NPIMap

Organization Active NPI

Fort Chiswell Family Care, PLLC

  • Family Medicine Physician
  • Max Meadows, VA
National Provider Identifier
1104158401
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FORT CHISWELL FAMILY CARE, PLLC
Practice address
791 Fort Chiswell Rd
Suite a
Max Meadows, VA 24360-4139
Phone
(276) 637-6641
Fax
(276) 637-6741
NPI assigned
Feb 11, 2010
Last updated
Jun 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Dr. Michael H Stoker, MD
Title
Physician
Phone
(276) 637-6641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

791 Fort Chiswell Rd
Suite a
Max Meadows, VA 24360-4139

Mailing address

791 Fort Chiswell Rd
Suite a
Max Meadows, VA 24360-4139
Phone (276) 637-6641

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1104158401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 FORT CHISWELL RD",
            "address_2": "SUITE A",
            "city": "MAX MEADOWS",
            "state": "VA",
            "postal_code": "243604139",
            "telephone_number": "276-637-6641",
            "fax_number": "276-637-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 FORT CHISWELL RD",
            "address_2": "SUITE A",
            "city": "MAX MEADOWS",
            "state": "VA",
            "postal_code": "243604139",
            "telephone_number": "276-637-6641",
            "fax_number": "276-637-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT CHISWELL FAMILY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-11",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "STOKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "276-637-6641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Max Meadows, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.