Active NPI
Kenneth Walker Necessary III, PA-C
- Physician Assistant
- Richmond, VA
National Provider Identifier
1306396593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110-005653
- Practice address
- 7101 Jahnke Rd
Richmond, VA 23225-4017 - Phone
- (540) 525-6482
- NPI assigned
- Oct 11, 2016
- Last updated
- Feb 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110-005653 | VA | Primary |
Addresses
Primary practice location
7101 Jahnke Rd
Richmond, VA 23225-4017
Mailing address
1702 Terrace View LN
Apt 202
North Chesterfield, VA 23235-4635
Phone (540) 525-6482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110-005653 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Shenandoah Memorial Hospital Inc. | Current | Accepting new patients |
Locations
240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808
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.
-
dba Valley Health Shenandoah Memorial Hospital Multispecialty Clinic
- Rural Health Clinic/Center
- Woodstock, VA
- NPI 1952417735
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
VA
-
- Rural Health Clinic/Center
- Mount Jackson, VA
- NPI 1053842468
-
- Critical Access Hospital
- Woodstock, VA
- NPI 1033166442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486080000000",
"number": "1306396593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 TERRACE VIEW LN",
"address_2": "APT 202",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232354635",
"telephone_number": "540-525-6482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7101 JAHNKE RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232254017",
"telephone_number": "540-525-6482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NECESSARY",
"first_name": "KENNETH",
"middle_name": "WALKER",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-11",
"last_updated": "2017-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110-005653",
"primary": true
}
],
"identifiers": [],
"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 Feb 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.