PATIENT FIRST RICHMOND MEDICAL GROUP (NPI# 1649511791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649511791 |
| Entity Type | Organization |
| Organization Name | PATIENT FIRST RICHMOND MEDICAL GROUP |
| Other Organization Name | PATIENT FIRST LAKE RIDGE |
| Practice Address |
2199 Old Bridge Rd Lake Ridge VA 22192-2911 |
| Mailing Address |
5000 Cox Rd Ste 100 Glen Allen VA 23060-9263 |
| Practice Telephone | 7033579707 |
| Practice Fax Number | 7033579708 |
| Mailing Telephone | 8048224383 |
| Mailing Fax Number | 8049650987 |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |
| Authorized Official Name | MR. MARVIN WARREN BRIDGERS III (DIRECTOR OF 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 | 0102202555 | VA | Suppliers |
| Other Name | Type Code |
|---|---|
| PATIENT FIRST LAKE RIDGE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134583008 | Patient First Richmond Medical Group | Non-Pharmacy Dispensing Site | 10100 Fairfax Blvd, Fairfax, VA 22030-2000 | 2016-04-07 |
| 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 |
| 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 |
2199 OLD BRIDGE RD |
| City | LAKE RIDGE |
| State | VA |
| Zip Code | 22192-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790769453 | Steven Frederick Williams | Physician Assistant | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2005-12-05 |
| 1356814511 | Ivonne Cruz | Nurse Practitioner | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2019-01-09 |
| 1659891919 | Riken Kumar | Internal Medicine | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2017-06-27 |
| 1326588260 | Amanda Heger | Nurse Practitioner | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2017-02-26 |
| 1902147374 | Patient First Richmond Medical Group | Family Medicine | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2013-03-11 |
| 1043570294 | Mary Anne Alexander | Internal Medicine | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2012-05-22 |
| 1578842191 | Saurabh Gambhir | Family Medicine | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2011-08-13 |
| 1205135159 | Lauren Lee Cassis | Physician Assistant | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2011-03-17 |
| 1154627362 | Amaiya Melissa Thompson | Physician Assistant | 2199 Old Bridge Rd, Lake Ridge, VA 22192 | 2011-02-04 |
| 1982906038 | Sara Woodby-brown | Nurse Practitioner | 2199 Old Bridge Rd, Lake Ridge, VA 22192-2911 | 2010-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| 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 | ||||
| City | LAKE RIDGE |
| Zip Code | 22192 |
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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.