Individual provider Active NPI

Anne Marie McMorrow Tuohy, MD

  • Pediatrics Physician
  • Mechanicsville, VA
National Provider Identifier
1790779759
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101254644 Issued in VA
Practice address
6372 Mechanicsville Tpke
Suite 103
Mechanicsville, VA 23111-4705
Phone
(804) 730-4690
Fax
(804) 559-0333
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 43075 MN
Pediatric Adolescent Medicine Physician 2080A0000X 64739 GA
Pediatrics Physician 208000000X 0101254644 VA Primary

Addresses

Primary practice location

6372 Mechanicsville Tpke
Suite 103
Mechanicsville, VA 23111-4705

Mailing address

6372 Mechanicsville Tpke
Suite 103
Mechanicsville, VA 23111-4705
Phone (804) 730-4690

Other identifiers 6

IdentifierTypeStateIssuer
1200956OtherMNMEDICA
299L2TUOtherMNBLUE CROSS BLUE SHIELD
C06193OtherVAGROUP PTAN
1200959OtherMNMEDICA
CP9091024782OtherMNPREFERRED ONE
113417500MedicaidMN

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
I20141104002033 VA Practitioner - Pediatric Medicine 7315984440 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101254644VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Hospital LLC CurrentSince Apr 1, 2022 Accepting new patients
Chesapeake Hospital LLC CurrentSince Apr 1, 2022 Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Past Accepting new patients
Commonwealth Counseling Associates Inc Past Accepting new patients

Locations

402 N Main St
Kilmarnock, VA 22482
Phone (804) 435-2651

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

Interoperability endpoints

  • Direct secure messaging: atuohy1156504@direct.bsmhealth.org

Organizations & group practices 4

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1790779759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6372 MECHANICSVILLE TPKE",
            "address_2": "SUITE 103",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114705",
            "telephone_number": "804-730-4690",
            "fax_number": "804-559-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6372 MECHANICSVILLE TPKE",
            "address_2": "SUITE 103",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114705",
            "telephone_number": "804-730-4690",
            "fax_number": "804-559-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUOHY",
        "first_name": "ANNE MARIE",
        "middle_name": "MCMORROW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "MN",
            "license": "43075",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "64739",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101254644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1200956",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "299L2TU",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "C06193",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1200959",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "CP9091024782",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113417500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.