Individual provider Active NPI

Matthew Gokey Stanwix, M.D.

  • Plastic Surgery Physician
  • Richmond, VA
National Provider Identifier
1710023254
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
101251432 Issued in VA
Practice address
5899 Bremo Rd
Suite 205
Richmond, VA 23226-1935
Phone
(804) 285-4115
Fax
(804) 673-6714
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 101251432 VA Primary

Addresses

Primary practice location

5899 Bremo Rd
Suite 205
Richmond, VA 23226-1935

Mailing address

5899 Bremo Rd
Suite 205
Richmond, VA 23226-1935
Phone (804) 285-4115

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121106000065 VA Practitioner - Plastic and Reconstructive Surgery 0648421347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Plastic Surgeons Plastic Surgery CurrentSince Jul 1, 2013 Accepting new patients
Neil J Zemmel MD PC Plastic Surgery PastSince Jul 19, 2004 Accepting new patients
Plastic Surgery Associates of Richmond Inc Plastic Surgery Past Accepting new patients

Locations

14401 Sommerville Ct
Midlothian, VA 23113
Phone (804) 285-4115

5899 Bremo Rd
Ste 205
Richmond, VA 23226
Phone (804) 282-3382

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1710023254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5899 BREMO RD",
            "address_2": "SUITE 205",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261935",
            "telephone_number": "804-285-4115",
            "fax_number": "804-673-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5899 BREMO RD",
            "address_2": "SUITE 205",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232261935",
            "telephone_number": "804-285-4115",
            "fax_number": "804-673-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANWIX",
        "first_name": "MATTHEW",
        "middle_name": "GOKEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "101251432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.