Patient First Richmond Medical Group PLLC
Organization Active NPI Urgent Care Clinic/Center · Chantilly, VA
NPI 1871908145 · NPPES record last updated Jan 27, 2021
Key facts
- NPI
- 1871908145
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- PATIENT FIRST RICHMOND MEDICAL GROUP PLLC
- Practice address
- 3918 Centreville Road
Chantilly, VA 20151-3224 - Phone
- (703) 657-6925
- Fax
- (703) 657-6926
- NPI assigned
- Jun 25, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. George H. Morison
- Title
- President
- Phone
- (804) 968-5700
Other NPIs with the same Medicare PAC ID 24
Corporate family (same tax ID) 41
Practitioners 315
-
Richard Acevedo, PHYSICIAN ASSISTANT
-
Khurram N. Ali, MD
-
Elizabeth Allan, D.O.
-
Raju S Alluri, MD
-
Victor T Anglin Jr., M.D.
-
Kassa Ayalew, M.D.
-
Tobey Lynn Balazs, FNP
-
Ahmad S Baray, M.D.
-
Connor Barrand, DO
-
Khodaidad H Basharmal, M.D.
-
Katalina Bejko, PA-S
-
Elisa Bell, PA-C
-
Jeanette L. Bender, PA-C
-
Lisa Bennett, MD
-
Brianna Berry, MD
-
Vernis L. Beverly, M.D.
-
Erika Boka, PA-C
-
Anna Kristina Bonner, F.N.P-B.C.
-
Meridith Elise Borza, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150202002071 | VA | DME Supplier - Multi-Specialty - Physician | 9931011434 | Practice locations: Chantilly, VA |
National Provider Directory
- Tax ID family
- Patient First Richmond Med
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
3918 Centreville Road
Chantilly, VA 20151-3224
Mailing address
5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 822-4355
Other names
- Patient First - Chantilly
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | PAExchange@patientfirstclinics.com |
NPI Registry JSON
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611705600000",
"number": "1871908145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 COX RD",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230609263",
"telephone_number": "804-822-4355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3918 CENTREVILLE ROAD",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201513224",
"telephone_number": "703-657-6925",
"fax_number": "703-657-6926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATIENT FIRST RICHMOND MEDICAL GROUP PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-25",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A",
"authorized_official_last_name": "MORISON",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "804-968-5700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "PAExchange@patientfirstclinics.com",
"affiliation": "N",
"endpointDescription": "email",
"address_1": "3918 Centreville Road",
"city": "Chantilly",
"state": "VA",
"country_code": "US",
"postal_code": "201513224",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Patient First - Chantilly",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Patient First - Chantilly",
"code": "5",
"type": "Other Name"
}
]
}
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- Noah Pauze
- Mangala H Pawar
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All providers in Chantilly, VA · Urgent Care Clinic/Center in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.