Urgent Care Richmond

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

URGENT CARE RICHMOND

Practice address

8905 Fargo Rd
Henrico, VA 23229-4554

Phone

(804) 615-5060

Fax

(804) 364-3520

NPI assigned

Feb 20, 2019

Last updated

Oct 18, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Manal Moharram, MDNPI 1831309921

Title

Owner

Phone

(804) 615-5060

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manal Moharram, M.D.

  • Pediatrics Physician
  • Henrico, VA
  • NPI 1831309921
  Medicare reassignment NPD Authorized official
• Andrew Z Lam, MD

  • Family Medicine Physician
  • Austin, TX
  • NPI 1922592245
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1912463472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8905 FARGO RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232294554",
            "telephone_number": "804-615-5060",
            "fax_number": "804-364-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8905 FARGO RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232294554",
            "telephone_number": "804-615-5060",
            "fax_number": "804-364-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE RICHMOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-20",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "MOHARRAM",
        "authorized_official_first_name": "MANAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-615-5060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Unique Journey LLC
• Britney Marie Vaccaro, BCBA, LBA
• Cassidy Robinson Van de Graaf, LPC, NCC, CCTSI
• Van Ryders Transportation
• Vanessa Fowlkes NP LLC
• Vantage Point Community Supports, LLC

• Pediatrics Physician in Henrico, VA
• Providers in Henrico, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.