Active NPI
Cameron Choong-Shik Price, PA-C
- Physician Assistant
- Fredericksburg, VA
National Provider Identifier
1043140759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110012001
- Practice address
- 1301 Sam Perry Blvd Ste 200
Fredericksburg, VA 22401-8420 - Phone
- (540) 373-4602
- NPI assigned
- May 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110012001 | VA | Primary |
Addresses
Primary practice location
1301 Sam Perry Blvd Ste 200
Fredericksburg, VA 22401-8420
Mailing address
1340 Central Park Blvd Ste 100
Fredericksburg, VA 22401-4940
Other practice location 1
13432 College Valley Ln
Richmond, VA 23233-7643
Phone (804) 363-5128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Washington Healthcare Physicians | Past | Accepting new patients | |
| Mary Washington Healthcare Physicians | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1043140759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 CENTRAL PARK BLVD STE 100",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 SAM PERRY BLVD STE 200",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224018420",
"telephone_number": "540-373-4602"
}
],
"practiceLocations": [
{
"address_1": "13432 College Valley Ln",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232337643",
"country_code": "US",
"telephone_number": "804-363-5128",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRICE",
"first_name": "CAMERON",
"middle_name": "CHOONG-SHIK",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-22",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110012001",
"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 Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.