NPIMap

Organization Active NPI

King George Medical Center LTD

  • Family Medicine Physician
  • Dahlgren, VA
National Provider Identifier
1043252802
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KING GEORGE MEDICAL CENTER LTD
Practice address
16463 Dahlgren Rd
Dahlgren, VA 22448
Phone
(540) 663-2188
NPI assigned
Jun 12, 2006
Last updated
Sep 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Mr. Geoffrey H. Schwartz
Title
Secretary Treasurer
Phone
(540) 371-4488

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

16463 Dahlgren Rd
Dahlgren, VA 22448

Mailing address

PO Box 845
Fredericksburg, VA 22404-0845
Phone (540) 371-4488

National Provider Directory

National Provider Directory

Locations

5254 Potomac Dr
#C
King George, VA 22485
Phone (540) 663-2188

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1043252802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224040845",
            "telephone_number": "540-371-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16463 DAHLGREN RD",
            "city": "DAHLGREN",
            "state": "VA",
            "postal_code": "22448",
            "telephone_number": "540-663-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING GEORGE MEDICAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "540-371-4488",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dahlgren, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.