NPIMap

Organization Active NPI

Ips of Winchester LLC/Afp Location

  • Family Medicine Physician
  • Winchester, VA
National Provider Identifier
1124373808
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
IPS OF WINCHESTER LLC/AFP LOCATION
Practice address
1867 Amherst St
Winchester, VA 22601-2801
Phone
(540) 667-8724
Fax
(540) 723-0741
NPI assigned
Jul 18, 2012
Last updated
Aug 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Authorized official

Name
Harry Nelson Gustin III, MDNPI 1639149438
Title
Manager
Phone
(540) 667-8724

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X VA Primary

Addresses

Primary practice location

1867 Amherst St
Winchester, VA 22601-2801

Mailing address

148 Linden Dr
Suite 101
Winchester, VA 22601-6902
Phone (540) 504-0075

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1124373808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 LINDEN DR",
            "address_2": "SUITE 101",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016902",
            "telephone_number": "540-504-0075",
            "fax_number": "540-678-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 AMHERST ST",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012801",
            "telephone_number": "540-667-8724",
            "fax_number": "540-723-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPS OF WINCHESTER LLC/AFP LOCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "GUSTIN",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "540-667-8724",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.