PATIENT FIRST RICHMOND MEDICAL GROUP (NPI# 1134583008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134583008 |
| Entity Type | Organization |
| Organization Name | PATIENT FIRST RICHMOND MEDICAL GROUP |
| Other Organization Name | PATIENT FIRST FAIRFAX |
| Practice Address |
10100 Fairfax Blvd Fairfax VA 22030-2000 |
| Mailing Address |
5000 Cox Rd Ste 100 Glen Allen VA 23060-9263 |
| Practice Telephone | 7036791876 |
| Practice Fax Number | 7036791877 |
| Mailing Telephone | 8048224383 |
| Mailing Fax Number | 8049650987 |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |
| Authorized Official Name | MR. MARVIN WARREN BRIDGERS III (VP, PHARMACY) |
| Authorized Official Telephone | 8048224383 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Patient First Fairfax | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023482510 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 14800 Lee Highway, Gainesville, VA 20155 | 2015-11-20 |
| 1558776682 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 3918 Centreville Rd, Chantilly, VA 20151 | 2014-06-27 |
| 1225469646 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 2304 W Mercury Blvd, Hampton, VA 23666-3115 | 2013-12-11 |
| 1649511791 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2013-03-13 |
| 1902147374 | Patient First Richmond Medical Group | Family Medicine | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2013-03-11 |
| 1386988632 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 6311 Richmond Highway, Alexandria, VA 22306 | 2012-11-26 |
| 1588935969 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 47100 Community Plz, Sterling, VA 20164-1826 | 2012-01-18 |
| 1487945846 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 1260 Temple Avenue, Colonial Heights, VA 23834 | 2011-04-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Patient First Richmond Medical Group | 5000 Cox Rd, Suite 100, Glen Allen, VA 23060 |
| Street Address |
10100 FAIRFAX BLVD |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316981103 | Abdulwahab Hashem Heggi | Internal Medicine | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2006-06-15 |
| 1275084568 | Mariam Ali | Physician Assistant | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2016-10-20 |
| 1588018881 | Patient First Richmond Medical Group Pllc | Family Medicine | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2016-04-22 |
| 1134527211 | Bridget A Baidoo | Physician Assistant | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2014-12-05 |
| 1164862868 | Nino Gelenidze | Family Medicine | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2013-06-27 |
| 1144669540 | Brandon Edward Polasko | Physician Assistant | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2013-06-19 |
| 1487900056 | Sheeba Mahnaz | Family Medicine | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2012-07-31 |
| 1073822482 | Nicol Lynn Schwandt | Physician Assistant | 10100 Fairfax Blvd, Fairfax, VA 22030 | 2010-10-03 |
| 1073845806 | Minh Khai Tran | Family Medicine | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2010-02-04 |
| 1760621205 | Paul Gardner Scanlan | Internal Medicine | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2009-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831573534 | Cigna Onsite Health LLC | Non-Pharmacy Dispensing Site | 121 Maxine Rd, Danville, VA 24541-6411 | 2015-07-13 |
| 1215346911 | Mobile Lab America LLC | Non-Pharmacy Dispensing Site | 3078 Hull St, Richmond, VA 23224-3574 | 2014-08-06 |
| 1548560782 | Richmond Medical Group | Non-Pharmacy Dispensing Site | 60 Prosperity Lane, Stafford, VA 22556 | 2010-10-21 |
| 1295051308 | Richmond Medical Group | Non-Pharmacy Dispensing Site | 9715 Liberia Ave., Manassas, VA 20110 | 2010-04-14 |
| 1366768475 | Richmond Medical Group | Non-Pharmacy Dispensing Site | 601 Potomac Station Dr, Leesburg, VA 20176 | 2010-04-14 |
| 1215101126 | Drs. Gardner & Veloso | Non-Pharmacy Dispensing Site | 307 1st St Sw, Roanoke, VA 24011-1901 | 2008-04-22 |
| 1609920685 | Virginia Adult & Pediatric Allergy & Asthma PC | Non-Pharmacy Dispensing Site | 14351 Sommerville Ct, Midlothian, VA 23113-6837 | 2007-01-23 |
| 1144378704 | Patient First | Non-Pharmacy Dispensing Site | 706 N Battlefield Blvd, Chesapeake, VA 23320 | 2007-01-08 |
| 1639230683 | Ellington Opticians | Non-Pharmacy Dispensing Site | 201 Temple Ave, B, Colonial Heights, VA 23834-2801 | 2006-12-13 |
| 1447333778 | Troutdale Medical Center | Non-Pharmacy Dispensing Site | 67 High Country Ln, Troutdale, VA 24378-2255 | 2006-10-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PATIENT FIRST RICHMOND MEDICAL GROUP.
| 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.