Active NPI
Kevin C Harrison, DO PC
- Internal Medicine Physician
- Richmond, VA
National Provider Identifier
1396926143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0102201098
- Legal business name
- KEVIN C HARRISON, DO PC
- Practice address
- 9460 Amberdale Drive
Suite C
Richmond, VA 23236 - Phone
- (804) 276-2470
- Fax
- (804) 276-2473
- NPI assigned
- Nov 21, 2007
- Last updated
- Oct 26, 2009
- 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
- Dr. Kevin Charles Harrison, D.O.
- Title
- Physician/President
- Phone
- (804) 276-2470
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0102-032395 | VA | |
| Internal Medicine Physician | 207R00000X | 0102-201098 | VA | |
| Internal Medicine Physician | 207R00000X | 0102201098 | VA | Primary |
Addresses
Primary practice location
9460 Amberdale Drive
Suite C
Richmond, VA 23236
Mailing address
9460 Amberdale Drive
Suite C
Richmond, VA 23236
Phone (804) 276-2470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9460 Amberdale Dr
Ste C
North Chesterfield, VA 23236
Phone (804) 276-2470
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1073514238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1256515200000",
"number": "1396926143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9460 AMBERDALE DRIVE",
"address_2": "SUITE C",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23236",
"telephone_number": "804-276-2470",
"fax_number": "804-276-2473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9460 AMBERDALE DRIVE",
"address_2": "SUITE C",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23236",
"telephone_number": "804-276-2470",
"fax_number": "804-276-2473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEVIN C HARRISON, DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-21",
"last_updated": "2009-10-26",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
"authorized_official_telephone_number": "804-276-2470",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102-032395",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102-201098",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102201098",
"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 Oct 26, 2009; 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.