Provider Demographics
NPI:1366402141
Name:IRONS, MICHELE A (MD)
Entity type:Individual
Prefix:DR
First Name:MICHELE
Middle Name:A
Last Name:IRONS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8948
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-0648
Mailing Address - Country:US
Mailing Address - Phone:804-327-4046
Mailing Address - Fax:
Practice Address - Street 1:7101 JAHNKE RD
Practice Address - Street 2:SUITE 400
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4017
Practice Address - Country:US
Practice Address - Phone:804-327-4046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101239548207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10007412OtherSENTARA OPTIMA
VA197752OtherANTHEM
NC5904185Medicaid
VA010346029Medicaid
VA197752OtherANTHEM
VAI60105Medicare UPIN
VA015627V16Medicare PIN
P00454318Medicare PIN
VA010346029Medicaid