Organization Active NPI

Emily Ashley

  • Family Medicine Physician
  • Petersburg, VA
National Provider Identifier
1215273206
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101246465 Issued in VA
Legal business name
EMILY ASHLEY
Practice address
3335 S Crater Rd
Petersburg, VA 23805-9214
Phone
(804) 765-5445
NPI assigned
Dec 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Dr. Silky Bagga, M.D.NPI 1467788406
Title
Authorized Official
Phone
(804) 439-3859

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101246465 VA Primary

Addresses

Primary practice location

3335 S Crater Rd
Petersburg, VA 23805-9214

Mailing address

104 Seven Pines Ave
Sandston, VA 23150-1600
Phone (804) 439-3859

Other identifiers 1

IdentifierTypeStateIssuer
1215273206MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130304000052 VA Part B Supplier - Clinic/Group Practice 5991950685 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
Practice locations: Richmond, VA; Petersburg, VA; Midlothian, VA; Newport News, VA; Mechanicsville, VA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Emily Ashley4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3335 S Crater Rd
Petersburg, VA 23805
Phone (804) 765-5000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1215273206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 SEVEN PINES AVE",
            "city": "SANDSTON",
            "state": "VA",
            "postal_code": "231501600",
            "telephone_number": "804-439-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059214",
            "telephone_number": "804-765-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY ASHLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "BAGGA",
        "authorized_official_first_name": "SILKY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "804-439-3859",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101246465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215273206",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.