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COMMONWEALTH FAMILY PRACTICE LTD NPI 1215936547


NPI Information

NPI: 1215936547
Provider Name: COMMONWEALTH FAMILY PRACTICE LTD
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 49D0992683

Address:
10201 KRAUSE RD
CHESTERFIELD, VA
ZIP 23832
Phone: (804) 748-6229
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COMMONWEALTH FAMILY PRACTICE LTD is a general practice in Chesterfield, VA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee COMMONWEALTH FAMILY PRACTICE LTD NPI is 1215936547. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10201 KRAUSE RD
CHESTERFIELD, VA
ZIP 23832-575
Phone: (804) 748-6229
Fax: (804) 748-5909

The provider's authorized official is Marianne Land Siegrist .
The authorized official title is Vice President Ceo and has the following contact phone number (804) 748-6229.

The CLIA number assigned to this NPI record is 49D0992683 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/19/2005 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice0102037160VIRGINIANo
2208D00000XGeneral Practice0102037170VIRGINIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C07033MEDICARE PINVIRGINIA
2G44265MEDICARE UPIN
3=========OTHERCOMMERICAL INSURANCE
4G44266MEDICARE UPIN
5318871OTHERBLUE CROSS
6=========OTHERTRICARE REGIONS 2 & 5
7318871OTHERBLUE CROSS/BLUE SHIELD
8287512OTHERBLUE CROSS
9287512OTHERBLUE CROSS-BLUE SHIELD
10H9571OTHERRAILROAD MEDICARE

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: 5/5/2024

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