CHRISTIANSBURG FAMILY PRACTICE,PC (NPI# 1629035688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629035688 |
| Entity Type | Organization |
| Organization Name | CHRISTIANSBURG FAMILY PRACTICE,PC |
| Practice Address |
6 Hickok St Christiansburg VA 24073-3524 |
| Practice Telephone | 5403826148 |
| Practice Fax Number | 5403824191 |
| Mailing Telephone | 5403826148 |
| Mailing Fax Number | 5403824191 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. KENNETH E JONES (PRESIDENT) |
| Authorized Official Telephone | 5403826148 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
0101026426 | VA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | SOUTHERN HEALTH PROVIDER | 76828 | 01 |
| VA | UNITED HEALTHCARE | 1733327 | 01 |
| VA | MAMSI PROVIDER NUMBER | 237816 | 01 |
| VA | AETNA PROVIDER NUMBER | 4218482 | 01 |
| VA | UMWA PROVIDER NUMBER | 1515558 | 01 |
| VA | ANTHEM | 263539 | 01 |
| VA | MEDICARE RAILROAD | C05193 | 01 |
| VA | MEDICARE | C05193 | 01 |
| Street Address |
6 HICKOK ST |
| City | CHRISTIANSBURG |
| State | VA |
| Zip Code | 24073-3524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700848363 | Carl Robert Hannah | Family Medicine | 6 Hickok St, Christiansburg, VA 24073-3524 | 2006-04-06 |
| 1992181226 | Heather Renee Bragg | Registered Nurse | 6 Hickok St, Christiansburg, VA 24073-3524 | 2015-08-10 |
| 1619270568 | Madiha Mustafa Kamal | Internal Medicine | 6 Hickok St, Christiansburg, VA 24073-3524 | 2010-12-15 |
| 1639324445 | Christiansburg Family Medicine, LLC | Family Medicine | 6 Hickok St, Christiansburg, VA 24073-3524 | 2008-11-20 |
| 1902063423 | Megan Cornwell Thomas | Internal Medicine | 6 Hickok St, Christiansburg, VA 24073-3524 | 2008-05-21 |
| 1386811073 | William Douglas Thomas II | Internal Medicine | 6 Hickok St, Christiansburg, VA 24073-3524 | 2008-05-12 |
| 1053358143 | Peter J Recupero | Specialist | 6 Hickok St, Christiansburg, VA 24073-3524 | 2006-05-31 |
| 1679536866 | Kenneth Earl Jones | Family Medicine | 6 Hickok St, Christiansburg, VA 24073-3524 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172407 | Galax Treatment Center, LLC | Clinic/Center | 2100 Roanoke St, Suite 1, Christiansburg, VA 24073 | 2020-10-22 |
| 1891318044 | Anderson Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 290 Cheverly Road, Christiansburg, VA 24073 | 2020-05-22 |
| 1972012235 | Valerie Glass | Marriage & Family Therapist | 250 Willow Oak Dr, Christiansburg, VA 24073 | 2017-09-29 |
| 1841680311 | New River Assisted Living LLC | Assisted Living Facility | 105 Arbor Drive, Suite 400, Christiansburg, VA 24073 | 2015-02-04 |
| 1770971764 | Jesse Cornwell | Hearing Instrument Specialist | 3225 N Franklin St Ste 2, Christiansburg, VA 24073 | 2014-12-30 |
| 1811323702 | Valerie Lauck | Pharmacist | 192 Conston Avenue, Christiansburg, VA 24073 | 2013-09-24 |
| 1326322819 | National Counseling Group, Inc | Counselor | 90 College Street, Suite C, Christiansburg, VA 24073 | 2011-10-04 |
| 1669796561 | Mary Catherine Carter | Internal Medicine | 2900 Lamb Cir Ste 7-700b, Christiansburg, VA 24073 | 2010-03-22 |
| 1467774992 | Roger Dean Owen | Pharmacist | 1000 Laurel St Ne, Kmart 4850, Christinsburg, VA 24073 | 2010-02-25 |
| 1891989729 | Eva Hudlicka | Social Worker | 2955 Market Street, Suite 7, Christiansburg, VA 24073 | 2007-09-04 |
| Find all providers in zip 24073 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626478 | Partners In Family Practice LLC | Clinic/Center | 430 Clairmont Ct Ste 123, Colonial Heights, VA 23834-1770 | 2020-10-09 |
| 1730790874 | Janice G. Sadaya-conda M.d., Pllc | Clinic/Center | 6128 Brandon Ave Ste 225, Springfield, VA 22150-2640 | 2020-08-12 |
| 1598375610 | Johnson Venture Management Solutions, Inc. | Clinic/Center | 17 Langley Blvd Bldg 1216, Hampton, VA 23681-2143 | 2020-08-04 |
| 1376161745 | Susan Minter Dnp Aprn LLC | Clinic/Center | 1234 Ridout Rd, La Crosse, VA 23950-2808 | 2020-07-11 |
| 1295359883 | Advanced Onsite Care LLC | Clinic/Center | 1045 Robert Welch Ln, Chesapeake, VA 23320-6770 | 2020-05-30 |
| 1962022392 | Gladeview Medical LLC | Clinic/Center | 279 Gladeview Dr, Fries, VA 24330-3936 | 2020-04-27 |
| 1578182986 | Libertas Leadership | Clinic/Center | 405 Sperryville Pike, Culpeper, VA 22701-2151 | 2020-04-15 |
| 1497395768 | Holistic Health and Healing Inc | Clinic/Center | 3690 Greensboro Road, Ridgeway, VA 24148 | 2020-01-14 |
| 1700426244 | Quad/med, LLC | Clinic/Center | 366 Draft Avenue, Stuarts Draft, VA 24477-2941 | 2020-01-13 |
| 1114560653 | Amy Beyer LLC | Clinic/Center | 2611 Thomas Jefferson Pkwy, Palmyra, VA 22963-5000 | 2019-10-28 |
| Find all providers with the same taxonomy | ||||
| City | CHRISTIANSBURG |
| Zip Code | 24073 |
Please comment or provide details below to improve the information on CHRISTIANSBURG FAMILY PRACTICE,PC.
| 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.