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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 960986 | DC | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Healthcare Partners, Inc. | Anesthesiology | Past | Accepting new patients |
Interoperability endpoints
- mcage26883@direct.rivhs.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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": []
}
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All providers in Richmond, VA · Anesthesiology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.