NICHOLAS S DEPTULA


Address: 2205 N Parham Rd, Richmond, VA 23229-3161
Phone: 8042702150

NICHOLAS S DEPTULA (NPI# 1942558036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942558036
Entity Type Individual
Full Name NICHOLAS S DEPTULA
Credential PA-C
Practice Address 2205 N Parham Rd
Richmond
VA 23229-3161
Mailing Address 5000 Cox Rd
Glen Allen
VA 23060-9263
Practice Telephone 8042702150
Practice Fax Number 5406782859
Mailing Telephone 8049685700
Enumeration Date 2012-08-21
Last Update Date 2019-09-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 0110003988 VA Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
0110003988 VA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2205 N PARHAM RD
City RICHMOND
State VA
Zip Code 23229-3161

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366417990 Kenneth Wilson Lucas Family Medicine 2205 N Parham Rd, Richmond, VA 23229-3161 2006-02-17
1073176855 Meghan Brumbley Physician Assistant 2205 N Parham Rd, Richmond, VA 23229-3161 2019-04-17
1962941641 Sarah L Cunningham Family Medicine 2205 N Parham Rd, Richmond, VA 23229-3161 2017-02-15
1700237534 Sean David Bourne Family Medicine 2205 N Parham Rd, Richmond, VA 23229-3161 2016-06-22
1093949364 Janice M Hagan Physician Assistant 2205 N Parham Rd, Richmond, VA 23229-3161 2009-05-14
1932365053 Andrew Wayne Kolb Family Medicine 2205 N Parham Rd, Richmond, VA 23229-3161 2008-07-29
1679784623 Kristina Manion Family Medicine 2205 N Parham Rd, Richmond, VA 23229-3161 2007-05-24
1962628313 Harry A. Baldwin Physician Assistant 2205 N Parham Rd, Richmond, VA 23229-3161 2007-04-17
1356567689 Mary Johnson Kemp Physician Assistant 2205 N Parham Rd, Richmond, VA 23229-3161 2007-04-17
1114075124 Patient First Non-Pharmacy Dispensing Site 2205 N Parham Rd, Richmond, VA 23229-3161 2007-01-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508410044 A&a Hearing Group, LLC Audiologist-Hearing Aid Fitter 7601 Forest Ave 311, Richmond, VA 23229 2019-08-01
1174041776 Amanda Ashby Belding Speech-Language Pathologist 901 Maybeury Drive, Richmond, VA 23229 2017-09-03
1861919680 Stewart Jones Ventures, Incorporated In Home Supportive Care 8003 Franklin Farms Dr Rm 113, Richmond, VA 23229 2017-08-23
1093180812 Chiniqua L Jones Nurse's Aide 10 Vintage Dr., #c, Richmond, VA 23229 2015-12-04
1952774416 Caremore Health Plan Nurse Practitioner 8935 Patterson Avenue, Richmond, VA 23229 2015-11-05
1245626894 William Mauck Orthopaedic Surgery 224 Ross Road, Richmond, VA 23229 2015-04-10
1366846305 Anne Brennan Nurse Practitioner 7607 Forest Avenue, Suite 300, Richmond, VA 23229 2014-10-20
1710305966 Natalie M Dogal Obstetrics & Gynecology 7605 Forest Ave Ste 206, Richmond, VA 23229 2014-04-04
1083045405 Joyce Campbell Wriston Occupational Therapist 1503 Michael's Road, Little Sisters of The Poor, Richmond, VA 23229 2013-12-11
1740535780 Life Journeys Inc Social Worker 8413 A Patterson Avenue, Richmond, VA 23229 2012-07-16
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174888135 Shurika Lydel Perry Physician Assistant 1533 Chester Blvd, Richmond, IN 47374-1914 2012-07-05
1164790234 Allen Hunter Maxey Physician Assistant 1000 Boulders Parkway, Suite 102, Richmond, VA 23225 2011-12-05
1235416181 Lauren Marie Richardson Physician Assistant 110 N Robinson Street, #400, Richmond, VA 23220 2011-11-07
1205087798 Qurratulaen Khawaja-javaid Physician Assistant 10606 Comeaux Ln, Richmond, TX 77407-2503 2008-10-02
1669653960 Sarah Elizabeth Meyers Physician Assistant 10710 Midlothian Tpke Ste 125, Richmond, VA 23235-4776 2007-11-15
1134268998 Melodie V Radler Venturi Physician Assistant 2970 Hilltop Mall Rd Ste 203, Richmond, CA 94806-1949 2007-02-06
1073619938 Deborah Walck Haynes Physician Assistant Mcguire Va Medical Center, 1201 Broad Rock Blvd. (151), Richmond, AL 23249 2006-09-16
1376584581 Karen Lynn Mcmillan Physician Assistant 1201 Broadrock Blvd, Richmond, VA 23249-0001 2006-06-09
1790328623 Tiffany Everett Physician Assistant 417 N 11th St, Richmond, VA 23298-5002 2019-10-23
1013559848 Whitney Ann Whitaker Physician Assistant 789 Eastern Byp Ste 17, Richmond, KY 40475-2407 2019-10-14
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Competitor

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City RICHMOND
Zip Code 23229

Improve Information

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Dataset Information

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.

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