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AVENUES DERMATOLOGY PLLC NPI 1699893388


NPI Information

NPI: 1699893388
Provider Name: AVENUES DERMATOLOGY PLLC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
420 LIBBIE AVE
RICHMOND, VA
ZIP 23226
Phone: (804) 288-4410
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AVENUES DERMATOLOGY PLLC is a point of service in Richmond, VA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. AVENUES DERMATOLOGY PLLC NPI is 1699893388. The provider is registered as an organization entity type.

The provider's business location address is:

420 LIBBIE AVE
RICHMOND, VA
ZIP 23226-616
Phone: (804) 288-4410
Fax: (804) 288-4458

The provider's authorized official is Laura S Phieffer .
The authorized official title is Owner and has the following contact phone number (804) 288-4410.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 10/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of Service0101059025VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17229207OTHERVIRGINIANON-HMO
2187989OTHERVIRGINIAANTHEM
31229850OTHERVIRGINIAHMO
4C09798MEDICARE PINVIRGINIA
5DE6352MEDICARE PINVIRGINIA
6H33179MEDICARE UPINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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