Active NPI
Richard M Clary, MD
- Surgery Physician
- Mechanicsville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 0101035086
- Practice address
- 8262 Atlee Rd
Suite 205
Mechanicsville, VA 23116-1816 - Phone
- (804) 559-0194
- Fax
- (804) 559-0198
- NPI assigned
- Oct 27, 2006
- Last updated
- May 27, 2010
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 0101035086 | VA | Primary |
Addresses
Primary practice location
8262 Atlee Rd
Suite 205
Mechanicsville, VA 23116-1816
Mailing address
8262 Atlee Rd
Suite 205
Mechanicsville, VA 23116-1816
Phone (804) 559-0194
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C06115 | Other | VA | GROUP PTAN |
| 1902981798 | Medicaid | VA | |
| 020042607 | Other | VA | RAILROAD MEDICARE ID |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101035086 | VA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Specialists of Richmond | Surgery | Current | Accepting new patients |
| Bon Secours Memorial Regional Medical Center Inc | Surgery | Past | Accepting new patients |
| Bon Secours Memorial Regional Medical Center Inc | Surgery | Past | Accepting new patients |
| Henrico Surgical Specialists, LLC | Surgery | Past | Accepting new patients |
| Bon Secours Memorial Regional Medical Center | Past | Accepting new patients |
Locations
8262 Atlee Rd
Ste 205
Mechanicsvlle, VA 23116
Phone (804) 559-0194
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Mechanicsville, VA
- NPI 1710012562
-
dba Arleeta M Diggs MD
- Family Medicine Physician
- Richmond, VA
- NPI 1962705061
-
dba Bon Secours Surgical Specialists at Memorial Regional Medical Center
- Surgery Physician
- Mechanicsville, VA
- NPI 1477784940
-
dba MRMC Inpatient Surgical Specialists
- Surgery Physician
- Mechanicsville, VA
- NPI 1609186741
-
- Surgery Physician
- Richmond, VA
- NPI 1639301005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274918400000",
"number": "1902981798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8262 ATLEE RD",
"address_2": "SUITE 205",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231161816",
"telephone_number": "804-559-0194",
"fax_number": "804-559-0198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8262 ATLEE RD",
"address_2": "SUITE 205",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231161816",
"telephone_number": "804-559-0194",
"fax_number": "804-559-0198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARY",
"first_name": "RICHARD",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-27",
"last_updated": "2010-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "VA",
"license": "0101035086",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "C06115",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902981798",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE ID",
"identifier": "020042607",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.