Active NPI
Alfredo S. Sison Jr MD LLC
- Specialist
- Richmond, VA
National Provider Identifier
1013259563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101058391
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118318 | Other | VA | BCBS |
| G83949 | Other | UPIN | |
| 007114982 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
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.