Active NPI
Professional Health Care, Inc.
- Specialist
- Petersburg, VA
National Provider Identifier
1083754790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- PROFESSIONAL HEALTH CARE, INC.
- Practice address
- 849 S Sycamore St
Suite E
Petersburg, VA 23803-5801 - Phone
- (804) 732-0372
- Fax
- (804) 732-3435
- NPI assigned
- Feb 8, 2007
- 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
- Mrs. Melissia Hill
- Title
- Practice Manager
- Phone
- (804) 732-0372
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
849 S Sycamore St
Suite E
Petersburg, VA 23803-5801
Mailing address
849 S Sycamore St
Suite E
Petersburg, VA 23803-5801
Phone (804) 732-0372
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C08785 | Other | VA | MEDICARE |
National Provider Directory
National Provider DirectoryLocations
849 S Sycamore St
Ste B
Petersburg, VA 23803
Phone (804) 732-0372
24 S Adams St
Petersburg, VA 23803
Phone (804) 732-0372
849 S Sycamore St
Ste E
Petersburg, VA 23803
Phone (804) 732-0372
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Colonial Heights, VA
- NPI 1750331732
-
- Primary Care Nurse Practitioner
- Petersburg, VA
- NPI 1548490337
-
- Mental Health Counselor
- Petersburg, VA
- NPI 1922033349
-
- Family Nurse Practitioner
- Fort Eustis, VA
- NPI 1861984445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187913600000",
"number": "1083754790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "849 S SYCAMORE ST",
"address_2": "SUITE E",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238035801",
"telephone_number": "804-732-0372",
"fax_number": "804-732-3435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "849 S SYCAMORE ST",
"address_2": "SUITE E",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238035801",
"telephone_number": "804-732-0372",
"fax_number": "804-732-3435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2007-08-24",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "MELISSIA",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "804-732-0372",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "C08785",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.