Active NPI
Candace Rowland Pate, MD
- Pediatrics Physician
- Richmond, VA
National Provider Identifier
1245223601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101054279
- Practice address
- 7023 Old Jahnke Rd
Richmond, VA 23225 - Phone
- (804) 320-1353
- Fax
- (804) 320-6636
- NPI assigned
- Aug 31, 2005
- Last updated
- Aug 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101054279 | VA | Primary |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 0101054279 | VA |
Addresses
Primary practice location
7023 Old Jahnke Rd
Richmond, VA 23225
Mailing address
7023 Old Jahnke Rd
Richmond, VA 23225
Phone (804) 320-1353
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6736726 | Other | VA | SENTARA |
| 6736726 | Medicaid | VA | |
| 437065 | Other | VA | ANTHEM |
| 200257 | Other | VA | SOUTHERN HEALTH |
| 3119833 | Other | VA | MAMSI |
| 6736726 | Other | VA | VIRGINIA PREMIER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Past | Accepting new patients | |
| Commonwealth Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- candacepate@cpam.allscriptsdirect.net
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1245223601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7023 OLD JAHNKE RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23225",
"telephone_number": "804-320-1353",
"fax_number": "804-320-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7023 OLD JAHNKE RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23225",
"telephone_number": "804-320-1353",
"fax_number": "804-320-6636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATE",
"first_name": "CANDACE",
"middle_name": "ROWLAND",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101054279",
"primary": true
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "VA",
"license": "0101054279",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "6736726",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6736726",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "437065",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "200257",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "3119833",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER",
"identifier": "6736726",
"state": "VA"
}
],
"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 Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.