Active NPI
Alliance Family Practice, P.C.
- Family Medicine Physician
- Petersburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ALLIANCE FAMILY PRACTICE, P.C.
- Practice address
- 40 Liberty St
Petersburg, VA 23803-5021 - Phone
- (804) 862-2878
- Fax
- (804) 862-2879
- NPI assigned
- Aug 6, 2007
- Last updated
- Jun 11, 2008
- 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
- Dr. Zelda West Johnson, M.D.
- Title
- Family Practice Provider
- Phone
- (804) 862-2878
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
40 Liberty St
Petersburg, VA 23803-5021
Mailing address
40 Liberty St
Petersburg, VA 23803-5021
Phone (804) 862-2878
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302200 | Other | VA | ANTHEM BC OF VIRGINIA |
National Provider Directory
National Provider DirectoryLocations
9323 Midlothian Tpke
Ste E
North Chesterfield, VA 23235
Phone (804) 212-1144
3333 S Crater Rd
Ste 3A
Petersburg, VA 23805
Phone (804) 733-3438
40 Liberty St
Petersburg, VA 23803
Phone (804) 520-6868
Practitioners & affiliated clinicians
Practitioners 4
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
- Glen Allen, VA
- NPI 1801933007
-
- Adolescent Medicine (Family Medicine) Physician
- Richmond, VA
- NPI 1255423448
-
- Family Nurse Practitioner
- Richmond, VA
- NPI 1093931610
-
- Medical Physician Assistant
- Concord, VA
- NPI 1386764538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213142400000",
"number": "1174714141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 LIBERTY ST",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238035021",
"telephone_number": "804-862-2878",
"fax_number": "804-862-2879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 LIBERTY ST",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "238035021",
"telephone_number": "804-862-2878",
"fax_number": "804-862-2879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE FAMILY PRACTICE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-06",
"last_updated": "2008-06-11",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "ZELDA",
"authorized_official_middle_name": "WEST",
"authorized_official_title_or_position": "FAMILY PRACTICE PROVIDER",
"authorized_official_telephone_number": "804-862-2878",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC OF VIRGINIA",
"identifier": "302200",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Petersburg, VA
- Annemarie Alinea-Richards, PT, DPT
- Tahir Allauddin, M.D.
- Monica Shunita Allen, FNP
- Terrence Agustus Allen, PHD
- Alliance Family Health Care, PC
- Alliance Family Practice, PC
- Altruistic Life Services, Inc.
- C. Rao Amara, M.D.
- Lesley Ambroise
- Amedisys Home Health Inc of Virginia (Amedisys Home Health of Petersburg)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.