Active NPI
Family Medicine Associates
- Family Medicine Physician
- Suffolk, VA
National Provider Identifier
1144390626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101036848
- Legal business name
- FAMILY MEDICINE ASSOCIATES
- Practice address
- 2050 Hillpoint Blvd N
Suffolk, VA 23434-7181 - Phone
- (757) 934-3434
- Fax
- (757) 538-9038
- NPI assigned
- Nov 9, 2006
- Last updated
- Feb 26, 2010
- 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
- Mary L Carawan
- Title
- Adminsitrator
- Phone
- (757) 934-3434
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101036848 | VA | Primary |
Addresses
Primary practice location
2050 Hillpoint Blvd N
Suffolk, VA 23434-7181
Mailing address
2050 Hillpoint Blvd N
Suffolk, VA 23434-7181
Phone (757) 934-3434
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005651131 | Medicaid | VA | |
| 005602785 | Medicaid | VA | |
| 005623260 | Medicaid | VA | |
| 005647371 | Medicaid | VA | |
| 010025711 | Medicaid | VA | |
| 005693811 | Medicaid | VA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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
- Suffolk, VA
- NPI 1760481717
-
- Family Medicine Physician
- Suffolk, VA
- NPI 1649271024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267142400000",
"number": "1144390626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 HILLPOINT BLVD N",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234347181",
"telephone_number": "757-934-3434",
"fax_number": "757-538-9038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 HILLPOINT BLVD N",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234347181",
"telephone_number": "757-934-3434",
"fax_number": "757-538-9038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY MEDICINE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2010-02-26",
"status": "A",
"authorized_official_last_name": "CARAWAN",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINSITRATOR",
"authorized_official_telephone_number": "757-934-3434"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101036848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005651131",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005602785",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005623260",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005647371",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010025711",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005693811",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.