Lynchburg Family Medicine Residency

Primary specialty

VA Clinic/CenterTaxonomy code 261QV0200X

License

116022195 Issued in VA

Legal business name

LYNCHBURG FAMILY MEDICINE RESIDENCY

Practice address

2323 Memorial Ave
10
Lynchburg, VA 24501-2661

Phone

(434) 200-5200

NPI assigned

Jul 14, 2010

Last updated

Jul 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles E. Driscoll, M.D.NPI 1093713950

Title

Director

Phone

(434) 200-5200

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Lynchburg Family Medicine Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lynchburg Family Medicine Center

  • VA Clinic/Center
  • Lynchburg, VA
  • NPI 1518270982
  NPD tax ID

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.

• Charles E. Driscoll, M.D.

  • Family Medicine Physician
  • Lynchburg, VA
  • NPI 1093713950
  Authorized official Same address or phone

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1154634517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 MEMORIAL AVE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012661",
            "telephone_number": "434-200-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 MEMORIAL AVE",
            "address_2": "10",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245012661",
            "telephone_number": "434-200-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNCHBURG FAMILY MEDICINE RESIDENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "434-200-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "VA",
            "license": "116022195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynchburg City Schools
• Lynchburg Dept Social SVS
• Lynchburg Endodontics P.C.
• Lynchburg Family Dentistry PC
• Lynchburg Family Medicine Center
• Lynchburg Gynecology PC
• Lynchburg Health Dept. Dental Office
• Lynchburg Healthcare, LLC (The Carrington)
• Lynchburg Healthcare, LLC (The Carrington)
• Lynchburg Hematology Oncology Clinic Inc.

• VA Clinic/Center in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• VA Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.