Spotsylvania Emergi-Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0101022289 Issued in VA

Legal business name

SPOTSYLVANIA EMERGI-CENTER INC

Practice address

992 Bragg Rd
Fredericksburg, VA 22407-6979

Phone

(540) 786-7637

Fax

(540) 786-0810

NPI assigned

Mar 29, 2007

Last updated

Aug 22, 2020By 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. Desiderio Landas Hebron, M.D.

Title

Medical Director

Phone

(540) 786-7637

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SPOTSYLVANIA EMERGI-CENTER Other name

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174643878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 BRAGG RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076979",
            "telephone_number": "540-786-7637",
            "fax_number": "540-786-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 BRAGG RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076979",
            "telephone_number": "540-786-7637",
            "fax_number": "540-786-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOTSYLVANIA EMERGI-CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEBRON",
        "authorized_official_first_name": "DESIDERIO",
        "authorized_official_middle_name": "LANDAS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "540-786-7637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101022289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS PPO",
            "identifier": "060154",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS GROUP",
            "identifier": "060133",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPOTSYLVANIA EMERGI-CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• General Practice Physician in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• General Practice Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.