Mitzi Roberson Cage

Individual provider Active NPI Anesthesiology Physician · Richmond, VA

NPI 1861490922 · NPPES record last updated Apr 30, 2014

Key facts

NPI
1861490922
Entity type
Individual (NPI type 1)
Primary specialty
Anesthesiology Physician 207L00000X
License
960986 (DC)
Practice address
200 Medical Park Blvd
Richmond, VA 23226-7978
Phone
(804) 289-4937
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
960986DCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Healthcare Partners, Inc. Anesthesiology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mcage26883@direct.rivhs.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 960986 DC Yes

Addresses

Primary practice location

200 Medical Park Blvd
Richmond, VA 23226-7978

Mailing address

PO Box 17978
Richmond, VA 23226-7978
Phone (804) 289-4937

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 30, 2014.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1861490922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17978",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232267978",
            "telephone_number": "804-289-4937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARK BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232267978",
            "telephone_number": "804-289-4937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGE",
        "first_name": "MITZI",
        "middle_name": "ROBERSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "DC",
            "license": "960986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

All providers in Richmond, VA · Anesthesiology Physician in Virginia

Sources for this page

Verify at the official NPI Registry.