Active NPI
Professional Emergency Care, PC
- Emergency Medicine Physician
- Richmond, VA
National Provider Identifier
1114199650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- PROFESSIONAL EMERGENCY CARE, PC
- Practice address
- 1500 N 28TH St
Richmond, VA 23223-5332 - Phone
- (804) 225-1780
- Fax
- (804) 225-1705
- NPI assigned
- Mar 25, 2008
- 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
- Tommi A. White
- Title
- Ceo
- Phone
- (734) 632-0175
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
1500 N 28TH St
Richmond, VA 23223-5332
Mailing address
2987 Momentum PL
Chicago, IL 60689-5329
Phone (734) 805-0477
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114199650 | Other | VA | ANTHEM BC |
| 1114199650 | Medicaid | VA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331510400000",
"number": "1114199650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2987 MOMENTUM PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606895329",
"telephone_number": "734-805-0477",
"fax_number": "866-250-6385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 N 28TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232235332",
"telephone_number": "804-225-1780",
"fax_number": "804-225-1705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL EMERGENCY CARE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-25",
"last_updated": "2012-03-12",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "TOMMI",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "734-632-0175"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC",
"identifier": "1114199650",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114199650",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
- Proceed Therapy LLC
- Levi David Procter, M.D.
- Darlene Frances Proctor, RN
- Melissa Sue Proctor, LCSW
- Professional Choice Staffing
- Professional Healthcare Resources of Richmond, Inc.
- Professional Mental Health Educational Consultants, LLC
- Professional Nurses, Inc
- Professional Pharmacy South
- Professional Therapies of Roanoke, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.