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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
Street Address |
15237 CREATIVITY DR SUITE 101 |
City | CULPEPER |
State | VA |
Zip Code | 22701-2504 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 22701 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
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). |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on SHENANDOAH FAMILY PRACTICE, LLC.
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.