Allison S McInnis, PA
Individual provider Active NPI Physician Assistant · Quinton, VA
NPI 1053418384 · NPPES record last updated Oct 1, 2010
Key facts
- NPI
- 1053418384
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110002145 (VA)
- Practice address
- 1850 Pocahontas Trail
Quinton, VA 23141-0007 - Phone
- (804) 932-4388
- Fax
- (804) 932-9860
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 20
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Bon Secours Medical Group Richmond Specialty Care LLC
Professional Therapies of Roanoke, Inc.
Practice addresses (Care Compare)
1501 Maple Ave
Richmond, VA 23226-2553
1510 N 28TH St
Richmond, VA 23223-5311
3400 Haydenpark LN
Henrico, VA 23233-7867
Phone (804) 285-2300
5801 Bremo Rd
Richmond, VA 23226-1907
Phone (804) 764-6000
6800 Woodlake Commons Loop
Midlothian, VA 23112-2281
Phone (804) 302-4589
Hospital & facility affiliations
- Bon Secours St Marys Hospital
- Bon Secours Memorial Regional Medical Center
- Bon Secours St Francis Medical Center
- Bon Secours Southside Medical Center
- Sheltering Arms Institute
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070403000371 | VA | Practitioner - Physician Assistant | 6103928155 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Richmond Specialty Care LLC | Current |
Accepting new patients | |
| Tuckahoe Orthopaedic Associates, LTD | Current |
Accepting new patients | |
| Bon Secours Medical Group Richmond Specialty Care LLC | Current |
Accepting new patients | |
| Chickahominy Family | Past | Accepting new patients |
Locations
3400 Haydenpark Ln
Ste 100
Henrico, VA 23233
1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304
1501 Maple Ave
Ste 200NW
Richmond, VA 23226
1501 Maple Ave
Ste 101A
Richmond, VA 23226
Phone 80428523001191
Interoperability endpoints
- amcinnis1153634@direct.bsmhealth.org
- allisonmcinnis@toa.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 0110002145 | VA | Yes |
Addresses
Primary practice location
1850 Pocahontas Trail
Quinton, VA 23141-0007
Mailing address
4630 S Laburnum Ave
Suite B
Richmond, VA 23231-2424
Phone (804) 222-5511
Other names
- Ms. Allison Smith
Other providers in Quinton, VA
- Jacqueline M Kowal
- Loan H Lieu
- Little Sisters of St Francis
- Candace Loucks
- Carl William McCrady
- Andrew James Merrick
- Joseph Moore
- Margaret Mountcastle
- New Kent Dental Care
- New Kent Direct Care LLC
All providers in Quinton, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.