NPIMap

Organization Active NPI

MCV Associated Physicians

  • Dermatology Physician
  • Richmond, VA
National Provider Identifier
1275791105
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
MCV ASSOCIATED PHYSICIANS
Practice address
1250 E Marshall Street
Dermatology
Richmond, VA 23298-0510
Phone
(804) 828-0300
Fax
(804) 828-9596
NPI assigned
May 28, 2008
Organization subpart
Yes
Parent organization
MCV ASSOCIATED PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Authorized official

Name
Evelyn C Houchens, CPMSM CPCS
Title
Director Medical Staff Services
Phone
(804) 828-8707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X VA Primary

Addresses

Primary practice location

1250 E Marshall Street
Dermatology
Richmond, VA 23298-0510

Mailing address

PO Box 91734
Richmond, VA 23291-1734
Phone (804) 358-6100

Other identifiers 1

IdentifierTypeStateIssuer
5734371MedicaidVA

Other names 1

  • MCV Physicians Doing business as

National Provider Directory

National Provider Directory
Tax ID family
MCV Assocaites Physicia7 organizations share this tax ID, including this one
Part of
MCV Assocaites Physicia

Other organizations with this tax ID 6

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

Locations

403 N 13th St
Richmond, VA 23298
Phone (804) 828-0183

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211932800000",
    "number": "1275791105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91734",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232911734",
            "telephone_number": "804-358-6100",
            "fax_number": "804-342-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E MARSHALL STREET",
            "address_2": "DERMATOLOGY",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232980510",
            "telephone_number": "804-828-0300",
            "fax_number": "804-828-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCV ASSOCIATED PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCV ASSOCIATED PHYSICIANS",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A",
        "authorized_official_last_name": "HOUCHENS",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR MEDICAL STAFF SERVICES",
        "authorized_official_telephone_number": "804-828-8707",
        "authorized_official_credential": "CPMSM CPCS"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5734371",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCV Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 28, 2008; 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.