Organization Active NPI

Pulmonary Associates of Richmond Inc

  • Specialist
  • Richmond, VA
National Provider Identifier
1144253444
Registry record updated Oct 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PULMONARY ASSOCIATES OF RICHMOND INC
Practice address
1000 Boulders Pkwy
Suite 200
Richmond, VA 23225-5545
Phone
(804) 320-4243
Fax
(804) 622-0552
NPI assigned
Jul 9, 2006
Last updated
Oct 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2022

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

Authorized official

Name
Mrs. Sandra A Southworth
Title
Administrative Assistant
Phone
(804) 591-3104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

1000 Boulders Pkwy
Suite 200
Richmond, VA 23225-5545

Mailing address

1000 Boulders Pkwy
Suite 102
Richmond, VA 23225-5545
Phone (804) 320-4243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040914001266 VA Part B Supplier - Clinic/Group Practice 8123095577 Receives reassigned benefits from 74 practitioners
Practice locations: Mechanicsville, VA; Tappahannock, VA; Richmond, VA; Prince George, VA; North Chesterfield, VA; Midlothian, VA
O20221121000714 VA Part B Supplier - Pharmacy 8123095577 Practice locations: North Chesterfield, VA
O20240702002602 FL Part B Supplier - Clinic/Group Practice 8123095577 Receives reassigned benefits from 1 practitioner
Practice locations: Treasure Island, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0983039Pulmonary Associates of Richmond Inc1000 Boulders Parkway - Suite 201, Richmond, VA 23225Certificate of waiverFeb 12, 2027

National Provider Directory

National Provider Directory

Locations

7486 Right Flank Rd
Ste 100
Mechanicsville, VA 23116

7497 Right Flank Rd
Ste 520
Mechanicsville, VA 23116
Phone (804) 559-2014

8220 Meadowbridge Rd
Ste 204
Mechanicsvlle, VA 23116
Phone (804) 559-2014

1 Park West Cir
Ste 300
Midlothian, VA 23114
Phone (804) 591-3134

13551 Waterford Pl
Midlothian, VA 23112

2354 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 288-6261

1000 Boulders Pkwy
Ste 101
North Chesterfield, VA 23225
Phone (804) 320-4341

1000 Boulders Pkwy
Ste 102
North Chesterfield, VA 23225
Phone (804) 591-3134

1000 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225
Phone (804) 601-0609

1000 Boulders Pkwy
Ste 201
North Chesterfield, VA 23225
Phone (804) 591-3134

2025 Waterside Rd
Prince George, VA 23875

1400 Westwood Ave
Ste 310
Richmond, VA 23227
Phone (804) 353-0485

1603 Santa Rosa Rd
Rm 101
Richmond, VA 23229
Phone (804) 288-2711

1603 Santa Rosa Rd
Rm 201
Richmond, VA 23229
Phone (804) 282-1373

6600 W Broad St
Ste 300
Richmond, VA 23230
Phone (804) 591-3134

7135 Jahnke Rd
Ste C
Richmond, VA 23225
Phone (804) 288-6261

7601 Forest Ave
Ste 106
Richmond, VA 23229
Phone (804) 288-2711

7650 E Parham Rd
Ste 300
Richmond, VA 23294
Phone (804) 762-9880

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664582400000",
    "number": "1144253444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOULDERS PKWY",
            "address_2": "SUITE 102",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232255545",
            "telephone_number": "804-320-4243",
            "fax_number": "804-622-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BOULDERS PKWY",
            "address_2": "SUITE 200",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232255545",
            "telephone_number": "804-320-4243",
            "fax_number": "804-622-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY ASSOCIATES OF RICHMOND INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2022-10-01",
        "certification_date": "2022-10-01",
        "status": "A",
        "authorized_official_last_name": "SOUTHWORTH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "804-591-3104",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.