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CENTRAL VIRGINIA OB-GYN GROUP PC NPI 1033151733


NPI Information

NPI: 1033151733
Provider Name: CENTRAL VIRGINIA OB-GYN GROUP, PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 49D0857055

Address:
1011 CARE WAY
SUITE 200
FREDERICKSBURG, VA
ZIP 22401
Phone: (540) 373-4900
Get Directions

CENTRAL VIRGINIA OB-GYN GROUP, PC is an obstetrics gynecology in Fredericksburg, VA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CENTRAL VIRGINIA OB-GYN GROUP, PC NPI is 1033151733. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1011 CARE WAY
SUITE 200
FREDERICKSBURG, VA
ZIP 22401-467
Phone: (540) 373-4900
Fax: (540) 373-5195

The provider's authorized official is Joon Kil .
The authorized official title is Physician and has the following contact phone number (540) 373-4900.

The CLIA number assigned to this NPI record is 49D0857055 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 10/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C02529MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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