NPIMap

Individual provider Active NPI

Archer Lewis Baskerville, MD

  • Cardiovascular Disease Physician
  • Mechanicsville, VA
National Provider Identifier
1285611335
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101029908 Issued in VA
Practice address
8243 Meadowbridge Rd
Mechanicsville, VA 23116-2329
Phone
(804) 730-1481
Fax
(804) 730-8464
NPI assigned
Dec 29, 2005
Last updated
Oct 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101029908 VA Primary

Addresses

Primary practice location

8243 Meadowbridge Rd
Mechanicsville, VA 23116-2329

Mailing address

8243 Meadowbridge Rd
Mechanicsville, VA 23116-2329
Phone (804) 730-1481

Other identifiers 2

IdentifierTypeStateIssuer
006093582MedicaidVA
C06115OtherVAGROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110427000209 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5597767186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Virginia Commonwealth University, School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians

Practice addresses (Care Compare)

668 Hospital Rd
Suite 300
Tappahannock, VA 22560-5000
Phone (804) 443-6245

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101029908VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon J Harris East End Community Health Center Current Accepting new patients
MCV Associated Physicians CurrentSince Mar 1, 2021 Accepting new patients
Vernon J Harris East End Community Health Center CurrentSince Jul 7, 2024 Accepting new patients
Bon Secours Memorial Regional Medical Center Past Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Cardiovascular Disease Past Accepting new patients
Vernon J Harris East End Community Health Center Past Accepting new patients

Locations

2809 North Ave
Richmond, VA 23222
Phone (804) 321-2403

2809 North Ave
Ste 206
Richmond, VA 23222
Phone (804) 525-1818

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

719 N 25th St
Richmond, VA 23223
Phone (804) 253-1969

668 Hospital Rd
Ste 300
Tappahannock, VA 22560
Phone (804) 443-6245

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EJBDAA

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1285611335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8243 MEADOWBRIDGE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162329",
            "telephone_number": "804-730-1481",
            "fax_number": "804-730-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8243 MEADOWBRIDGE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162329",
            "telephone_number": "804-730-1481",
            "fax_number": "804-730-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKERVILLE",
        "first_name": "ARCHER",
        "middle_name": "LEWIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101029908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006093582",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06115",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.