| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JOHN PHILLIP ROSS PEMBERTON | 1043964794 | 2024-06-09 |
John Phillip Ross Pemberton is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1043964794. Registration indicates John Phillip Ross Pemberton is a provider of access to pediatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Pediatrics (Allopathic & Osteopathic Physicians, Pediatrics) (Pediatrics, ) (Primary Care/Family Planning/APRN/PA, ) (Pediatrics, Allopathic & Osteopathic Physicians) Access to Adult/Geriatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | John Phillip Ross Pemberton MD |
| Practice Office Address | VCUHS DEPARTMENT OF MEDICINE-PEDIATRICS RESIDENCY 1250 E. MARSHALL STREET RICHMOND, VA US |
| Practice Office Telephone | 8048286685 |
| Mailing Address | VCUHS GME ADMINISTRATION BOX 980257 RICHMOND, VA 232980257 US |
| Business Telephone | 8048289783 |
| Code | Practice | License No State |
|---|---|---|
| 208000000X | Access to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Pediatrics Allopathic & Osteopathic Physicians Pediatrics Pediatrics Primary Care/Family Planning/APRN/PA Pediatrics Allopathic & Osteopathic Physicians | 0116036502
VA |
| 207R00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | 0116036502
VA |