Individual provider Active NPI

Sean M McAvoy, MD

  • Spinal Cord Injury Medicine Physician
  • Richmond, VA
National Provider Identifier
1144540261
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X
License
0101259517 Issued in VA
Practice address
1201 Broad Rock Blvd
Hunter Holmes McGuire Medical Center: Spinal Cord Injur
Richmond, VA 23249
Phone
(410) 925-8145
NPI assigned
Jun 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 0101259517 VA
Spinal Cord Injury Medicine Physician 2081P0004X 0101259517 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X 0116022535 VA

Addresses

Primary practice location

1201 Broad Rock Blvd
Hunter Holmes McGuire Medical Center: Spinal Cord Injur
Richmond, VA 23249

Mailing address

1201 Broad Rock Blvd
Hunter Holmes McGuire Medical Center: Spinal Cord Injur
Richmond, VA 23249
Phone (410) 925-8145

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

LicenseStateTypeSpecialty
0101259517VAMDPhysical Medicine & Rehabilitation Physician
0116022535VAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1144540261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "address_2": "HUNTER HOLMES MCGUIRE MEDICAL CENTER: SPINAL CORD INJUR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23249",
            "telephone_number": "410-925-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "address_2": "HUNTER HOLMES MCGUIRE MEDICAL CENTER: SPINAL CORD INJUR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23249",
            "telephone_number": "410-925-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAVOY",
        "first_name": "SEAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-11",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101259517",
            "primary": false
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "VA",
            "license": "0101259517",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0116022535",
            "primary": false
        }
    ],
    "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 Jul 18, 2016; 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.