Active NPI
Whole Health Physicians, PC
- Family Medicine Physician
- Midlothian, VA
National Provider Identifier
1639675507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101247582
- Legal business name
- WHOLE HEALTH PHYSICIANS, PC
- Practice address
- 611 Watkins Centre Pkwy Ste 350
Midlothian, VA 23114-4404 - Phone
- (804) 601-4901
- NPI assigned
- Apr 1, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hayden M Pasco, MD
- Title
- President
- Phone
- (804) 601-4901
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101247582 | VA | Primary |
Addresses
Primary practice location
611 Watkins Centre Pkwy Ste 350
Midlothian, VA 23114-4404
Mailing address
611 Watkins Centre Parkway
Suite 350
Midlothian, VA 23114
Phone (804) 601-4901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578724274 | Medicaid | VA |
Other names 1
- Whole Health MD, PC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180702002009 | VA | Part B Supplier - Clinic/Group Practice | 7012263262 |
Receives reassigned benefits from 2 practitioners Practice locations: Richmond, VA |
National Provider Directory
National Provider DirectoryLocations
611 Watkins Centre Pkwy
Ste 350
Midlothian, VA 23114
Phone (804) 464-8644
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Midlothian, VA
- NPI 1578724274
Family Medicine, VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1540944000000",
"number": "1639675507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 WATKINS CENTRE PARKWAY",
"address_2": "SUITE 350",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "23114",
"telephone_number": "804-601-4901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 WATKINS CENTRE PKWY STE 350",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231144404",
"telephone_number": "804-601-4901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLE HEALTH PHYSICIANS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-01",
"last_updated": "2018-10-31",
"status": "A",
"authorized_official_last_name": "PASCO",
"authorized_official_first_name": "HAYDEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "804-601-4901",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "VA",
"license": "0101247582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1578724274",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Whole Health MD, PC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.