Active NPI
Richmond Medical Services PLLC
- Neurology Physician
- Yorktown, VA
National Provider Identifier
1104542281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- RICHMOND MEDICAL SERVICES PLLC
- Practice address
- 5007C Victory Blvd Ste 372
Yorktown, VA 23693-5601 - Phone
- (202) 904-3536
- NPI assigned
- Oct 19, 2022
- Last updated
- Oct 19, 2022
- 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
- Yaisa Goodwin
- Title
- Credentialing Consultant
- Phone
- (757) 339-8798
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | NU | Primary |
Addresses
Primary practice location
5007C Victory Blvd Ste 372
Yorktown, VA 23693-5601
Mailing address
5007C Victory Blvd Ste 372
Yorktown, VA 23693-5601
Phone (202) 904-3536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184891277 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
5007C Victory Blvd
Yorktown, VA 23693
Phone (202) 904-3536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666137600000",
"number": "1104542281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5007C VICTORY BLVD STE 372",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236935601",
"telephone_number": "202-904-3536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5007C VICTORY BLVD STE 372",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236935601",
"telephone_number": "202-904-3536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHMOND MEDICAL SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-19",
"last_updated": "2022-10-19",
"certification_date": "2022-10-12",
"status": "A",
"authorized_official_last_name": "GOODWIN",
"authorized_official_first_name": "YAISA",
"authorized_official_title_or_position": "CREDENTIALING CONSULTANT",
"authorized_official_telephone_number": "757-339-8798"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1184891277",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yorktown, VA
- Regency SNF LLC (Regency Health & Rehabilitation Center)
- Khalin Alexander Reid
- Restored Life Wellness Center, PLLC
- Results Therapy Inc.
- Allison J Revere
- Sharon Riehle-Biscan, LPC
- Stephanie Rigney, LPC
- Anna Katherina Ristow, LAT, ATC
- William V Ritchey, PSYD
- Riverside Physician Services Inc (Riverside Pain Medicine and Rehab Specialists)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.