Organization Active NPI

Richmond Medical Services PLLC

  • Neurology Physician
  • Yorktown, VA
National Provider Identifier
1104542281
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1184891277MedicaidVA

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.