Healthcare Provider Details

I. General information

NPI: 1184986457
Provider Name (Legal Business Name): HOSPITALISTS OF VIRGINIA LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2012
Last Update Date: 06/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 JAHNKE RD
RICHMOND VA
23225-4017
US

IV. Provider business mailing address

75 REMIT DR # 1367
CHICAGO IL
60675-1367
US

V. Phone/Fax

Practice location:
  • Phone: 804-320-3911
  • Fax:
Mailing address:
  • Phone: 866-916-5259
  • Fax: 231-922-4030

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DERIK K KING
Title or Position: LLP MANAGING PARTNER
Credential: MD
Phone: 866-916-5259