Active NPI
Retreat Surgical Associates LLC
- Surgery Physician
- Richmond, VA
National Provider Identifier
1285721035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- RETREAT SURGICAL ASSOCIATES LLC
- Practice address
- 101 Corwardin Ave
Suite 201
Richmond, VA 23224 - Phone
- (804) 230-4116
- Fax
- (804) 230-4355
- NPI assigned
- Oct 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol Smith
- Title
- VP
- Phone
- (804) 237-7760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
101 Corwardin Ave
Suite 201
Richmond, VA 23224
Mailing address
101 Corwardin Ave
Suite 201
Richmond, VA 23224
Phone (804) 230-4116
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285721035 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
101 Cowardin Ave
Ste 201
Richmond, VA 23224
Phone (804) 230-4116
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": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194825600000",
"number": "1285721035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CORWARDIN AVE",
"address_2": "SUITE 201",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23224",
"telephone_number": "804-230-4116",
"fax_number": "804-230-4355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CORWARDIN AVE",
"address_2": "SUITE 201",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23224",
"telephone_number": "804-230-4116",
"fax_number": "804-230-4355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RETREAT SURGICAL ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2007-11-12",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "804-237-7760"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285721035",
"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 Nov 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.