ROCKY RUN FAMILY MEDICINE INC (NPI# 1043234552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043234552 |
| Entity Type | Organization |
| Organization Name | ROCKY RUN FAMILY MEDICINE INC |
| Practice Address |
5645 Stone Rd Centreville VA 20120-1618 |
| Practice Telephone | 7032662442 |
| Practice Fax Number | 7032667158 |
| Mailing Telephone | 7032662442 |
| Mailing Fax Number | 7032667158 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-09-23 |
| Authorized Official Name | MRS. LAURIE SUSAN MARKIN (PRESIDENT) |
| Authorized Official Telephone | 7032662442 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 144870 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 5615747 | 05 | |
| VA | CAREFIRST | 8094-0001 | 01 |
| VA | ANTHEM BC/BS | 383306 | 01 |
| VA | ANTHEM BC/BS | 383308 | 01 |
| VA | 5615691 | 05 | |
| VA | 5615712 | 05 | |
| VA | ANTHEM BC/BS | 383307 | 01 |
| VA | CAREFIRST | 8094-0004 | 01 |
| VA | CAREFIRST | 8094-0002 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | ROCKY RUN FAMILY MEDICINE INC. | 5645 Stone Rd, Centreville, Virginia 20120-1618 |
| Street Address |
5645 STONE RD |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20120-1618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861484461 | Sandor Shawn Niemann | Family Medicine | 5645 Stone Rd, Centreville, VA 20120-1618 | 2005-08-19 |
| 1841821055 | Kiri Kelly Nye | Nurse Practitioner | 5645 Stone Rd, Centreville, VA 20120-1618 | 2020-01-28 |
| 1104278514 | Leah Zimmerman | Nurse Practitioner | 5645 Stone Rd, Centreville, VA 20120-1618 | 2016-07-09 |
| 1376934455 | Brenda Herrera | Family Medicine | 5645 Stone Rd, Centreville, VA 20120-1618 | 2015-02-11 |
| 1679981997 | Catrina Turner | Nurse Practitioner | 5645 Stone Rd, Centreville, VA 20120-1618 | 2014-07-30 |
| 1962843565 | Megan Anne Stuart | Nurse Practitioner | 5645 Stone Rd, Centreville, VA 20120-1618 | 2013-07-11 |
| 1124304936 | Abigail Crisman Ho | Nurse Practitioner | 5645 Stone Rd, Centreville, VA 20120-1618 | 2011-10-25 |
| 1417146663 | Solomon Mapeto Mutetwa | Family Medicine | 5645 Stone Rd, Centreville, VA 20120-1618 | 2007-10-23 |
| 1679673255 | Stacey T Shepherd | Physician Assistant | 5645 Stone Rd, Centreville, VA 20120-1618 | 2006-09-24 |
| 1326009986 | Robert C Mancini | Family Medicine | 5645 Stone Rd, Centreville, VA 20120-1618 | 2006-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675477 | Happy Healthy Healing Pllc | Counselor | 5675 Stone Rd., Suite 310, Centreville, VA 20120 | 2019-05-21 |
| 1346725322 | Margo Flores Dds Pllc | Dentist | 5703 Centre Square Drive, Centreville, VA 20120 | 2018-09-26 |
| 1699274753 | Sarah Caitlin Brown | Nurse Practitioner | 5895 Trinity Pkwy Ste 100, Centreville, VA 20120 | 2018-02-05 |
| 1437687605 | Young Min Kim | Dentist | 5703 Centre Square Dr, Centreville, VA 20120 | 2017-05-31 |
| 1922349513 | Kristina Kallini | Social Worker | 13525 Leland Rd., Centreville, VA 20120 | 2013-03-07 |
| 1225209018 | About Care Obgyn Associates PC | Obstetrics & Gynecology | 6134 Redwood Square Center, Unit 101, Centreville, VA 20120 | 2008-03-19 |
| 1649486747 | Dulles Dental Group LLC | Dentist | 5103 Westfields Blvd, Centreville, VA 20120 | 2007-05-15 |
| 1356482657 | Kevin Michael Skinner | Dentist | 5651 Stone Rd, Centreville, VA 20120 | 2007-02-09 |
| 1952452856 | Jose Rodrigo Charcon | Physical Therapy Assistant | 5719 Centre Square Dr, Centreville, VA 20120 | 2007-01-16 |
| 1033122981 | Charles & Katherine Fischer Dds PC | Dentist | 5895 Trinity Parkway, Suite 200, Centreville, VA 20120 | 2006-08-14 |
| Find all providers in zip 20120 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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|---|---|---|---|---|
| 1114091931 | Union Mill Pediatrics,pc | Legal Medicine | 13880 Braddock Rd. Ste 201, Centreville, VA 20121 | 2006-11-20 |
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| 1366770547 | Philip R Thomas Md., Ltd | Legal Medicine | 112 Kings Hwy, Suffolk, VA 23432-1117 | 2009-11-25 |
| 1568622868 | Tristate Rural Health Clinic | Legal Medicine | 20757 Riverside Dr, Grundy, VA 24614-6746 | 2008-06-11 |
| 1871784496 | Urgent Care Hayfield | Legal Medicine | 7598 Telegraph Rd, Alexandria, VA 22315-3829 | 2007-08-08 |
| 1629269139 | L. Glenn Christie Md Ltd | Legal Medicine | 7605 Forest Ave Ste 402, Richmond, VA 23229-4939 | 2007-08-08 |
| 1407051873 | Dominion Health Medical Assoc | Legal Medicine | 101 Aubrey's Loop Rd, South Boston, VA 24592 | 2007-06-18 |
| 1922135193 | Emergicare of Harrisonburg, Inc. | Legal Medicine | 755a Cantrell Ave, Harrisonburg, VA 22801-4366 | 2007-02-27 |
| 1578637997 | Lawrence Amos | Legal Medicine | 103 Free Bridge Ln, Charlottesville, VA 22911-8446 | 2006-11-17 |
| 1386737682 | Dominion Health Medical Assoc. | Legal Medicine | 15210 L. P. Bailey Memorial Hwy, South Boston, VA 24592 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 20120 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.