NPIMap

Organization Active NPI

Affinity Healthcare Group Franklin LLC

  • Addiction Medicine (Family Medicine) Physician
  • Suffolk, VA
National Provider Identifier
1083146302
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
0101049004 Issued in VA
Legal business name
AFFINITY HEALTHCARE GROUP FRANKLIN LLC
Practice address
6806 Forest Lake CT
Suffolk, VA 23435-2935
Phone
(757) 933-2660
Fax
(757) 537-2365
NPI assigned
Mar 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Authorized official

Name
Mr. Ronald Martin
Title
Owner
Phone
(757) 933-2660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X 0101049004 VA Primary

Addresses

Primary practice location

6806 Forest Lake CT
Suffolk, VA 23435-2935

Mailing address

6806 Forest Lake CT
Suffolk, VA 23435-2935
Phone (757) 933-2660

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1083146302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6806 FOREST LAKE CT",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352935",
            "telephone_number": "757-933-2660",
            "fax_number": "757-537-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6806 FOREST LAKE CT",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234352935",
            "telephone_number": "757-933-2660",
            "fax_number": "757-537-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HEALTHCARE GROUP FRANKLIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-933-2660",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "VA",
            "license": "0101049004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.