Laura Susanne Phieffer, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101059025 Issued in VA

Practice address

420 Libbie Avenue
Richmond, VA 23226-2616

Phone

(804) 288-4410

Fax

(804) 288-4458

NPI assigned

Nov 30, 2006

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 3

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

Specialty

Dermatology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avenues Dermatology PLLCGroup PAC ID 1557370392, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

50 of 100Reported as individual

Quality

100

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Avenues Dermatology PLLC

  • Point of Service
  • Richmond, VA
  • NPI 1699893388
  Medicare reassignment Care Compare group NPD Authorized official
• Zinsser Plastic Surgery PC

  • Plastic Surgery Physician
  • Richmond, VA
  • NPI 1407975444
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1508934423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LIBBIE AVENUE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262616",
            "telephone_number": "804-288-4410",
            "fax_number": "804-288-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LIBBIE AVENUE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262616",
            "telephone_number": "804-288-4410",
            "fax_number": "804-288-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHIEFFER",
        "first_name": "LAURA",
        "middle_name": "SUSANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101059025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "187989",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON-HMO",
            "identifier": "7229207",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1229850",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pharmaceutical Associates Inc . (Professional Pharmacy)
• Susan Pharr, RDH
• Phase One, LLC
• Phases Therapy, Inc.
• Charlene R. Pherson, FNP
• Rene Philhower, LPT
• Philip Charles Boulanger
• Scott Philips, DDS
• Phillip S Keck, PHD, LLC
• Christina Phillip, MS, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.