Active NPI
Joan Elizabeth Rountree, MD
- Dermatology Physician
- Richmond, VA
National Provider Identifier
1659371284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 0101047640
- Practice address
- 5421 Patterson Ave
Richmond, VA 23226-2003 - Phone
- (804) 285-2006
- Fax
- (804) 285-2799
- NPI assigned
- Jul 26, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0101047640 | VA | Primary |
Addresses
Primary practice location
5421 Patterson Ave
Richmond, VA 23226-2003
Mailing address
301 Concourse Blvd
Suite 190
Glen Allen, VA 23059
Phone (804) 549-4030
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 077290 | Other | ANTHEM | |
| 533019 | Other | AETNA | |
| 070005399 | Other | RAILROAD MEDICARE | |
| 0300083 | Other | UNITED HEALTHCARE | |
| 60208 | Other | SOUTHERN HEALTH | |
| 5940494 | Medicaid | VA |
Other names 1
- Joan Rountree
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- joanrountree@da.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433721600000",
"number": "1659371284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 CONCOURSE BLVD",
"address_2": "SUITE 190",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "23059",
"telephone_number": "804-549-4030",
"fax_number": "804-549-4032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5421 PATTERSON AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232262003",
"telephone_number": "804-285-2006",
"fax_number": "804-285-2799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUNTREE",
"first_name": "JOAN",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-26",
"last_updated": "2015-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "VA",
"license": "0101047640",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "077290",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "533019",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070005399",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0300083",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "60208",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5940494",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JOAN",
"last_name": "ROUNTREE",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.