NPIMap

Organization Active NPI

Lisa King MD LLC

  • Internal Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1265639892
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LISA KING MD LLC
Practice address
10514 Wakeman Dr
Fredericksburg, VA 22407-8040
Phone
(540) 785-9500
Fax
(866) 601-0609
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Authorized official

Name
Dr. Lisa King, MD
Title
Physician Owner
Phone
(540) 785-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10514 Wakeman Dr
Fredericksburg, VA 22407-8040

Mailing address

10514 Wakeman Dr
Fredericksburg, VA 22407-8040
Phone (540) 785-9500

Other names 1

  • Wellness Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1265639892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10514 WAKEMAN DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224078040",
            "telephone_number": "540-785-9500",
            "fax_number": "866-601-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10514 WAKEMAN DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224078040",
            "telephone_number": "540-785-9500",
            "fax_number": "866-601-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA KING MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "540-785-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.