Philip R Masterson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024171888 Issued in VA

Practice address

200 Charter Colony Pkwy
Midlothian, VA 23114-4584

Phone

(804) 281-0275

Fax

(804) 521-9344

NPI assigned

Sep 2, 2014

Sex

Male

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Bon Secours Urgent Care LLC

  • Urgent Care Clinic/Center
  • Glen Allen, VA
  • NPI 1265160501
  Medicare reassignment NPD
• Bon Secours St Francis Medical Center LLC

  dba The Wound Center at St. Francis

  • Surgery Physician
  • Midlothian, VA
  • NPI 1083841936
  NPD (past)
• Bon Secours St. Francis Medical Center Inc

  dba Charter Colony Family Practice

  • Family Medicine Physician
  • Midlothian, VA
  • NPI 1336459171
  NPD (past)
• Bon Secours St. Francis Medical Center Inc

  dba Bon Secours Neurology Clinic

  • Neurology Physician
  • Chester, VA
  • NPI 1811228711
  NPD (past)
• Bon Secours St. Francis Medical Center LLC

  dba Internal Medicine Associates of Chesterfield

  • Internal Medicine Physician
  • Midlothian, VA
  • NPI 1053698399
  NPD (past)

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1548660152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CHARTER COLONY PKWY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144584",
            "telephone_number": "804-281-0275",
            "fax_number": "804-521-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CHARTER COLONY PKWY",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231144584",
            "telephone_number": "804-281-0275",
            "fax_number": "804-521-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERSON",
        "first_name": "PHILIP",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C09633",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erika C Mason, DDS
• Jonathan Keith Mason, MD
• Kathryn Mason
• Paul Enock Massawe
• Hannah Massey, CCC-SLP
• Katherine Mastrangelo
• Megan Elizabeth Mastrofrancesco, LCSW
• Anna N. Mathews, DPT
• John Mathews, LCSW
• Elizabeth Mathias

• Family Nurse Practitioner in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.