Josephine S Bohannon, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

VA0101039186 Issued in VA

Practice address

2306 Robious Station Circle
Midlothian, VA 23113

Phone

(804) 378-3048

Fax

(804) 379-5167

NPI assigned

Sep 16, 2006

Last updated

Aug 29, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Josephine S Bohannon

  dba Midlothian Dermatology

  • Dermatology Physician
  • Midlothian, VA
  • NPI 1750487716
  Authorized official Same address or phone
• Rva Skin Well PLLC

  dba Midlothian Dermatology

  • Dermatology Physician
  • Midlothian, VA
  • NPI 1578204111
  NPD (past)

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1497851356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23113",
            "telephone_number": "804-378-5010",
            "fax_number": "804-378-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 ROBIOUS STATION CIRCLE",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23113",
            "telephone_number": "804-378-3048",
            "fax_number": "804-379-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHANNON",
        "first_name": "JOSEPHINE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "VA0101039186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BS",
            "identifier": "098270",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Taylor Boe, RBT
• Taylor Boehm, NONE
• Kerrie Bogaz, LCSW
• Andrew Miller Ibrahim Bogle, M.D.
• Amy Nicole Bohannon
• Rebekah Bolden, DPT
• Bon Secours
• Bon Secours - St Francis Medical Center, Inc (The Bon Secours Program for Diabetes Health - St Francis Medical Cente)
• Bon Secours Medical Group Richmond Specialty Care LLC (Bon Secours Orthopedic Specialists)
• Bon Secours St Francis Medical Center Inc. (Bon Secours St. Francis Medical Center Cardiopulmonary Rehab)

• Dermatology Physician in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.