Ad Senior Medical LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0102203776 Issued in VA

Legal business name

AD SENIOR MEDICAL LLC

Practice address

5000 Stoneleigh Rd
Henrico, VA 23228-5927

Phone

(804) 347-2591

NPI assigned

Mar 6, 2017

Last updated

Mar 6, 2017By 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

Ms. Debra Ramsey, NP

Title

Owner Manager

Phone

(804) 347-2591

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1831639111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 STONELEIGH RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232285927",
            "telephone_number": "804-347-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 STONELEIGH RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232285927",
            "telephone_number": "804-347-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AD SENIOR MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "804-347-2591",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "VA",
            "license": "0024168024",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0102203776",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0102203776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Henrico, VA
• Providers in Henrico, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.