DR. ROBERT A DECOLLI JR. (NPI# 1790778991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790778991 |
| Entity Type | Individual |
| Full Name | DR. ROBERT A DECOLLI JR. |
| Credential | D.O |
| Practice Address |
3806 Mechanicsville Tpke Richmond VA 23223-1114 |
| Practice Telephone | 8042281143 |
| Practice Fax Number | 8042287382 |
| Mailing Telephone | 8042281143 |
| Mailing Fax Number | 8042287382 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0102206012 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | RAILROAD MEDICARE | 110104720 | 01 |
| PA | 0015039900003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993279 | Robert Decolli IIi | Nurse Practitioner | 301 S 7th Ave Ste 2020, West Reading, PA 19611-1495 | 2020-02-11 |
| Street Address |
3806 MECHANICSVILLE TPKE |
| City | RICHMOND |
| State | VA |
| Zip Code | 23223-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184167900 | Maryann Roberts | Nurse Practitioner | 3806 Mechanicsville Tpke, Richmond, VA 23223-1114 | 2016-11-28 |
| 1275990715 | Nikitia Booth | Nurse Practitioner | 3806 Mechanicsville Tpke, Richmond, VA 23223 | 2016-01-27 |
| 1659614212 | Steven J. Lewis | Family Medicine | 3806 Mechanicsville Tpke, Richmond, VA 23223-1114 | 2013-04-02 |
| 1891089454 | Jencare Neighborhood Medical East Richmond, LLC | Specialist | 3806 Mechanicsville Tpke, Richmond, VA 23223-1114 | 2011-06-01 |
| 1285836353 | Mauricio Ricardo Monrroy Prado | Internal Medicine | 3806 Mechanicsville Tpke, Richmond, VA 23223-1114 | 2007-06-01 |
| 1841277977 | Paige R Rackliffe | Internal Medicine | 3806 Mechanicsville Tpke, Richmond, VA 23223-1114 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295291953 | Hope Pharmacy, Inc. | Pharmacy | 1330 N. 25th Street, Richmond, VA 23223 | 2019-02-18 |
| 1063918019 | Terri Ann Russell | Social Worker | Henrico County Public Schools, 3820 Nine Mile Rd., Henrico, VA 23223 | 2018-03-30 |
| 1871092171 | Sharon H. Joyner | Non-emergency Medical Transport (VAN) | 3217 Arthurwood Pl, Richmond, VA 23223 | 2018-02-02 |
| 1497275309 | Jennifer Lynn Dent | Physical Therapist | 10 S 20th Street, Unit U408, Richmond, VA 23223 | 2017-06-21 |
| 1568982551 | Andrea Sledd | Social Worker | 200 N. 22nd Street, Richmond, VA 23223 | 2017-06-21 |
| 1528597903 | Ashley Telisa Battle | Physical Therapy Assistant | 12100 Chancellors Village Lane, Fredericksburg, VI 23223 | 2017-06-08 |
| 1811436199 | Dedric Lee Sr. | Home Health Aide | 527 N Laburnum Ave Apt 2, Richmond, VA 23223 | 2017-02-20 |
| 1619424181 | Brighter Prospective Residential Services, LLC | Transportation Broker | 2509 Tonoka Road, Henrico, VA 23223 | 2016-09-01 |
| 1629425277 | Spread Your Wings | Non-emergency Medical Transport (VAN) | 709 Hallwood Farms Dr., Richmond, VA 23223 | 2016-05-24 |
| 1396120010 | Robert Reaves Griffin IIi | Pharmacist | 3601 Mechanicsville Turnpike, Richmond, VA 23223 | 2015-07-23 |
| Find all providers in zip 23223 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421538 | Doctors Who Care Pllc | Internal Medicine | 1601 Main St Ste 309, Richmond, TX 77469-3230 | 2020-09-11 |
| 1093367245 | Maya Susan Varkey | Internal Medicine | 8119 Cheyenne Hills Trl, Richmond, TX 77406-1626 | 2019-07-09 |
| 1780164426 | Kelly Clinic | Internal Medicine | 5503 Fm 359 Rd Ste C, Richmond, TX 77406-7835 | 2018-08-21 |
| 1013411032 | Graham Philip Mcrary | Internal Medicine | Vcuhs Dept of Pm&r, 9860667, 1250 E. Marshall Street, Richmond, VA 23298-0000 | 2018-03-23 |
| 1306340153 | Eric Sheldon Jacobson | Internal Medicine | 2956 Hathaway Rd, Apt. 1101, Richmond, VA 23225 | 2018-03-19 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1801322821 | Adnan Alam Khan | Internal Medicine | 1721 Hanover Ave Unit A, Richmond, VA 23220-3505 | 2017-05-11 |
| 1568900439 | John Edward Tysell Jr. | Internal Medicine | 437 Carlston Street, Richmond, CA 94805 | 2017-02-10 |
| 1457898702 | Michael Ngo D.o. American Board of Internal Medicine Certified Pllc | Internal Medicine | 11130 Drumadoon Dr, Richmond, TX 77407-2036 | 2017-01-25 |
| 1346796091 | Thaer Saqer Mustafa Abdelfattah | Internal Medicine | Vcuhs Dept of Gastroenterology Fellowship, 980509, 1250 E. Marshall Street, Richmond, VA 23298-0509 | 2016-08-31 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.