NPIMap

Organization Active NPI

Virginia Ear Nose and Throat Associates

  • Otolaryngology Physician
  • Richmond, VA
National Provider Identifier
1104092238
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
VIRGINIA EAR NOSE AND THROAT ASSOCIATES
Practice address
5875 Bremo Rd
Suite 308
Richmond, VA 23226-1934
Phone
(804) 484-3700
Fax
(804) 320-6462
NPI assigned
May 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Kimberly T West
Title
Director of Revenue Cycle MGMT
Phone
(804) 484-3702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

5875 Bremo Rd
Suite 308
Richmond, VA 23226-1934

Mailing address

PO Box 36007
Richmond, VA 23235-8000
Phone (804) 484-3700

Other identifiers 2

IdentifierTypeStateIssuer
089983OtherVAANTHEM
737597OtherVAAETNA

National Provider Directory

National Provider Directory
Tax ID family
Virginia Ear Nose and Throat Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5875 Bremo Rd
Ste 308
Richmond, VA 23226

NPI Registry JSON

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1104092238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36007",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232358000",
            "telephone_number": "804-484-3700",
            "fax_number": "804-320-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 BREMO RD",
            "address_2": "SUITE 308",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261934",
            "telephone_number": "804-484-3700",
            "fax_number": "804-320-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA EAR NOSE AND THROAT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE MGMT",
        "authorized_official_telephone_number": "804-484-3702"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "089983",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "737597",
            "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 Nov 18, 2021; 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.