Healthcare Provider Details
I. General information
NPI: 1417907833
Provider Name (Legal Business Name): JOHN STERLING PFEIFER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 05/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1201 BROAD ROCK BLVD
RICHMOND VA
23249-0001
US
IV. Provider business mailing address
2630 WALHALA DR
RICHMOND VA
23236-1350
US
V. Phone/Fax
- Phone: 804-675-5112
- Fax: 804-675-5390
- Phone: 804-601-2432
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 0101033663 |
| License Number State | VA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2086S0129X |
| Taxonomy | Vascular Surgery Physician |
| License Number | 0101033663 |
| License Number State | VA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: