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COMMONWEALTH PRIMARY CARE NPI 1174530257


NPI Information

NPI: 1174530257
Provider Name: COMMONWEALTH PRIMARY CARE

Doing Business As: PATTERSON AVENUE FAMILY PRACTICE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
10431 PATTERSON AVE
RICHMOND, VA
ZIP 23233
Phone: (804) 741-6200
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COMMONWEALTH PRIMARY CARE 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. COMMONWEALTH PRIMARY CARE NPI is 1174530257. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Patterson Avenue Family Practice.

The provider's business location address is:

10431 PATTERSON AVE
RICHMOND, VA
ZIP 23233
Phone: (804) 741-6200
Fax: (804) 545-0147

The provider's authorized official is Cheryl Daniel .
The authorized official title is Billing Administrator and has the following contact phone number (804) 288-0399.

The enumeration date for this NPI number is 8/2/2006 and was last updated on 11/28/2007.


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
1CK5367OTHERVIRGINIARAILROAD MEDICARE
2C08426MEDICARE PINVIRGINIA
3292413OTHERVIRGINIAANTHEM

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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