WIGGINGTON ROAD FAMILY PRACTICE INC NPI 1942396908

NPI Information

NPI: 1942396908
Provider Name: WIGGINGTON ROAD FAMILY PRACTICE INC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 49D0232957

Address:
113 WIGGINGTON ROAD
LYNCHBURG, VA
ZIP 24502
Phone: (434) 385-7578
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WIGGINGTON ROAD FAMILY PRACTICE INC is a general practice in Lynchburg, VA. WIGGINGTON ROAD FAMILY PRACTICE INC NPI is 1942396908. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

113 WIGGINGTON ROAD
LYNCHBURG, VA
ZIP 24502
Phone: (434) 385-7578
Fax: (434) 385-9756

The provider's authorized official is Alan M. Podoseh .
The authorized official title is Medical Doctor and has the following contact phone number (434) 385-7578.

The CLIA number assigned to this NPI record is 49D0232957 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/5/2006 and was last updated on 6/23/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

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
1	1205851581	OTHER	VIRGINIA	INDIV NPI ALAN PODOSEK,MD
2	214335	OTHER	VIRGINIA	ANTHEM FOR HARB RANK, MD
3	012828	OTHER	VIRGINIA	ANTHEM FOR ALAN PODOSEK
4	B59637	MEDICARE UPIN	VIRGINIA
5	B59657	MEDICARE UPIN	VIRGINIA
6	1356366645	OTHER	VIRGINIA	INDIV NPI HARB RANK, MD
7	1205921210	OTHER	VIRGINIA	INDIVIDUAL NPI CHRISTIAN
8	010386250	MEDICAID	VIRGINIA
9	249893	OTHER	VIRGINIA	ANTHEM BCBS CHRISTIAN
10	G42915	MEDICARE UPIN	VIRGINIA
11	5674808	MEDICAID	VIRGINIA
12	5642876	MEDICAID	VIRGINIA

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: 11/14/2023

NPI Synchronization or Removal

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