SHENANDOAH FAMILY PRACTICE, LLC


Address: 15237 Creativity Dr, Suite 101, Culpeper, VA 22701-2504
Phone: 5403808231

SHENANDOAH FAMILY PRACTICE, LLC (NPI# 1295188373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295188373
Entity Type Organization
Organization Name SHENANDOAH FAMILY PRACTICE, LLC
Practice Address 15237 Creativity Dr
Suite 101
Culpeper
VA 22701-2504
Mailing Address 1912 September Ct
Culpeper
VA 22701-3313
Practice Telephone 5403808231
Practice Fax Number 5403808231
Mailing Telephone 5408259182
Enumeration Date 2016-07-13
Last Update Date 2016-07-13
Authorized Official Name DR. KHALID ATHAR (CEO)
Authorized Official Telephone 2024600988
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name SHENANDOAH FAMILY CARE MANAGEMENT, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 15237 CREATIVITY DR
SUITE 101
City CULPEPER
State VA
Zip Code 22701-2504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871599464 Stacey L Ratigan Legal Medicine 15237 Creativity Dr, Culpeper, VA 22701 2005-06-28
1477179257 Carmella Walling Nurse Practitioner 15237 Creativity Dr, Culpeper, VA 22701-2504 2020-06-17
1124678479 Abigail Rennie Carruthers Physician Assistant 15237 Creativity Dr, Culpeper, VA 22701-2504 2019-09-18
1518440825 Heather Lynn Cannova Nurse Practitioner 15237 Creativity Dr, Culpeper, VA 22701-2504 2018-09-12
1396224218 Amber D. Mullins Nurse Practitioner 15237 Creativity Dr, Culpeper, VA 22701-2504 2018-08-10
1053897967 Erin Nicole Jones Physician Assistant 15237 Creativity Dr, Culpeper, VA 22701-2504 2018-07-13
1356874275 Ridgeline Physician Services, LLC Family Medicine 15237 Creativity Dr, Culpeper, VA 22701-2504 2017-04-07
1073966156 Shenandoah Family Urgent Care, LLC Clinic/Center 15237 Creativity Dr, Suite 103, Culpeper, VA 22701-2504 2016-07-13
1578873394 Thomas E Achter Jr. Nurse Practitioner 15237 Creativity Dr, Culpeper, VA 22701-2504 2010-10-14
1619286424 Amy Wyatt Rosenblum Dietitian, Registered 15237 Creativity Dr, Culpeper, VA 22701 2010-09-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720621907 Warzetta Delphina Carter Technician 1415 Orange Rd., Culpeper, VA 22701 2019-10-21
1043747983 Jeremy L. Mccullough Physical Therapist 15331 Creativity Dr # 960, Culpeper, VA 22701 2017-05-22
1013366921 Angel Wings Family Services LLC. Home Health 133 East Davis Street Suite 330, Culpeper, VA 22701 2016-06-10
1598114654 Aa Lightfoot Transportation Non-emergency Medical Transport (VAN) 13908 Eggbornsville Rd, Culpeper, VA 22701 2016-06-09
1780087437 Healing Hands Therapeutic Massage, LLC. Massage Therapist 530 Sunset Lane, Culpeper, VA 22701 2014-10-08
1053694893 Sharon Darling Pharmacist 309 Southgate Sc, Culpeper, VA 22701 2011-09-27
1821371196 Cathy Annette Crain Pharmacist 309 Southgate, Safeway Pharmacy, Culpeper, VA 22701 2011-09-23
1447572698 Jordan Lee Nougaret Specialist/Technologist 132 Standpipe Road, Culpeper, VA 22701 2010-02-15
1194957324 Giant Food Stores, LLC Pharmacy 15371 Montanus Drive, Culpeper, VA 22701 2009-08-21
1093959611 Samantha Jane Reynolds Physician Assistant 1100 Sunset Lane 1211-a, Culpeper, VA 22701 2009-04-27
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225635972 Richmond Traveler Taxi Clinic/Center 9808 Woodman Rd, Henrico, VA 23228-1339 2020-10-06
1265046700 Guan Yuan Pllc Clinic/Center 7008 Catlett St, Springfield, VA 22151-3901 2020-09-02
1831711902 Charlottesville Hyperbarics Corp Clinic/Center 925-a E Jefferson St, Charlottesville, VA 22902-5573 2020-05-12
1417579889 Health Bridge, LLC Clinic/Center 4198 Cox Rd Ste 102, Glen Allen, VA 23060-3328 2020-05-08
1851924088 First Light Clinic LLC Clinic/Center 706 Campbell Ave Sw, Roanoke, VA 24016-3534 2020-02-17
1912537440 B's Integrated Clinic, Pllc Clinic/Center 501 Rison St Ste 100, Danville, VA 24541-2426 2020-01-23
1770122723 Colonial Beach Health & Wellness Inc Clinic/Center 700 Mckinney Blvd Ste 1100, Colonial Beach, VA 22443-1934 2019-12-21
1104461896 Lung Specialists of Tidewater Pllc Clinic/Center 224 Avonlea Pointe, Chesapeake, VA 23322-4279 2019-11-17
1053952846 Mediluxe Clinic/Center 19349 Diamond Lake Dr, Leesburg, VA 20176-6596 2019-10-02
1720639503 Javan Wellness Ballston LLC Clinic/Center 4000 Wilson Blvd Ste D, Arlington, VA 22203-4401 2019-09-24
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Competitor

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City CULPEPER
Zip Code 22701

Improve Information

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Dataset Information

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.

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