David Paul Gosselin, MD – Pediatrics Physician

Key facts

NPI: 1477667293
Entity type: Individual (NPI type 1)
Primary specialty: Pediatrics Physician 208000000X
License: 0101-230617 (VA)
Practice address: 7347 Bell Creek Rd
Suite 100
Mechanicsville, VA 23111-3504
Phone: (804) 559-9430
Fax: (804) 559-2037
NPI assigned: Aug 18, 2006
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Richmond Pediatric Associates, Inc. Pediatrics Physician · Richmond, VA · NPI 1689788390

NPD (past) PEDIATRICS

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
0101-230617	VA	MD	Pediatrics Physician

Practice roles

Organization	Specialty	Status	New patients
Richmond Pediatric Associates, Inc.	Pediatrics	Past since Mar 23, 2021	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician	208000000X	0101-230617	VA	Yes

Addresses

Primary practice location

7347 Bell Creek Rd
Suite 100
Mechanicsville, VA 23111-3504

Mailing address

9900 Independence Park Dr
Suite 100
Richmond, VA 23233-1473
Phone (804) 747-1855

Other identifiers

Identifier	Type	State	Issuer
6719937	Medicaid	VA
297208	Other		SOUTHERN HEALTH
107373	Other		ANTHEM - HANOVER COUNTY
6714633	Medicaid	VA
9472605	Other		CIGNA
179107	Other		ANTHEM - HENRICO COUNTY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2007.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477667293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 INDEPENDENCE PARK DR",
            "address_2": "SUITE 100",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331473",
            "telephone_number": "804-747-1855",
            "fax_number": "804-762-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7347 BELL CREEK RD",
            "address_2": "SUITE 100",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113504",
            "telephone_number": "804-559-9430",
            "fax_number": "804-559-2037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSELIN",
        "first_name": "DAVID",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101-230617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6719937",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "297208",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - HANOVER COUNTY",
            "identifier": "107373",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6714633",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9472605",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - HENRICO COUNTY",
            "identifier": "179107",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

All providers in Mechanicsville, VA · Pediatrics Physician in Virginia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.