NPIMap

Organization Active NPI

Tri-Cities Geriatrics, PC

  • Internal Medicine Physician
  • Chester, VA
National Provider Identifier
1285030528
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101055927 Issued in VA
Legal business name
TRI-CITIES GERIATRICS, PC
Practice address
1714 E Hundred Rd
Suite 101
Chester, VA 23836-3310
Phone
(804) 721-9148
Fax
(804) 530-5295
NPI assigned
Nov 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Authorized official

Name
Mohammad Farooq, M.D.
Title
President
Phone
(804) 721-9148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101055927 VA Primary

Addresses

Primary practice location

1714 E Hundred Rd
Suite 101
Chester, VA 23836-3310

Mailing address

1714 E Hundred Rd
Suite 101
Chester, VA 23836-3310
Phone (804) 721-9148

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1285030528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 E HUNDRED RD",
            "address_2": "SUITE 101",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238363310",
            "telephone_number": "804-721-9148",
            "fax_number": "804-530-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1714 E HUNDRED RD",
            "address_2": "SUITE 101",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238363310",
            "telephone_number": "804-721-9148",
            "fax_number": "804-530-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CITIES GERIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "FAROOQ",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-721-9148",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101055927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; 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.