Provider Demographics
NPI:1710959457
Name:MCV ASSOCIATED PHYSICIANS
Entity Type:Organization
Organization Name:MCV ASSOCIATED PHYSICIANS
Other - Org Name:MCV PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER, PROVIDER ENROLLMENT OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:CHARLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HANDY-AKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-828-8647
Mailing Address - Street 1:PO BOX 780125
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0125
Mailing Address - Country:US
Mailing Address - Phone:804-922-4844
Mailing Address - Fax:
Practice Address - Street 1:1250 E MARSHALL ST
Practice Address - Street 2:MAIN 1-214, BOX 980510
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298-5051
Practice Address - Country:US
Practice Address - Phone:804-828-8707
Practice Address - Fax:804-828-8765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-06
Last Update Date:2023-03-15
Deactivation Date:2006-07-17
Deactivation Code:
Reactivation Date:2006-08-15
Provider Licenses
StateLicense IDTaxonomies
VA207L00000X
207N00000X, 207P00000X, 207Q00000X, 207T00000X, 207V00000X, 207W00000X, 207X00000X, 207Y00000X, 207ZP0102X, 208000000X, 2084N0400X, 2084P0800X, 2085R0001X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Multi-Specialty
No207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC03683Medicare PIN
VAC04383Medicare PIN
VAC03041Medicare PIN
VAC03684Medicare PIN
VAC03687Medicare PIN
VAC03691Medicare PIN
VAC03695Medicare PIN
VAC03042Medicare PIN
VAC03693Medicare PIN
VAC01506Medicare PIN
VAC03690Medicare PIN
VAC03698Medicare PIN
VAC05015Medicare PIN
VAC03682Medicare PIN
VAC03694Medicare PIN
VAC03683Medicare ID - Type UnspecifiedFAMILY MEDICINE
VAC03698Medicare PIN
VAC03695Medicare PIN
VAC03691Medicare PIN
VAC03042Medicare ID - Type UnspecifiedANESTHESIOLOGY
VAC04383Medicare PIN
VAC03682Medicare PIN
VAC03686Medicare ID - Type UnspecifiedOB GYN
VAC03690Medicare ID - Type UnspecifiedORTHOPAEDIC SURGERY
VAC03683Medicare PIN
VAC03685Medicare ID - Type UnspecifiedNEUROLOGY
VAC03693Medicare ID - Type UnspecifiedPEDIATRICS
VAC05015Medicare PIN
VAC03694Medicare PIN
VAC03687Medicare PIN
VAC03042Medicare PIN
VAC01506Medicare PIN