Healthcare Provider Details

I. General information

NPI: 1407453046
Provider Name (Legal Business Name): AMPERSEX.VA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2020
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SHOCKOE SLIP FL 2
RICHMOND VA
23219-4100
US

IV. Provider business mailing address

1 BOSTON PL STE 2600
BOSTON MA
02108-4420
US

V. Phone/Fax

Practice location:
  • Phone: 860-918-0020
  • Fax:
Mailing address:
  • Phone: 617-958-5697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE STEINLE
Title or Position: CHIEF CLINICAL OFFICER
Credential: NP
Phone: 415-225-2075