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MEDARVA PHYSICIAN SERVICES LLC
NPI 1962768051
Podiatrist in Petersburg, VA

Active since April 03, 2012
40 MEDICAL PARK BLVD STE A, PETERSBURG, VA 23805(804) 775-4500 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2025, Aug 21, 2024 (2 updates tracked since 2024).

About Medarva Physician Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDARVA PHYSICIAN SERVICES LLC (NPI 1962768051), doing business as Medrva Physician Services, is a healthcare organization registered as a podiatrist in Petersburg, Virginia and active in the NPI registry since April 2012. The organization maintains a secondary practice location in Chester and lists Tonya Jenkins, Vp, as its authorized official.

NPPES Registry Identity

NPI1962768051
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NameMEDARVA PHYSICIAN SERVICES LLC
Location Address40 MEDICAL PARK BLVD STE APetersburg, VA 23805-9289
Mailing Address8700 Stony Point Pkwy, Ste 100Richmond, VA 23235-1962
Phone(804) 775-4500
Organization SubpartYesParent: Richmond Eye And Ear Healthcare Alliance
Authorized OfficialTonya JenkinsVp · (804) 775-4500
Enumeration DateApril 3, 2012
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1962768051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
40 MEDICAL PARK BLVD STE A, Petersburg, VA 23805
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Other Names 1

Doing Business AsMedrva Physician Services

Secondary Practice Location 1

Location 15601 Ironbridge Pkwy Ste 107Chester, VA 23831-7771 · Phone (804) 732-6000

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUSTIN ANDREW PHILLINGANE D.P.M.
Podiatrist
40 MEDICAL PARK BLVD STE A
PETERSBURG, VA 23805
Petersburg City (804) 732-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medarva Physician Services LLC's NPI number?

The NPI number for Medarva Physician Services LLC is 1962768051. It was assigned to this organization in the NPPES registry on April 3, 2012. The provider is doing business as Medrva Physician Services.

Where is Medarva Physician Services LLC located?

Medarva Physician Services LLC is located at 40 Medical Park Blvd Ste A, Petersburg, VA 23805. The listed phone number is (804) 775-4500.

What is Medarva Physician Services LLC's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Medarva Physician Services LLC was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.