Precise Telehealth Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PRECISE TELEHEALTH INC

Doing business as

Precise Telehealth of Virginia

Practice address

5306 Old Virginia Street
Urbanna, VA 23175

Phone

(203) 524-9871

Fax

(678) 609-1300

NPI assigned

Aug 1, 2019

Last updated

Mar 10, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

PRECISE TELEHEALTH INCAs reported in NPPES

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

Authorized official

Name

Michael Kerouac

Title

President

Phone

(203) 524-9871

Specialties & licenses 2

Addresses

Other names 1

• Precise Telehealth of Virginia Doing business as

Part of

Precise Telehealth Inc

Locations

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1306490883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W. PADONIA RD",
            "address_2": "STE C241",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "203-524-9871",
            "fax_number": "678-609-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5306 OLD VIRGINIA STREET",
            "city": "URBANNA",
            "state": "VA",
            "postal_code": "23175",
            "telephone_number": "203-524-9871",
            "fax_number": "678-609-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE TELEHEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRECISE TELEHEALTH INC",
        "enumeration_date": "2019-08-01",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "KEROUAC",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-524-9871"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precise Telehealth of Virginia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Precise Telehealth of Virginia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phyllis Denise Nickens
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• Katharine W Phillips, QMHP
• Tiffany Anne Pittman, B.S.
• Kallen Prior
• Kristine Quam
• Glenda Raptis, OTR/L
• Tiffany Robins, RN
• James Robert Robusto, MD,MBA,FAAFP

• General Practice Physician in Urbanna, VA
• Providers in Urbanna, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.