Medi Slim

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDI SLIM

Practice address

4908 Dominion Blvd
Glen Allen, VA 23060-6774

Phone

(804) 393-7538

NPI assigned

Apr 16, 2026

Organization subpart

No

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

Authorized official

Name

Kwan Wongvian

Title

Owner

Phone

(804) 393-7538

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tong Wu, MD

  • Internal Medicine Physician
  • Salem, MA
  • NPI 1750837712

  VA

  Medicare reassignment NPD

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

{
    "created_epoch": "1776297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1164366563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13604 SOVEREIGN CT",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232337625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4908 DOMINION BLVD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606774",
            "telephone_number": "804-393-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI SLIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-16",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "WONGVIAN",
        "authorized_official_first_name": "KWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-393-7538"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynn McNicol, FNP
• Hadley Michelle McPherson, MD
• Kathryn Marie Meadows
• Martha A. Meadows
• Allison Marie Mears, LPC
• Medicare Advantage Tech LLC
• Mediconnector Transportation Service
• Mediko, PC
• Meditelecare of Virginia, LLC
• Medscope America Corporation

• Internal Medicine Physician in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.