Virtual Fertility Management E-Clinic LLC

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

VIRTUAL FERTILITY MANAGEMENT E-CLINIC LLC

Practice address

4701 Cox Rd Ste 285
Glen Allen, VA 23060-6808

Phone

(540) 418-6800

NPI assigned

Dec 14, 2023

Organization subpart

Yes

Parent organization

VIRTUAL FERTILITY MANAGEMENT E-CLINIC LLCAs reported in NPPES

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

Authorized official

Name

Maria Monique Diones Pangatongan, FNP-C

Title

Owner

Phone

(540) 418-6800

Specialties & licenses 1

Addresses

Other names 1

• Integrative E-Clinic and Fertility Optimization Doing business as

Part of

Virtual Fertility Management E-Clinic LLC

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1609644178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 ROSEWOOD DR",
            "city": "BARBOURSVILLE",
            "state": "VA",
            "postal_code": "229238569",
            "telephone_number": "540-418-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 COX RD STE 285",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606808",
            "telephone_number": "540-418-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUAL FERTILITY MANAGEMENT E-CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRTUAL FERTILITY MANAGEMENT E-CLINIC LLC",
        "enumeration_date": "2023-12-14",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "PANGATONGAN",
        "authorized_official_first_name": "MARIA MONIQUE",
        "authorized_official_middle_name": "DIONES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-418-6800",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrative E-Clinic and Fertility Optimization",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Integrative Medicine Physician in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Integrative Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.