Organization Active NPI

Richmond Family Practice PLLC

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1083673701
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RICHMOND FAMILY PRACTICE PLLC
Practice address
425 N Boulevard
Richmond, VA 23220-3306
Phone
(804) 358-0248
Fax
(804) 358-9477
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2012

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

Authorized official

Name
George T Maughan, MDNPI 1558323824
Title
President
Phone
(804) 358-0248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

425 N Boulevard
Richmond, VA 23220-3306

Mailing address

425 N Boulevard
Richmond, VA 23220-3306
Phone (804) 358-0248

Other identifiers 2

IdentifierTypeStateIssuer
D1076OtherVAMEDICARE RAILROAD
005699673MedicaidVA

National Provider Directory

National Provider Directory

Locations

110 N Robinson St
Ste 303
Richmond, VA 23220
Phone (804) 200-1950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1083673701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N BOULEVARD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232203306",
            "telephone_number": "804-358-0248",
            "fax_number": "804-358-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N BOULEVARD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232203306",
            "telephone_number": "804-358-0248",
            "fax_number": "804-358-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "MAUGHAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-358-0248",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "D1076",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005699673",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.