Active NPI
Eduardo Gustavo Alvarez, PA-C
- Physician Assistant
- Richmond, VA
National Provider Identifier
1881702157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110001336
- Practice address
- 5899 Bremo Rd
Suite 100
Richmond, VA 23226-1935 - Phone
- (804) 288-8512
- Fax
- (804) 288-4552
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110001336 | VA | Primary |
Addresses
Primary practice location
5899 Bremo Rd
Suite 100
Richmond, VA 23226-1935
Mailing address
12907 Sir Scott Ter
Chester, VA 23831-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008939942 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110001336 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Emergency Group LLC | Past | Accepting new patients | |
| Virginia Em-I Medical Services, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Petersburg, VA
- NPI 1447201744
-
- Emergency Medicine Physician
- Petersburg, VA
- NPI 1487816369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1881702157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12907 SIR SCOTT TER",
"city": "CHESTER",
"state": "VA",
"postal_code": "238314700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5899 BREMO RD",
"address_2": "SUITE 100",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232261935",
"telephone_number": "804-288-8512",
"fax_number": "804-288-4552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVAREZ",
"first_name": "EDUARDO",
"middle_name": "GUSTAVO",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110001336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008939942",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.