Organization Active NPI

Hillelson-Whipple Clinic Dba American Self

  • Plastic Surgery Physician
  • Henrico, VA
National Provider Identifier
1083776363
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101034668 Issued in VA
Legal business name
HILLELSON-WHIPPLE CLINIC DBA AMERICAN SELF
Practice address
9930 Independence Park Dr Ste 101
Henrico, VA 23233
Phone
(804) 290-0060
Fax
(804) 290-0206
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Authorized official

Name
Dr. Ruth L Hillelson, MD FACSNPI 1376583880
Title
Physician/Partner
Phone
(804) 290-0060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 0101021093 VA
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X 0101034668 VA Primary

Addresses

Primary practice location

9930 Independence Park Dr Ste 101
Henrico, VA 23233

Mailing address

9930 Independence Park Dr Ste 101
Henrico, VA 23233-1475
Phone (804) 290-0060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071219000784 VA Part B Supplier - Clinic/Group Practice 7113017716 Receives reassigned benefits from 2 practitioners
Practice locations: Henrico, VA

National Provider Directory

National Provider Directory

Locations

3407 Old Parham Rd
Richmond, VA 23294
Phone (804) 282-8568

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1083776363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9930 INDEPENDENCE PARK DR STE 101",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331475",
            "telephone_number": "804-290-0060",
            "fax_number": "804-290-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 INDEPENDENCE PARK DR STE 101",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "23233",
            "telephone_number": "804-290-0060",
            "fax_number": "804-290-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLELSON-WHIPPLE CLINIC DBA AMERICAN SELF",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "HILLELSON",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN/PARTNER",
        "authorized_official_telephone_number": "804-290-0060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD FACS"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101021093",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101034668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.