Organization Active NPI

Forest Hill Family Practice, Inc.

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1124200779
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101021333 Issued in VA
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

Updated by the provider on Mar 13, 2009

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
CM6800OtherVARAILROAD MEDICARE

National Provider Directory

National Provider Directory

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": "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

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.

Verify at the official NPI Registry.