Addiction Medicine Consultants of Richmond LLC

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

Legal business name

ADDICTION MEDICINE CONSULTANTS OF RICHMOND LLC

Practice address

3702 Crestview Rd
Richmond, VA 23223-8108

Phone

(804) 251-1645

Fax

(804) 251-4463

NPI assigned

Sep 29, 2023

Last updated

Sep 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen J Popovich, MDNPI 1346569456

Title

Owner/Provider

Phone

(804) 251-1645

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen John Popovich, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Richmond, VA
  • NPI 1346569456
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1750161576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 CRESTVIEW RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232238108",
            "telephone_number": "804-251-1645",
            "fax_number": "804-251-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 CRESTVIEW RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232238108",
            "telephone_number": "804-251-1645",
            "fax_number": "804-251-4463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION MEDICINE CONSULTANTS OF RICHMOND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-29",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "POPOVICH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "804-251-1645",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Medicine (Preventive Medicine) Physician in Richmond, VA
• Providers in Richmond, VA by specialty
• Addiction Medicine (Preventive Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; 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.

Verify at the official NPI Registry.