Individual provider Active NPI

Sheila J Pour, PA-C

  • Medical Physician Assistant
  • Richmond, VA
National Provider Identifier
1730146911
Registry record updated Mar 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110840462 Issued in VA
Practice address
1201 Broad Rock Blvd
McGuire Vamc
Richmond, VA 23249-0001
Phone
(804) 675-5553
Fax
(804) 675-5778
NPI assigned
Apr 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110840462 VA Primary

Addresses

Primary practice location

1201 Broad Rock Blvd
McGuire Vamc
Richmond, VA 23249-0001

Mailing address

11384 Hillcrest Rd
Mechanicsville, VA 23116-4887
Phone (804) 730-3355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0110840462VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Onsite, LLC Past Accepting new patients
H2U Wellness Centers, LLC Past Accepting new patients

Organizations & group practices 2

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": "1146355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301184000000",
    "number": "1730146911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11384 HILLCREST RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231164887",
            "telephone_number": "804-730-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "address_2": "MCGUIRE VAMC",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232490001",
            "telephone_number": "804-675-5553",
            "fax_number": "804-675-5778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUR",
        "first_name": "SHEILA",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-30",
        "last_updated": "2011-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110840462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.