NPIMap

Organization Active NPI

Virginia Ear Nose & Throat Associates PC

  • Otolaryngology Physician
  • North Chesterfield, VA
National Provider Identifier
1356325757
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
VIRGINIA EAR NOSE & THROAT ASSOCIATES PC
Practice address
161 Wadsworth Dr
North Chesterfield, VA 23236-4500
Phone
(804) 484-3700
Fax
(804) 320-6462
NPI assigned
Nov 30, 2005
Last updated
Nov 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Kimberly T West
Title
Director of Revenue Cycle MGMT
Phone
(804) 484-3700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

161 Wadsworth Dr
North Chesterfield, VA 23236-4500

Mailing address

PO Box 36007
North Chesterfield, VA 23235-8000
Phone (804) 484-3700

Other identifiers 2

IdentifierTypeStateIssuer
089983OtherVAANTHEM
737597OtherVAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000578 VA Part B Supplier - Clinic/Group Practice 6901794999 Receives reassigned benefits from 35 practitioners
Practice locations: Richmond, VA; Prince George, VA; North Chesterfield, VA; Mechanicsville, VA; Midlothian, VA

National Provider Directory

National Provider Directory
Tax ID family
Virginia Ear Nose and Throat Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

7485 Right Flank Rd
Ste 21
Mechanicsville, VA 23116

113 Wadsworth Dr
North Chesterfield, VA 23236
Phone (804) 387-7452

4700 Puddledock Rd
Ste 100
Prince George, VA 23875
Phone (804) 484-3735

4700 Puddledock Rd
Prince George, VA 23875

2025 Waterside Rd
Ste 110
Prince George, VA 23875

5875 Bremo Rd
Ste 303
Richmond, VA 23226
Phone (804) 281-8303

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1356325757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36007",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232358000",
            "telephone_number": "804-484-3700",
            "fax_number": "804-320-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 WADSWORTH DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232364500",
            "telephone_number": "804-484-3700",
            "fax_number": "804-320-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA EAR NOSE & THROAT ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE MGMT",
        "authorized_official_telephone_number": "804-484-3700"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "089983",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "737597",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.