Organization Active NPI

Internal Medicine Associates of Virginia, LTD

  • Internal Medicine Physician
  • Richmond, VA
National Provider Identifier
1053423145
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INTERNAL MEDICINE ASSOCIATES OF VIRGINIA, LTD
Practice address
7603 Forest Ave
Suite 306
Richmond, VA 23229-4942
Phone
(804) 282-2580
Fax
(804) 285-4823
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Mrs. Judy L Cole
Title
Administrator
Phone
(804) 285-5882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7603 Forest Ave
Suite 306
Richmond, VA 23229-4942

Mailing address

7603 Forest Ave
Suite 306
Richmond, VA 23229-4942
Phone (804) 282-2580

Other identifiers 1

IdentifierTypeStateIssuer
025394OtherVAANTHEM BLUE CROSS PROVIDE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1053423145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7603 FOREST AVE",
            "address_2": "SUITE 306",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294942",
            "telephone_number": "804-282-2580",
            "fax_number": "804-285-4823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 FOREST AVE",
            "address_2": "SUITE 306",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294942",
            "telephone_number": "804-282-2580",
            "fax_number": "804-285-4823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF VIRGINIA, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "804-285-5882",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS PROVIDE",
            "identifier": "025394",
            "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 Aug 5, 2010; 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.