Medarva Physician Services LLC
NPI 1962768051ActiveOrganization· Podiatrist· Petersburg, VA
Podiatrist in Petersburg, Virginia, registered in NPPES in April 2012, part of Richmond Eye and Ear Healthcare Alliance. The authorized official on file is Tonya Jenkins, Vp. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1962768051 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Richmond Eye and Ear Healthcare Alliance |
| NPI issued | Apr 3, 2012 |
| Last updated in NPPES | Aug 7, 2025 |
| Certified by provider | Aug 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | — | — |
| Orthopaedic Surgery | 207X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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