Executive Health Group, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101057853 Issued in VA

Legal business name

EXECUTIVE HEALTH GROUP, PC

Doing business as

Executive Health Group

Practice address

7101 Jahnke Rd
Suite 550-a
Richmond, VA 23225-4017

Phone

(804) 560-3295

Fax

(804) 560-9577

NPI assigned

Jul 31, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John Rand Baggesen, MDNPI 1417932641

Title

President & Ceo

Phone

(804) 338-5157

Specialties & licenses 1

Addresses

Other names 1

• Executive Health Group Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Rand Baggesen, MD

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1417932641
  Medicare reassignment NPD Authorized official
• Christine D Allan, MD

  • Family Medicine Physician
  • Richmond, VA
  • NPI 1376582213
  Medicare reassignment NPD
• Amy C McConnell Norman, MD

  • Internal Medicine Physician
  • Richmond, VA
  • NPI 1134171143
  Medicare reassignment NPD
• Brian S Neely, MD

  • Family Medicine Physician
  • Midlothian, VA
  • NPI 1760479257
  Medicare reassignment NPD
• Hayden Merrill Pasco, M.D.

  • Family Medicine Physician
  • Midlothian, VA
  • NPI 1578724274
  Medicare reassignment NPD
• Jonathan T Schaaf, MD

  • Family Medicine Physician
  • Charlottesville, VA
  • NPI 1033401294
  Medicare reassignment NPD

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

{
    "created_epoch": "1312070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312070400000",
    "number": "1033497649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 JAHNKE RD",
            "address_2": "SUITE 550-A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254017",
            "telephone_number": "804-560-3295",
            "fax_number": "804-560-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 JAHNKE RD",
            "address_2": "SUITE 550-A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254017",
            "telephone_number": "804-560-3295",
            "fax_number": "804-560-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE HEALTH GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-31",
        "last_updated": "2011-07-31",
        "status": "A",
        "authorized_official_last_name": "BAGGESEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RAND",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "804-338-5157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101057853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Executive Health Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• David Ewell Jr.
• Colleen A Ewing, PH.D.
• Edward Ewing, D.O.
• William J Ewing
• Exodus Transport, LLC
• Exovian Inc
• Exovian Inc
• Exovian Inc
• Exovian Inc

• Family Medicine Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.