NPIMap

Organization Active NPI

Virginia Em-I Medical Services, PC

  • Emergency Medicine Physician
  • Petersburg, VA
National Provider Identifier
1477592608
Registry record updated Aug 22, 2020
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
NPI assigned
Jun 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

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

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

2904 Leatherwood Way
Midlothian, VA 23113-1413
Phone (804) 378-6003

National Provider Directory

National Provider Directory
Tax ID family
Virgina Em-I Medical Services PC4 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477592608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 LEATHERWOOD WAY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231131413",
            "telephone_number": "804-378-6003"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA EM-I MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-08-22",
        "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 Aug 22, 2020; 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.