Active NPI
Forest Hill Family Practice, Inc.
- Family Medicine Physician
- Richmond, VA
National Provider Identifier
1124200779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101021333
- Legal business name
- FOREST HILL FAMILY PRACTICE, INC.
- Practice address
- 4405 Forest Hill Ave
Richmond, VA 23225-3241 - Phone
- (804) 233-9661
- Fax
- (804) 233-1101
- NPI assigned
- Dec 5, 2007
- 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
- Janice Ellis
- Title
- Insurance Coordinator
- Phone
- (804) 233-9661
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101021333 | VA | Primary |
Addresses
Primary practice location
4405 Forest Hill Ave
Richmond, VA 23225-3241
Mailing address
4405 Forest Hill Ave
Richmond, VA 23225-3241
Phone (804) 233-9661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CM6800 | Other | VA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1881649424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236902400000",
"number": "1124200779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4405 FOREST HILL AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232253241",
"telephone_number": "804-233-9661",
"fax_number": "804-233-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 FOREST HILL AVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232253241",
"telephone_number": "804-233-9661",
"fax_number": "804-233-1101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOREST HILL FAMILY PRACTICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-05",
"last_updated": "2009-03-13",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "JANICE",
"authorized_official_title_or_position": "INSURANCE COORDINATOR",
"authorized_official_telephone_number": "804-233-9661"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "VA",
"license": "0101021333",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CM6800",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
- Stewart Ford, PA
- Timothy Ryan Ford, AG-ACNP
- Tyler Christian Ford, MD
- Tailor Nicole Mason Foreman, DPM
- Forest Hill Convalescent Center, LP
- Heather Ann Forestiere, PT
- Forever Living Assistant Care Home Corp.
- Jane Kristine Foreyt, PT, DPT
- Laura Garawski Forlano, DO, MPH
- Forman Psychological Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.