Organization Active NPI

Alfredo S. Sison Jr MD LLC

  • Specialist
  • Richmond, VA
National Provider Identifier
1013259563
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101058391 Issued in VA
Legal business name
ALFREDO S. SISON JR MD LLC
Practice address
110 N Robinson St Ste 200
Richmond, VA 23220-4460
Phone
(804) 379-2000
NPI assigned
Mar 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alfredo S Sison Jr., MD
Title
Manager
Phone
(804) 379-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101058391 VA Primary

Addresses

Primary practice location

110 N Robinson St Ste 200
Richmond, VA 23220-4460

Mailing address

2601 Radnor PL
Midlothian, VA 23113-6496
Phone (804) 379-2000

Other identifiers 3

IdentifierTypeStateIssuer
118318OtherVABCBS
G83949OtherUPIN
007114982MedicaidVA

National Provider Directory

National Provider Directory

Locations

110 N Robinson St
Ste 100
Richmond, VA 23220
Phone (804) 254-5300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1013259563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 RADNOR PL",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136496",
            "telephone_number": "804-379-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N ROBINSON ST STE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232204460",
            "telephone_number": "804-379-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFREDO S. SISON JR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "SISON",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "804-379-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101058391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "118318",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "G83949",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007114982",
            "state": "VA"
        }
    ],
    "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 Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.