Organization Active NPI

Central Virginia OB-GYN Group, PC

  • Obstetrics & Gynecology Physician
  • Fredericksburg, VA
National Provider Identifier
1033151733
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CENTRAL VIRGINIA OB-GYN GROUP, PC
Practice address
1011 Care Way
Suite 200
Fredericksburg, VA 22401-4467
Phone
(540) 373-4900
Fax
(540) 373-5195
NPI assigned
Jun 10, 2006
Last updated
Oct 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joon Kil, MD
Title
Physician
Phone
(540) 373-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

1011 Care Way
Suite 200
Fredericksburg, VA 22401-4467

Mailing address

1011 Care Way
Suite 200
Fredericksburg, VA 22401-4467
Phone (540) 373-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040710000230 VA Part B Supplier - Clinic/Group Practice 8628056264 Receives reassigned benefits from 1 practitioner
Practice locations: Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

1011 Care Way
Ste 200
Fredericksburg, VA 22401
Phone (540) 373-4900

4541 Spotsylvania Pkwy
Fredericksburg, VA 22408
Phone (540) 373-4900

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1033151733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 CARE WAY",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014467",
            "telephone_number": "540-373-4900",
            "fax_number": "540-373-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CARE WAY",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014467",
            "telephone_number": "540-373-4900",
            "fax_number": "540-373-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VIRGINIA OB-GYN GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "KIL",
        "authorized_official_first_name": "JOON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "540-373-4900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.