Active NPI
Arunachalam M Vedhanayakam, MD
- Pediatrics Physician
- Norton, VA
National Provider Identifier
1134134539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101023719
- Practice address
- 1761 Park Ave SW
Norton, VA 24273-1626 - Phone
- (276) 325-0461
- Fax
- (276) 325-0469
- NPI assigned
- Jul 31, 2006
- Last updated
- Mar 15, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101023719 | VA | Primary |
Addresses
Primary practice location
1761 Park Ave SW
Norton, VA 24273-1626
Mailing address
1761 Park Ave SW
Norton, VA 24273
Phone (276) 325-0461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101023719 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J T Potter Jr MD PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Norton, VA
- NPI 1689818478
-
- Pediatric Adolescent Medicine Physician
- Norton, VA
- NPI 1841216496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363305600000",
"number": "1134134539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1761 PARK AVE SW",
"city": "NORTON",
"state": "VA",
"postal_code": "24273",
"telephone_number": "276-325-0461",
"fax_number": "276-325-0469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1761 PARK AVE SW",
"city": "NORTON",
"state": "VA",
"postal_code": "242731626",
"telephone_number": "276-325-0461",
"fax_number": "276-325-0469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEDHANAYAKAM",
"first_name": "ARUNACHALAM",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2013-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101023719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.