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CHESAPEAKE MEDICAL GROUP NPI 1700100583


NPI Information

NPI: 1700100583
Provider Name: CHESAPEAKE MEDICAL GROUP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
18682 NORTHUMBERLAND HWY
REEDVILLE, VA
ZIP 22539
Phone: (804) 453-4537
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CHESAPEAKE MEDICAL GROUP is a family medicine in Reedville, 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. CHESAPEAKE MEDICAL GROUP NPI is 1700100583. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18682 NORTHUMBERLAND HWY
REEDVILLE, VA
ZIP 22539-411
Phone: (804) 453-4537
Fax: (804) 453-4317

The provider's authorized official is Camille Pergola .
The authorized official title is Administrative Assistant and has the following contact phone number (804) 435-8570.

The enumeration date for this NPI number is 3/23/2010 and was last updated on 8/2/2010.


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 Medicine0101028388VIRGINIAYes

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
1VAA101135MEDICARE 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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