Active NPI
Preston Square Family Practice
- Family Medicine Physician
- Abingdon, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRESTON SQUARE FAMILY PRACTICE
- Practice address
- 24294 Teal Drive
Abingdon, VA 24211-6160 - Phone
- (276) 628-8303
- Fax
- (276) 466-4815
- NPI assigned
- Jul 15, 2006
- Last updated
- Dec 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clara Jane Toothman, MD
- Title
- Partner
- Phone
- (276) 628-8303
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | VA | Primary |
Addresses
Primary practice location
24294 Teal Drive
Abingdon, VA 24211-6160
Mailing address
24294 Teal Drive
Abingdon, VA 24211-6160
Phone (276) 628-8303
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DD3927 | Other | RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
2426 Lee Hwy
Ste 100
Bristol, VA 24202
Phone (276) 466-5321
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Abingdon, VA
- NPI 1407872807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323993600000",
"number": "1114943875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24294 TEAL DRIVE",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242116160",
"telephone_number": "276-628-8303",
"fax_number": "276-466-4815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24294 TEAL DRIVE",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242116160",
"telephone_number": "276-628-8303",
"fax_number": "276-466-4815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTON SQUARE FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2011-12-16",
"status": "A",
"authorized_official_last_name": "TOOTHMAN",
"authorized_official_first_name": "CLARA",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "276-628-8303",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DD3927",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.