Monument Avenue Pediatrics

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101049202 Issued in VA

Legal business name

MONUMENT AVENUE PEDIATRICS

Practice address

3602 Monument Ave
Richmond, VA 23230-4905

Phone

(804) 358-3027

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Grace Soltys, M.D.NPI 1457318651

Title

President

Phone

(804) 358-3027

Specialties & licenses 1

Addresses

Other identifiers 4

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Grace Regina Soltys, M.D.

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1457318651
  NPD (past) Authorized official
• Colleen Melissa Leathrum Allen, DO

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1306474333
  NPD (past)
• Mary Michael Schweiker, M.D.

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1164484820
  NPD (past)
• Kathryn Eileen Senecal, MD

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1952511990
  NPD (past)
• Frances G. Tennis, MD

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1700047958
  NPD (past)
• Bruce Wayne Thorpe, M.D.

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1619937752
  NPD (past)

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831286996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 MONUMENT AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 MONUMENT AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304905",
            "telephone_number": "804-358-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONUMENT AVENUE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLTYS",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-358-3027",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101049202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARY SCHWEIKER,M.D. NPI#",
            "identifier": "1164484820",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B. WAYNE THORPE,M.D. NPI#",
            "identifier": "1619937752",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRANT MUSSMAN,M.D. NPI#",
            "identifier": "1639138209",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GRACE SOLTYS,M.D. NPI#",
            "identifier": "1457318651",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maia Elizabeth Montgomery
• Margaret Thomas Montgomery, M.D.
• Mary Montgomery, LCSW
• Ashley Nicole Montminy, CPNP-AC
• Sierra Marie Montz, LCSW
• Monument Medical Supplies LLC
• Monument Pathologists Inc
• Monument Radiology PC
• Michael Thomas Moody
• Tori Moody, BS, QMHP

• Specialist in Richmond, VA
• Providers in Richmond, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.