NPI 1831639111 · live from the CMS NPI Registry
Ad Senior Medical LLC
Internal Medicine in Henrico, VA. National Provider Identifier 1831639111, active.
NPI record
| NPI | 1831639111 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 5000 Stoneleigh Rd, Henrico, VA 23228 |
| Practice phone | 804-347-2591 |
| Enumerated | March 6, 2017 |
| Last updated | March 6, 2017 |
| Authorized official | Debra Ramsey, Owner Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine, Geriatric Medicine | 207QG0300X | 0102203776 (VA) |
| Nurse Practitioner, Gerontology | 363LG0600X | 0024168024 (VA) |
| Internal Medicine primary | 207R00000X | 0102203776 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.