assistant | 363AM0700X | PA.0005244 | CO | |
| Physician Assistant | 363A00000X | 0110008322 | VA | Primary |
Addresses
Primary practice location
5805 Staples Mill Rd
Richmond, VA 23228-5427
Mailing address
5805 Staples Mill Rd
Richmond, VA 23228-5427
Phone (804) 913-2262
Other practice location 1
1250 E Marshall St Fl 7
Richmond, VA 23298-5023
Phone (804) 828-4987
Other practice location 2
13123 E 16th Ave
Aurora, CO 80045-7106
Phone (804) 678-9896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110008322 | VA | MD | Physician Assistant |
| PA.0005244 | CO | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1003393737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5805 STAPLES MILL RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232285427",
"telephone_number": "804-913-2262",
"fax_number": "804-336-0420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5805 STAPLES MILL RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232285427",
"telephone_number": "804-913-2262",
"fax_number": "804-336-0420"
}
],
"practiceLocations": [
{
"address_1": "1250 E Marshall St Fl 7",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985023",
"country_code": "US",
"telephone_number": "804-828-4987",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13123 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800457106",
"country_code": "US",
"telephone_number": "804-678-9896",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEENDAM",
"first_name": "CHADWICK",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-25",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0005244",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "PA.0005244",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110008322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.