Active NPI
Jonathan B Hullett, MD
- Anesthesiology Physician
- Richmond, VA
National Provider Identifier
1023225265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 0101250897
- Practice address
- 1602 Skipwith Rd
Richmond, VA 23229-5205 - Phone
- (804) 289-4937
- NPI assigned
- May 17, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | TL30213 | SC | |
| Anesthesiology Physician | 207L00000X | 2011-01978 | NC | |
| Anesthesiology Physician | 207L00000X | 0101250897 | VA | Primary |
Addresses
Primary practice location
1602 Skipwith Rd
Richmond, VA 23229-5205
Mailing address
PO Box 17978
Richmond, VA 23226-7978
Phone (804) 289-4937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL30213 | SC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Anesthesiology of Virginia, PC | Anesthesiology | Current | Accepting new patients |
| American Anesthesiology of Virginia PC | Anesthesiology | Current | Accepting new patients |
Locations
19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950
7640 E Parham Rd
Richmond, VA 23294
Phone (804) 285-4763
1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Falls Church, VA
- NPI 1417994872
-
- Anesthesiology Physician
- Leesburg, VA
- NPI 1053675199
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406246400000",
"number": "1023225265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17978",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232267978",
"telephone_number": "804-289-4937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 SKIPWITH RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232295205",
"telephone_number": "804-289-4937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULLETT",
"first_name": "JONATHAN",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2014-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SC",
"license": "TL30213",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NC",
"license": "2011-01978",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "VA",
"license": "0101250897",
"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 Jul 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.