NPIMap

Organization Active NPI

Virginia Em-I Medical Services, PC

  • Emergency Medicine Physician
  • Petersburg, VA
National Provider Identifier
1447201744
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
VIRGINIA EM-I MEDICAL SERVICES, PC
Practice address
801 S Adams St
Petersburg, VA 23803-5149
Phone
(804) 862-5680
Fax
(804) 862-5698
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Boyd R. Wickizer, MDNPI 1750330353
Title
Medical Director
Phone
(804) 862-5680

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

801 S Adams St
Petersburg, VA 23803-5149

Mailing address

100 Witmer Rd
Suite 220
Horsham, PA 19044-2211
Phone (215) 442-5021

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 57

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 57

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1447201744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WITMER RD",
            "address_2": "SUITE 220",
            "city": "HORSHAM",
            "state": "PA",
            "postal_code": "190442211",
            "telephone_number": "215-442-5021",
            "fax_number": "215-957-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S ADAMS ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035149",
            "telephone_number": "804-862-5680",
            "fax_number": "804-862-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA EM-I MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WICKIZER",
        "authorized_official_first_name": "BOYD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "804-862-5680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.