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ALTIUS FAMILY AND SPORTS MEDICINE PLC NPI 1093772766


NPI Information

NPI: 1093772766
Provider Name: ALTIUS FAMILY AND SPORTS MEDICINE, PLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2530 GASKINS RD
SUITE A
RICHMOND, VA
ZIP 23238
Phone: (804) 290-0593
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ALTIUS FAMILY AND SPORTS MEDICINE, PLC is a family medicine in Richmond, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ALTIUS FAMILY AND SPORTS MEDICINE, PLC NPI is 1093772766. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2530 GASKINS RD
SUITE A
RICHMOND, VA
ZIP 23238-483
Phone: (804) 290-0593
Fax: (804) 290-0594

The provider's authorized official is Matthew Walter Marchal .
The authorized official title is Physician/owner and has the following contact phone number (804) 290-0593.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 4/20/2008.


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
1207Q00000XFamily MedicineYes

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
1P00166136MEDICARE ID-TYPE UNSPECIFIEDMEDICARE RAILROAD
2=========OTHERUNITED HEALTHCARE
3437410OTHERAETNA
4=========OTHERTAX ID
5C09044MEDICARE ID-TYPE UNSPECIFIEDMEDICARE

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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